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

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...

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Bibliographic Details
Published in:Manual therapy 2004-08, Vol.9 (3), p.151-156
Main Authors: Cagnie, Barbara, Vinck, Elke, Beernaert, Axel, Cambier, Dirk
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Belgium
Confidence Intervals
Fatigue - etiology
Female
Headache - etiology
Humans
Male
Manipulation, Spinal - adverse effects
Manipulation, Spinal - methods
Middle Aged
Multivariate Analysis
Odds Ratio
Patient Satisfaction
Prospective Studies
Range of Motion, Articular
Risk Factors
Surveys and Questionnaires
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Summary: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
ISSN:1356-689X
1532-2769
DOI:10.1016/j.math.2004.03.001