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Current understanding of the relationship between cervical manipulation and stroke: what does it mean for the chiropractic profession?

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 i...

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Detalles Bibliográficos
Autor principal: Murphy, Donald R
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2922298/
https://www.ncbi.nlm.nih.gov/pubmed/20682039
http://dx.doi.org/10.1186/1746-1340-18-22
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author Murphy, Donald R
author_facet Murphy, Donald R
author_sort Murphy, Donald R
collection PubMed
description 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.
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spelling pubmed-29222982010-08-17 Current understanding of the relationship between cervical manipulation and stroke: what does it mean for the chiropractic profession? Murphy, Donald R Chiropr Osteopat Commentary 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. BioMed Central 2010-08-03 /pmc/articles/PMC2922298/ /pubmed/20682039 http://dx.doi.org/10.1186/1746-1340-18-22 Text en Copyright ©2010 Murphy; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Commentary
Murphy, Donald R
Current understanding of the relationship between cervical manipulation and stroke: what does it mean for the chiropractic profession?
title Current understanding of the relationship between cervical manipulation and stroke: what does it mean for the chiropractic profession?
title_full Current understanding of the relationship between cervical manipulation and stroke: what does it mean for the chiropractic profession?
title_fullStr Current understanding of the relationship between cervical manipulation and stroke: what does it mean for the chiropractic profession?
title_full_unstemmed Current understanding of the relationship between cervical manipulation and stroke: what does it mean for the chiropractic profession?
title_short Current understanding of the relationship between cervical manipulation and stroke: what does it mean for the chiropractic profession?
title_sort current understanding of the relationship between cervical manipulation and stroke: what does it mean for the chiropractic profession?
topic Commentary
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2922298/
https://www.ncbi.nlm.nih.gov/pubmed/20682039
http://dx.doi.org/10.1186/1746-1340-18-22
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