Considerations to improve the safety of cervical spine manual therapy

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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 languageEnglish
Pages (from-to)41-45
Number of pages5
JournalMusculoskeletal science & practice
Early online date3 Nov 2017
Publication statusPublished - 1 Feb 2018


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


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