Prospective study of pain, dizziness, and central nervous system blood flow in cervical extension: Vascular correlations to beauty parlor stroke syndrome and salon sink radiculopathy

Patrick M. Foye, Michael P. Najar, Anthony Camme, Todd P. Stitik, Melissa L. DePrince, Scott F. Nadler, Boqing Chen

Research output: Contribution to journalArticle

16 Scopus citations


Objective: Professional shampoos have previously been implicated in beauty parlor stroke syndrome and salon sink radiculopathy. The purpose of this study was to record pain, dizziness, and cervical blood flow while subjects were specifically placed into the salon sink position and to determine whether an additional cervical support would alter these symptoms and measurements. Design: In 25 volunteers who reported previous dizziness from salon shampoos, we recorded subjective levels of pain and dizziness and objective measurements of blood flow within the vertebral and carotid arteries at baseline and then during cervical extension into a salon sink, with and without additional cervical support. Results: When the additional cervical support was not used, there was significantly greater dizziness, neck pain, and carotid blood flow. No statistically significant differences were seen in the vertebral artery blood flow when comparing the three positions. Conclusions: Pain and dizziness were commonly reproduced in this previously symptomatic population but significantly less frequently when a supplemental cervical support was used. Individuals with a history of such symptoms should probably exercise caution when deciding whether to receive a salon sink shampoo.

Original languageEnglish (US)
Pages (from-to)395-399
Number of pages5
JournalAmerican Journal of Physical Medicine and Rehabilitation
Issue number6
StatePublished - Jan 1 2002


All Science Journal Classification (ASJC) codes

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation


  • Beauty Parlor Stroke Syndrome
  • Carotid Arteries
  • Cerebrovascular Accident
  • Cervical Radiculopathy
  • Salon Sink Radiculopathy
  • Vertebrobasilar Insufficiency

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