ArticleChiropractic & osteopathy2010
Current understanding of the relationship between cervical manipulation and stroke: what does it mean for the chiropractic profession?
Article in Chiropractic & osteopathy, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
15 citing papers in PubMed.
- Trial
- Plausible Mechanisms of Causation of Immediate Stroke by Cervical Spine Manipulation: A Narrative Review.Cureus · 2024Review
- Complementary medicine use in stroke survivors: a US nationally representative survey.BMC complementary medicine and therapies · 2022Article
- Proposing a new algorithm for premanipulative testing in physical therapy practice.Journal of physical therapy science · 2020Review
- Extracranial vertebral artery rupture likely secondary to "cupping therapy" superimposed on spontaneous dissection.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2017Article
- Letter to the Editor.Qatar medical journal · 2016Article
- Does case misclassification threaten the validity of studies investigating the relationship between neck manipulation and vertebral artery dissection stroke? No.Chiropractic & manual therapies · 2016Article
- Vertebral artery dissection in evolution found during chiropractic examination.BMJ case reports · 2015Article
- Risk of stroke after chiropractic spinal manipulation in medicare B beneficiaries aged 66 to 99 years with neck pain.Journal of manipulative and physiological therapeutics · 2015Article
- Presentation of an 85-year-old woman with musculoskeletal pain to a chiropractic clinic: a case of ischemic stroke.Journal of chiropractic medicine · 2014Article
- Cervical artery dissection: a biomechanical perspective.The Journal of the Canadian Chiropractic Association · 2013Article
- Death due to extensive cervicomedullary infarction following iatrogenic vertebral artery occlusion.Forensic science, medicine, and pathology · 2012Article
- In response to: Cook C. How about a little love for non-thrust manipulation?The Journal of manual & manipulative therapy · 2012Article
- Vertebral artery dissection in a patient practicing self-manipulation of the neck.Journal of chiropractic medicine · 2011Article
- Spinal Manipulation is Not an Emerging Risk Factor for Stroke Nor is it Major Head/Neck Trauma. Don't Just Read the Abstract!The open neurology journal · 2011Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The understanding of the relationship between cervical manipulative therapy (CMT) and vertebral artery dissection and stroke (VADS) has evolved considerably over the years. In the beginning the relationship was seen as simple cause-effect, in which CMT was seen to cause VADS in certain susceptible individuals. This was perceived as extremely rare by chiropractic physicians, but as far more common by neurologists and others. Recent evidence has clarified the relationship considerably, and suggests that the relationship is not causal, but that patients with VADS often have initial symptoms which cause them to seek care from a chiropractic physician and have a stroke some time after, independent of the chiropractic visit.This new understanding has shifted the focus for the chiropractic physician from one of attempting to "screen" for "risk of complication to manipulation" to one of recognizing the patient who may be having VADS so that early diagnosis and intervention can be pursued. In addition, this new understanding presents the chiropractic profession with an opportunity to change the conversation about CMT and VADS by taking a proactive, public health approach to this uncommon but potentially devastating disorder.
Identifiers
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.