Thoracic adverse events following spinal manipulative therapy: a systematic review and narrative synthesis.

The Journal of Manual & Manipulative Therapy
Nicola R HeneghanAlison Rushton

Abstract

Objectives: Spinal manipulative therapy (SMT) is widely used by manual therapists to manage spinal complaints. Notwithstanding the perceived relative safety of SMT, instances of severe thoracic adverse events (AE) have been documented. An evidence synthesis is required to understand the nature, severity and characteristics of thoracic AE following all SMT. The primary objective of this study was to report thoracic AE following SMT and secondly to report patient characteristics to inform further research for safe practice. Methods: A systematic review and data synthesis were conducted according to a registered protocol (PROSPERO CRD42019123140). A sensitive topic-based search strategy for key databases, gray literature and registers used study population terms and keywords, to search to 12/6/19. Two reviewers were involved at each stage. Using the Oxford Center for Evidence-based Medicine (CEBM) the level evidence was evaluated with grade presented for each AE. Results were reported in the context of overall quality. Results: From 1013 studies identified from searches, 19 studies (15 single case studies and 4 case series) reporting 21 unique thoracic AE involving the spinal cord tissues [nonvascular (n = 7), vascular (n = 6)], p...Continue Reading

References

Oct 1, 1987·Archives of Neurology·D J LanskaT Mapstone
Oct 19, 1985·British Medical Journal·R T Austin
Nov 1, 1971·Clinical Orthopaedics and Related Research·M C Livingston
Nov 18, 2005·The Spine Journal : Official Journal of the North American Spine Society·Jeffrey S OppenheimDavid H Segal
Jun 14, 2006·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Che-Chuan WangTsung-Chia Tsai
Jul 4, 2007·Journal of the Royal Society of Medicine·E Ernst
Aug 19, 2007·Journal of Manipulative and Physiological Therapeutics·Sidney M RubinsteinMaurits W van Tulder
Oct 30, 2007·Archives of Physical Medicine and Rehabilitation·J Skye DonovanLawrence F Marshall
Jul 23, 2009·BMJ : British Medical Journal·David MoherUNKNOWN PRISMA Group
Jan 26, 2010·Manual Therapy·Dawn CarnesMartin Underwood
Feb 9, 2010·The Journal of Manual & Manipulative Therapy·Joseph B StrunceBrian A Young
Mar 1, 1947·Journal of the American Medical Association·H R PRATT-THOMAS, K E BERGER
Jun 18, 2010·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Antonio Lopez-Gonzalez, Maria Peris-Celda
Feb 22, 2011·The Journal of Orthopaedic and Sports Physical Therapy·Emilio J PuenteduraCésar Fernández-de-Las-Peñas
Mar 15, 2011·Clinical Neurology and Neurosurgery·Tsung-Han LeeCheng-Hsien Lu
Jun 7, 2011·Journal of Manipulative and Physiological Therapeutics·Brian D StemperBoyd M Peterson
Jul 26, 2012·Qualitative Health Research·Alison CookeAndrew Booth
Jun 22, 2013·Journal of Manipulative and Physiological Therapeutics·Jeffrey J HebertSidney M Rubinstein
Nov 6, 2013·Orthopedic Reviews·Johannes StruewerIlias Kiriazidis
Jan 1, 2014·Archiwum medycyny sa̧dowej i kryminologii·A Kaczorowska, A Dąbkowska
Aug 27, 2015·The Journal of Manual & Manipulative Therapy·Emilio J Puentedura, William H O'Grady
Jun 1, 2016·The Spine Journal : Official Journal of the North American Spine Society·Lindsay M GorrellReidar P Lystad
Jun 1, 2017·The Journal of Manual & Manipulative Therapy·Emilio J PuenteduraDaniel Young
Jul 2, 2017·The Journal of Orthopaedic and Sports Physical Therapy·Peter R BlanpiedEric K Robertson
Nov 21, 2018·The Journal of Manual & Manipulative Therapy·Nicola R HeneghanAlison Rushton

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.