Adverse events following cervical manipulative therapy: consensus on classification among Dutch medical specialists, manual therapists, and patients

Kranenburg, Rik; Lakke, Sandra E.; Schmitt, Maarten A.; Schans, Cees P. van der

doi:10.1080/10669817.2017.1332556

Cited by 4 publications

(3 citation statements)

References 44 publications

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“….] without evidence of causality" [33]). Symptom severity was used to define adverse events in 20 studies (e.g., "Adverse events are moderate to severe [.…”

Section: Data Synthesismentioning

confidence: 99%

Definition and classification for adverse events following spinal and peripheral joint manipulation and mobilization: A scoping review

et al. 2022

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Introduction Spinal and peripheral joint manipulation and mobilization are interventions used by many healthcare providers to manage musculoskeletal conditions. Although there are many reports of adverse events (or undesirable outcomes) following such interventions, there is no common definition for an adverse event or clarity on any severity classification. This impedes advances of patient safety initiatives and practice. This scoping review mapped the evidence of adverse event definitions and classification systems following spinal and peripheral joint manipulation and mobilization for musculoskeletal conditions in adults. Methods An electronic search of the following databases was performed from inception to February 2021: MEDLINE, EMBASE, CINAHL, Scopus, AMED, ICL, PEDro, Cochrane Library, Open Grey and Open Theses and Dissertations. Studies including adults (18 to 65 years old) with a musculoskeletal condition receiving spinal or peripheral joint manipulation or mobilization and providing an adverse event definition and/or classification were included. All study designs of peer-reviewed publications were considered. Data from included studies were charted using a standardized data extraction form and synthesised using narrative analysis. Results From 8248 identified studies, 98 were included in the final synthesis. A direct definition for an adverse event and/or classification system was provided in 69 studies, while 29 provided an indirect definition and/or classification system. The most common descriptors to define an adverse event were causality, symptom severity, onset and duration. Twenty-three studies that provided a classification system described only the end anchors (e.g., mild/minor and/or serious) of the classification while 26 described multiple categories (e.g., moderate, severe). Conclusion A vast array of terms, definition and classification systems were identified. There is no one common definition or classification for adverse events following spinal and peripheral joint manipulation and mobilization. Findings support the urgent need for consensus on the terms, definition and classification system for adverse events related to these interventions.

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“….] without evidence of causality" [33]). Symptom severity was used to define adverse events in 20 studies (e.g., "Adverse events are moderate to severe [.…”

Section: Data Synthesismentioning

confidence: 99%

Definition and classification for adverse events following spinal and peripheral joint manipulation and mobilization: A scoping review

et al. 2022

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“…Н. Kranenburg и соавт. [108] сообщают о 16 НР после проведения мануальной терапии, зафиксированных в Датской системе здравоохранения. В ряде случаев речь шла о тяжелых осложнениях, в том числе летальном исходе.…”

Section: о б з о рunclassified

Medical rehabilitation in the combination treatment of rheumatic diseases: a review

Каратеев¹,

Сухарева²,

Лила³

2019

Naučno-praktičeskaâ revmatologiâ

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Медицинская реабилитация представляет собой комплекс немедикаментозных методов, направленных на уменьшение боли и функциональных нарушений, восстановление трудоспособности, социальной активности и психической устойчивости больных. Это необходимая часть лечения пациентов с ревматическими заболеваниями, во многих случаях (например, при остеоартрите, хронической неспецифической боли в спине и спондилоартритах) столь же важная, как и фармакотерапия. К сожалению, многие российские врачи недооценивают возможности немедикаментозных подходов, ссылаясь на то, что эффективность методов медицинской реабилитации и физиотерапии не оценивалась в ходе клинических исследований, а их терапевтическая значимость не проходила серьезной проверки с позиции «доказательной медицины». Это не совсем так. Настоящий обзор представляет данные большого числа клинических исследований и соответствующих метаанализов, посвященных изучению эффективности наиболее часто применяемых методов медицинской реабилитации: криотерапии, лазерной терапии, магнитотерапии, ультразвуковой терапии, чрескожной электронейромиостимуляции, акупунктуры, мануальной терапии, массажа, лечебной физкультуры. Ключевые слова: ревматические заболевания; медицинская реабилитация; физиотерапия.

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“…However, manipulations are greatly diverse, and lack of diagnoses, therapeutic standards, and complete evaluation systems which are used for the mechanical parameters and safety indexes. This dilemma limits the development and communication of CSM and predisposes to serious complications of the various structures involved in cervical spine injury, mainly including soft tissue injury, aggravation of disk herniation, and even spinal cord injury ( Gorrell et al, 2016 ; Nielsen et al, 2017 ; Kranenburg et al, 2017a , b ).…”

Section: Introductionmentioning

confidence: 99%

Mechanical Parameters and Trajectory of Two Chinese Cervical Manipulations Compared by a Motion Capture System

Huang

Lin

Liang

et al. 2021

Front. Bioeng. Biotechnol.

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Objective: To compare the mechanical parameters and trajectory while operating the oblique pulling manipulation and the cervical rotation–traction manipulation.Methods: An experimental research measuring kinematics parameter and recording motion trajectories of two cervical manipulations were carried out. A total of 48 healthy volunteers participated in this study, who were randomly divided into two groups of 24 representing each of the two manipulations. A clinician performed two manipulations in two groups separately. A motion capture system was used to monitor and analyze kinematics parameters during the operation.Results: The two cervical manipulations have similar thrust time, displacement, mean velocity, max velocity, and max acceleration. There were no significant differences in active and passive amplitudes between the two cervical rotation manipulations. The thrust amplitudes of the oblique pulling manipulation and the cervical rotation–traction manipulation were 5.735 ± 3.041° and 2.142 ± 1.742°, respectively. The thrust amplitudes of the oblique pulling manipulation was significantly greater than that of the cervical rotation–traction manipulation (P < 0.001).Conclusion: Compared with the oblique pulling manipulation, the cervical rotation–traction manipulation has a less thrust amplitudes.

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Adverse events following cervical manipulative therapy: consensus on classification among Dutch medical specialists, manual therapists, and patients

Cited by 4 publications

References 44 publications

Definition and classification for adverse events following spinal and peripheral joint manipulation and mobilization: A scoping review

Definition and classification for adverse events following spinal and peripheral joint manipulation and mobilization: A scoping review

Medical rehabilitation in the combination treatment of rheumatic diseases: a review

Mechanical Parameters and Trajectory of Two Chinese Cervical Manipulations Compared by a Motion Capture System

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