Putting The Stroke Issue to Bed

Okay. Let's go back and dissect this sentence, or this group of sentences; [not 00:11:42] commented on that. "Although current biomechanical evidence is insufficient to establish the claim that CMT causes dissection," that is a remarkable acknowledgment. No longer do we have to worry about or some bozo coming into court and saying that cervical spine adjustments caused this problem, period. Well, according to the Heart Association they can't say that, according to Stroke Association they can't say that. That's based upon the current biomechanical evidence. It's a very powerful and useful statement. It goes on to say, "Clinical reports suggest that mechanical forces play a role in a considerable number of dissections." Absolutely, we know that dissections [inaudible 00:12:26] circumstances, for example, automobile accidents. There was an article in 2005, I believe it was by Beaudry M., Spence, out of Canada and they looked at 80 cases of dissection over a 20-year period and then [inaudible 00:12:44] a practice, and they found that 78 of those cases were about automobile accidents or industrial accidents that rose to the level of automobile accidents with the attending mechanical forces. Then the statement goes out to say, "Most population control studies they found an association between CMT and VAD in young patients." Well, they have also found an association between CMT and primary care visits. This statement again isn't wrong. It's incomplete, and I would be critical and I'm critical of this statement for that reason. If you understand the broader and fuller context, this is less concerning than if you don't. My comment on these areas, "The statistical association between cervical dissection and CMT referred to here is found in the Cassidy study," no question about that, "But so is an association between primary care visits and dissection." The association in Rothwell which was the study that led to the two Cassidy study, the Rothwell was the 2002 study I believe, that appeared in the journal Stroke . Rothwell looked at X number of patients, had Y number of dissections within 7 days, 14 days of visiting a [chiropractor 00:14:07] and did not look at in the context of within 7 and 14 days of visiting a medical doctor, within 7 or 14 days of visiting an emergency room, within 7 or 14 days of having sex, within 7 or 14 days of having a cup of coffee. It was just out there. The Cassidy study took that Rothwell study one level further. They said, "Okay, we'll accept that you found a statistical association, but is there a similar, greater or lesser association with persons who visit medical

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