How common are side effects of spinal manipulation and can these side effects be predicted?

Manual Therapy
Barbara CagnieDirk Cambier

Abstract

Little scientific support is available concerning usual and unusual reactions after spinal manipulation although such reactions are very common in clinical practice. Fifty-nine manipulative therapists were requested to enroll 15 consecutive patients attending for their first visit to receive spinal manipulation. These patients were asked to complete a questionnaire after this first visit that asked for possible risk factors for spinal manipulation and asked about any side effects after the manipulation. The participating practitioners were asked to note medical diagnosis, manipulated spinal region, number of treated areas and type of additional treatment. Four hundred and sixty five valuable responses were analysed. Two hundred and eighty three patients (60.9%) reported at least one post-manipulative reaction. The most common were headache (19.8%), stiffness (19.5%), local discomfort (15.2%), radiating discomfort (12.1%) and fatigue (12.1%). Most of these reactions began within 4 h and generally disappeared within the next 24 h. Women were more likely to report adverse effects than men (P < 0.001). Multivariate analysis showed that upper cervical manipulation (OR: 3.20; 95%CI: 1.89-7.77), use of medication (OR: 2.20; 95%CI: 1.3...Continue Reading

Citations

Apr 1, 2005·Journal of Manipulative and Physiological Therapeutics·Barbara CagnieDirk Cambier
May 16, 2009·Spine·Liliana Olim GouveiaJoaquim J Ferreira
Sep 28, 2012·Sports Health·Jeffrey J HebertBruce F Walker
Nov 2, 2012·The Journal of Manual & Manipulative Therapy·Ana Isabel de-la-Llave-RincónCésar Fernández-de-Las-Peñas
Nov 28, 2013·Chiropractic & Manual Therapies·Gwendolijne Gm Scholten-PeetersArianne P Verhagen
Jan 10, 2014·Physiotherapy Canada. Physiothérapie Canada·Lisa C CarlessoBert M Chesworth
Aug 17, 2010·The Journal of Orthopaedic and Sports Physical Therapy·Lisa C CarlessoLina P Santaguida
Dec 7, 2013·Expert Review of Neurotherapeutics·César Fernández-de-las-Peñas, María L Cuadrado
Oct 17, 2012·Journal of Manipulative and Physiological Therapeutics·Claire JohnsonDeborah R Kopansky-Giles
Aug 3, 2011·Journal of Manipulative and Physiological Therapeutics·Paul E DoughertyJeanmarie Burke
Feb 2, 2010·Journal of Manipulative and Physiological Therapeutics·Neal AustinWalter Herzog
Jan 26, 2010·Manual Therapy·Dawn CarnesMartin Underwood
Dec 2, 2009·Journal of Chiropractic Medicine·Michael T Haneline, Robert Cooperstein
Jun 22, 2013·Journal of Manipulative and Physiological Therapeutics·Jeffrey J HebertSidney M Rubinstein
Aug 30, 2008·Journal of Manipulative and Physiological Therapeutics·Sidney M Rubinstein
Apr 9, 2008·Journal of Manipulative and Physiological Therapeutics·Haymo W Thiel, Jennifer E Bolton
Feb 19, 2008·Journal of Pain and Symptom Management·Edzard Ernst
Mar 11, 2008·Journal of Manipulative and Physiological Therapeutics·Sidney M RubinsteinMaurits W van Tulder
Aug 19, 2007·Journal of Manipulative and Physiological Therapeutics·Sidney M RubinsteinMaurits W van Tulder
Dec 23, 2004·Journal of Manipulative and Physiological Therapeutics·James Giordano
Sep 5, 2006·Journal of Manipulative and Physiological Therapeutics·Eric L Hurwitz, Hal Morgenstern
Jul 11, 2006·The Spine Journal : Official Journal of the North American Spine Society·Donald R Murphy
Apr 6, 2006·Journal of Manipulative and Physiological Therapeutics·Anthony L Rosner
Feb 27, 2016·The Journal of Manual & Manipulative Therapy·Emilio J Puentedura, William H O'Grady
May 2, 2012·The Journal of Manual & Manipulative Therapy·Doug CreightonHarvey Qu
Aug 27, 2015·The Journal of Manual & Manipulative Therapy·Emilio J Puentedura, William H O'Grady
Jul 1, 2014·The Journal of Manual & Manipulative Therapy·César Fernández-de-Las-Peñas, Carol A Courtney
Sep 12, 2013·Evidence-based Complementary and Alternative Medicine : ECAM·M R GudavalliC Goertz
Sep 10, 2014·Evidence-based Complementary and Alternative Medicine : ECAM·Ping YinShifen Xu
Jun 1, 2016·The Spine Journal : Official Journal of the North American Spine Society·Lindsay M GorrellReidar P Lystad
Jun 3, 2016·BMC Complementary and Alternative Medicine·Linda RozmovitsHeather Boon

❮ Previous
Next ❯

Related Concepts

Related Feeds

Barrett Esophagus

Barrett’s esophagus if a serious complication of gastroesophageal reflux disease during which the normal esophageal lining changes to tissue that resembles intestinal lining. Here is the latest research.