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spinal (chiropractic/osteopathic) manipulation

Indications: - spondylolisthesis - acute low back pain due to spondylolisthesis [4] Procedure: - manual therapy for symptomatic relief & functional improvement of the neck or back in which loads are applied to the spine using short or long lever methods - the selected spinal joint is moved to its end range of voluntary motion, followed by application of an impulse load Complications: - vertebral artery dissection [3] - carotid artery dissection [2] - stroke [3]

Related

chiropractor osteopath (osteopathic physician, doctor of osteopathy, DO)

General

chiropractic/osteopathic manipulation

References

  1. nlmpubs.nlm.nih.gov/hstat/ahcpr/
  2. Geriatrics Review Syllabus, American Geriatrics Society, 5th edition, 2002-2004
  3. Biller J et al Cervical Arterial Dissections and Association With Cervical Manipulative Therapy: A Statement for Healthcare Professionals From the American Heart Association/American Stroke Association. Stroke, Aug 7, 2014 PMID: 25104849 http://stroke.ahajournals.org/content/early/2014/08/07/STR.0000000000000016.full.pdf+html
  4. Paige NM, Miake-Lye IM, Booth MS et al Association of Spinal Manipulative Therapy With Clinical Benefit and Harm for Acute Low Back Pain. Systematic Review and Meta-analysis. JAMA. 2017;317(14):1451-1460 PMID: 28399251 http://jamanetwork.com/journals/jama/article-abstract/2616395 - Deyo RA The Role of Spinal Manipulation in the Treatment of Low Back Pain. JAMA. 2017;317(14):1418-1419 PMID: 28399236 http://jamanetwork.com/journals/jama/article-abstract/2616379
  5. About Chiropractic and Its Use in Treating Low-Back Pain NIH Institute and Center Resources http://nccam.nih.gov/health/chiropractic/index.htm