There has been much recent debate about the association between manual therapy and adverse events relating to stroke and cervical artery dysfunction. This one day masterclass draws content from recent evidence and provides tools to practitioners to enhance clinical reasoning in triaging their patients and making informed decisions with their patients about whether manual treatment is appropriate. Presentations and case based practical work will enable participants to evaluate their current knowledge, identify their learning needs and provide current knowledge and skills based training to enhance practice. Relevant theory, epidemiology, pathophysiology and clinical research will be used to give participants up to date knowledge and will be applied in the context of clinical reasoning. Consent related matters in this area will be reviewed and shared as well as the opportunity to practise relevant clinical methods.

The course will focus on giving delegates practical experience and skills that they can apply in their clinical work. For more information about what to expect from the course watch a brief introduction from Course Leader Steven Vogel.

Learning outcomes

  • Understand the pathophysiology and epidemiology of cervical artery dysfunction
  • Clarify the relationship between manual therapy technique and risk when evaluating and treating the neck
  • Identify risk factors for cervical artery dysfunction
  • Gain experience of clinical reasoning and shared clinical decision making with patients
  • Enhance and apply clinical methods in the examination of neck and head pain presentations

This course is suitable for chiropractors, osteopaths, and physiotherapists.


Who is teaching the course?

Roger Kerry 

Roger Kerry Associate Professor/Director of Postgraduate Education, Faculty of Medicine & Health Sciences, University of Nottingham

Roger is an experienced physiotherapist and academic with longstanding research and education interests in haemodynamics and manual therapy. He has published widely on clinical reasoning and risk related to cervical artery dysfunction. Roger is a member of the International Federation of Orthopaedic Manipulative Physical Therapist working group for the International Framework for Examination of the Cervical Region for potential of Cervical Arterial Dysfunction prior to Orthopaedic Manual Therapy Intervention 2007-2017.

Selected publications:

KERRY R, ANJUM RL and MUMFORD SD, 2013. Causation as way forward in person centred medicine. International Journal of Person Centred Medicine. 2(1), 79-80
TAYLOR AJ and KERRY R, 2013. Vascular profiling: Should manual therapists take blood pressure? Manual therapy. 18(4), 351-3
KERRY R, 2011. Examination of the upper cervical spine. In: PETTY NJ, ed., Neuromusculoskeletal Examination and Assessment 4. Elsevier.
TAYLOR, A.J. and KERRY, R., 2010. A 'system based' approach to risk assessment of the cervical spine prior to manual therapy International Journal of Osteopathic Medicine. 13(3), 85-93
KERRY, R., TAYLOR, A.J., MITCHELL, J. and MCCARTHY, C., 2008. Cervical arterial dysfunction and manual therapy: a critical literature review to inform professional practice Manual Therapy. 13(4), 278-288

Steven Vogel 

Steven Vogel Vice Principal (Research), University College of Osteopathy. Editor-in-Chief, The International Journal of Osteopathic Medicine

Most of Steven’s working time is spent on research and education at the University College of Osteopathy. He held a clinical post as an osteopath in an NHS primary care setting for many years. His recent research has focused on reassurance, communication and consent, and safety in manual therapy. He was the lead researcher in the largest UK study investigating patient and osteopath’s experience of risk management and adverse events and consent. Steven has published widely and been involved in the development of NICE’s clinical guidelines for low back pain and sciatica.

Selected publications:

Vaughan B, Moran R, Tehan P, Fryer G, Holmes M, Vogel S, et al. (2016) Manual therapy and cervical artery dysfunction: Identification of potential risk factors in clinical encounters. Int J Osteopath Med . Doi: 10.1016/j.ijosm.2016.01.007.
Holt N, Pincus T, Vogel S. (2015) Reassurance during low back pain consultations with GPs: a qualitative study. Br J Gen Pract ;65(639):e692–701. Doi: 10.3399/bjgp15X686953.
Pincus, T. Holt, N. Vogel, S. Underwood, M. Savage, R. Walsh, D. A. & Taylor, S. J. C. (2013) Cognitive and affective reassurance and patient outcomes in primary care: A systematic review ',  Pain.154; 2407-2416.
Vogel, S. (2012) Consent and information exchange – A burden or opportunity? International Journal of Osteopathic Medicine 15; 3: 83-85.
Daniels, G. and Vogel, S. (2012) Consent in osteopathy: A cross sectional survey of patients' information and process preferences. International Journal of Osteopathic Medicine 15; 3: 92-102.
Vogel, S. (2010) Adverse events and treatment reactions in osteopathy. International Journal of Osteopathic Medicine 13; 3: 83-84.

*Please note: Registration for this course is at 9am but the course doesn't start until 9.30am and ends at 5.30pm. 





Hilton Puckrup Hall,
Puckrup Lane,
GL20 6EL



Cancellation policy

The UCO regrets that no refunds can be made for cancelled places unless a substitute participant can be found. The UCO cannot guarantee that any course will run. In the event of your course being cancelled, all paid fees and deposits will be refunded in full.