A Randomized Controlled Trial Kari Paanalahti BMC Musculoskelet Disord. 2014;15(77) Abstract Background: The safety of the manual treatment techniques such as spinal manipulation has been discussed and there is a need for more information about potential adverse events after manual therapy. The aim of this randomized controlled trial was to investigate differences in occurrence of […]
Evidence behind the safety and benefit of cervical spine manipulation is explored. By Ken Johnson, DO and George Pasquarello, DO, FAAO Recently there has been an increasing concern about the safety of cervical spine manipulation Specifically, this concern has centered on devastating negative outcomes such as stroke. Benefits Spinal manipulation has been reviewed in meta-analysis […]
There is growing interest in the association between cervical manipulation and vertebrobasilar artery (VBA) stroke. Historically, opinion rather than fact has often dominated discussions on this topic, even though the incidence of stroke associated with cervical manipulation is very rare and there is a lack of evidence to prove that cervical adjustments can cause a stroke. ACA is sensitive […]
Disease Markers Volume 2014 (2014), Article ID 815379, 7 pages http://dx.doi.org/10.1155/2014/815379 Tissue Damage Markers after a Spinal Manipulation in Healthy Subjects: A Preliminary Report of a Randomized Controlled Trial A. Achalandabaso Abstract Spinal manipulation (SM) is a manual therapy technique frequently applied to treat musculoskeletal disorders because of its analgesic effects. It is defined by […]
Yesterday, ACA responded to articles on cervical manipulation in The Washington Post and The New York Times with letter to the editor. These responses are available online at: http://www.acatoday.org/record_css.cfm?CID=5403 (The Washington Post) http://www.acatoday.org/record_css.cfm?CID=5404 (The New York Times) ACA has also dedicated a page of its website to discussing this issue with the public – www.acatoday.org/resources.
1/7/2014 Resources on Chiropractic Safety Available to Doctors of Chiropractic and Patients The Washington Post yesterday posted on its website an article on neck manipulation and stroke (“How Safe Are the Vigorous Neck Manipulations Done by Chiropractors?”). The American Chiropractic Association (ACA) has drafted a response that will be shared with theWashington Post editors […]
Authors Thomas LC1, Rivett DA, Bateman G, Stanwell P, Levi CR. Author information Journal Phys Ther. 2013 Nov;93(11):1563-74. doi: 10.2522/ptj.20120477. Epub 2013 Jun 27. Affiliation Abstract BACKGROUND: Manual therapy of the cervical spine has occasionally been associated with serious adverse events involving compromise of the craniocervical arteries. Ultrasound studies have shown certain neck positions can alter craniocervical arterial blood flow […]
Shari Wynd Abstract Background Cervical artery dissection (CAD) and stroke are serious harms that are sometimes associated with cervical spinal manipulation therapy (cSMT). Because of the relative rarity of these adverse events, studying them prospectively is challenging. As a result, systematic review of reports describing these events offers an important opportunity to better understand the […]
Outcomes of Usual Chiropractic. The OUCH Randomized Controlled Trial of Adverse Events Study Design. Blinded parallel-group randomized controlled trial. Objective. Establish the frequency and severity of adverse effects from short-term usual chiropractic treatment of the spine when compared with a sham treatment group. Summary of Background Data. Previous studies have demonstrated that adverse events occur […]
There is lack of compelling evidence that SMT is causally associated with stroke.
Haynes MJ Int J Clin Pract. 2012 Oct;66(10):940-7. doi: 10.1111/j.1742-1241.2012.03004.x. Abstract BACKGROUND: Strokes, typically involving vertebral artery dissection, can follow cervical spinal manipulative therapy, and these types of stroke occur rarely. There is disagreement about whether a strong association between neck manipulation and stroke exists. An earlier systematic review found two relevant studies of association […]
Kent Jason Stuber Chiropractic & Manual Therapies 2012, 20:8 Abstract Background The safety of spinal manipulation during pregnancy and the postpartum periods has been a matter of debate among manual therapists. Spinal manipulative therapy during these periods is a commonly performed intervention as musculoskeletal pain is common in these patients. To date there has not been […]
Matthew F. Doyle Clinical Chiropractic Volume 14, Issue 3, September 2011, Pages 97–105 Summary Objective To review the literature as to the safety of paediatric chiropractic care and to offer recommendations for congruent consistent terminology use. Design Best Evidence Topic. Methods Formulation of a clinical question based on a patient query. PubMed, Index to Chiropractic […]
By Anthony Rosner, PhD, LLD [Hon.], LLC Dynamic Chiropractic – June 3, 2011, Vol. 29, Issue 12 To date, the assessment options for vertebrobasilar artery risk have significant drawbacks and as a whole have been unable to identify any particular factor that is useful for screening.61-62 Provocation tests in particular are problematic in that in several […]
Dean L Smith Open Neurol J. 2011; 5: 46–47. Published online May 30, 2011 PubMed Reference Dear Editor, We read with interest the article by Micheli et al. [1] describing the emerging risk factors for cervical artery dissection. In their abstract, the authors’ state, “Other known risks factors for CAD are major head/neck trauma like […]
By Anthony Rosner, PhD, LLD [Hon.], LLC Dynamic Chiropractic – May 20, 2011, Vol. 29, Issue 11 Relative Activity Risks Several studies have attempted to link chiropractic manipulation to adverse events, the most serious and widely studied being strokes following dissections of the vertebral artery.1-6 To begin to shed light on this problem, several retrospective studies against […]
E. Ernst International Journal of Clinical Practice Volume 64, Issue 8, pages 1162–1165, July 2010 Summary Objective: The aim of this study was to summarise all cases in which chiropractic spinal manipulation was followed by death. Design: This study is a systematic review of case reports. Methods: Literature searches in four electronic databases with no […]
Anthony L. Rosner, Ph.D., LL.D.[Hon.], LLC ChiroACCESS The title of one of Edzard Ernst’s most recent articles, “Deaths after chiropractic: A review of published cases”,1 seems to have wasted no time in creating a worst-case scenario, frightening the reader from a profession which has successfully treated patients for 115 years and for which evidence supporting its […]