Considerations to improve the safety of cervical spine manual therapy

Nathan Hutting; Roger Kerry; Michel W Coppieters; Gwendolijne G M Scholten-Peeters

doi:10.1016/j.msksp.2017.11.003

Considerations to improve the safety of cervical spine manual therapy

Nathan Hutting, Roger Kerry, Michel W Coppieters, Gwendolijne G M Scholten-Peeters

Neuromechanics

Research output: Contribution to Journal › Article › Academic › peer-review

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Abstract

Manipulation and mobilisation of the cervical spine are well established interventions in the management of patients with headache and/or neck pain. However, their benefits are accompanied by potential, yet rare risks in terms of serious adverse events, including neurovascular insult to the brain. A recent international framework for risk assessment and management offers directions in the mitigation of this risk by facilitating sound clinical reasoning. The aim of this article is to critically reflect on and summarize the current knowledge about cervical spine manual therapy and to provide guidance for clinical reasoning for cervical spine manual therapy.

Original language	English
Pages (from-to)	41-45
Number of pages	5
Journal	Musculoskeletal science & practice
Volume	33
Early online date	3 Nov 2017
DOIs	https://doi.org/10.1016/j.msksp.2017.11.003
Publication status	Published - 1 Feb 2018

Keywords

Journal Article
Manual therapy
risk factors
serious adverse events
cervical spine
complications
Complications
Clinical reasoning
Cervical spine
Risk factors
Serious adverse events

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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Considerations to improve the safety of cervical spine manual therapyFinal published version, 375 KBLicence: Article 25fa Dutch Copyright Act

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title = "Considerations to improve the safety of cervical spine manual therapy",

abstract = "Manipulation and mobilisation of the cervical spine are well established interventions in the management of patients with headache and/or neck pain. However, their benefits are accompanied by potential, yet rare risks in terms of serious adverse events, including neurovascular insult to the brain. A recent international framework for risk assessment and management offers directions in the mitigation of this risk by facilitating sound clinical reasoning. The aim of this article is to critically reflect on and summarize the current knowledge about cervical spine manual therapy and to provide guidance for clinical reasoning for cervical spine manual therapy.",

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AB - Manipulation and mobilisation of the cervical spine are well established interventions in the management of patients with headache and/or neck pain. However, their benefits are accompanied by potential, yet rare risks in terms of serious adverse events, including neurovascular insult to the brain. A recent international framework for risk assessment and management offers directions in the mitigation of this risk by facilitating sound clinical reasoning. The aim of this article is to critically reflect on and summarize the current knowledge about cervical spine manual therapy and to provide guidance for clinical reasoning for cervical spine manual therapy.

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Considerations to improve the safety of cervical spine manual therapy

Abstract

Keywords

UN SDGs

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