Side-effects of chiropractic spinal manipulation: Types frequency, discomfort and course

被引:41
作者
Senstad, O
LeboeufYde, C
Borchgrevink, CF
机构
[1] NORD INST CHIROPRACT & CLIN BIOMECH,DK-5000 ODENSE C,DENMARK
[2] UNIV OSLO,DEPT GEN PRACTICE,N-0316 OSLO,NORWAY
关键词
side-effects; chiropractic; spinal manipulation;
D O I
10.3109/02813439608997068
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Objective - To make a preliminary appraisal of the types of unpleasant reactions reported by patients after spinal manipulation and to estimate their frequency. Study design - Standardized interview data collected in a longitudinal survey. Method - Ten chiropractors collected data on all unpleasant reactions that were reported after a maximum of six visits by ten consecutive patients per chiropractor, with the use of a questionnaire that contained mainly closed-ended questions. Results - Following 368 treatments in 95 patients, some type of side-effect was reported after 1/3 of treatments. Local or radiating symptoms mere most commonly reported (23%). No alarming events were reported. Ninety percent of all reactions were graded by the patients as moderate or slight. They commenced on the day of therapy in 87% of cases, and had disappeared within 24 hours in 83%. Conclusion - Results from this preliminary study indicate that reactions to spinal manipulation may be relatively common but benign in nature and of short duration. No estimate could be made of rare or serious side-effects.
引用
收藏
页码:50 / 53
页数:4
相关论文
共 13 条
[1]  
ANDERSON R, 1992, J MANIP PHYSIOL THER, V15, P181
[2]  
[Anonymous], 1993, The effectiveness and cost-effectiveness of chiropractic management of low back-pain
[3]  
BIGOS SJ, 1994, AHCPR PUBLIC
[4]  
DABBS V, 1995, J MANIP PHYSIOL THER, V18, P530
[5]  
Dvorak J, 1985, MANUAL MED, V2, P1
[6]   CAUDA-EQUINA SYNDROME IN PATIENTS UNDERGOING MANIPULATION OF THE LUMBAR SPINE [J].
HALDEMAN, S ;
RUBINSTEIN, SM .
SPINE, 1992, 17 (12) :1469-1473
[7]   COST PER CASE COMPARISON OF BACK INJURY CLAIMS OF CHIROPRACTIC VERSUS MEDICAL-MANAGEMENT FOR CONDITIONS WITH IDENTICAL DIAGNOSTIC CODES [J].
JARVIS, KB ;
PHILLIPS, RB ;
MORRIS, EK .
JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE, 1991, 33 (08) :847-852
[8]  
KLEYNHANS AM, 1980, MODERN DEV PRINCIPLE, P359
[9]  
LADERMANN JP, 1981, ANN SWISS CHIROPRACT, V7, P161
[10]  
MARTIENSSEN J, 1989, AM J CHIROPRACTIC ME, V2, P160