Neurological Complications of Cervical Spine Manipulation

Cashley, Mark; Paterson, John K.

doi:10.1177/014107680109400627

Cited by 4 publications

(2 citation statements)

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“…The complications are usually mild, but they can also lead to severe and permanent disability occasionally. [4][5][6][7] In Korea, recently, the number of people undergoing manual therapy for musculoskeletal disorders has increased, as have the reports of post-manual therapy side effects. 8 Due to the current increase in the elderly population, the demand for treating musculoskeletal disorders is on the rise.…”

Section: Introductionmentioning

confidence: 99%

Cervical Myelopathy after Neck Manipulation

Kang,

Lee,

Won

et al. 2023

Clinical Pain

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Spinal manipulation therapy (SMT) is commonly used to treat various musculoskeletal pains; however, it is associated with several complications. Mild complications resolve quickly; however, on rare occasions, they may cause severe complications that persist indefinitely. Here, we present a case of cervical myelopathy caused by a spinal manipulation. A 52-year-old man with a history of cervical radiculopathy at C4-7 underwent manipulation, performed by an unlicensed practitioner. After the manipulation, he explained abrupt muscle weakness in all four extremities. He was diagnosed with cervical myelopathy and had to undergo emergency surgery. Through this case, we aim to emphasize the role of doctors, with regard to spinal manipulation. Physicians must supervise the pre-evaluation of patients, manipulation, and post-manipulation monitoring, and the complications of SMT should be immediately reported.

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Section: Introductionmentioning

confidence: 99%

Cervical Myelopathy after Neck Manipulation

Kang,

Lee,

Won

et al. 2023

Clinical Pain

View full text Add to dashboard Cite

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“…Clinical research regarding spinal manipulations for neck pain has been increasing since 1980's. Cashley [9] stated that more than 50 methods are used just for manipulations in the cervical region but a good biomechanical and neurological knowledge is required. Although many methods of manual therapy have been defined, these can be classified as manipulation (thrust mobilization), non-thrust mobilization and soft tissue techniques.…”

mentioning

confidence: 99%