Frequency and Clinical Predictors of Adverse Reactions to Chiropractic Care in the UCLA Neck Pain Study

@article{Hurwitz2005FrequencyAC,
  title={Frequency and Clinical Predictors of Adverse Reactions to Chiropractic Care in the UCLA Neck Pain Study},
  author={Eric L Hurwitz and Hal Morgenstern and Maria Vassilaki and Lu-May Chiang},
  journal={Spine},
  year={2005},
  volume={30},
  pages={1477-1484}
}
Study Design. Randomized clinical trial. Objectives. To document the types and frequencies of adverse reactions associated with the most common chiropractic treatments for neck pain, and to identify possible clinical predictors of adverse reactions to chiropractic treatment. Summary of Background Data. Chiropractic care is frequently sought by patients for relief from neck pain; however, adverse reactions related to its primary modes of treatment have not been well examined. Methods. A total of… 
Symptomatic reactions, clinical outcomes and patient satisfaction associated with upper cervical chiropractic care: A prospective, multicenter, cohort study
TLDR
The preliminary data shows that the benefits of upper cervical chiropractic care may outweigh the potential risks, and outcome assessments were significantly improved with less than 3 weeks of care with a high level of patient satisfaction.
The benefits outweigh the risks for patients undergoing chiropractic care for neck pain: a prospective, multicenter, cohort study.
TLDR
The benefits of chiropractic care for neck pain seem to outweigh the potential risks, particularly in the long term, and almost two thirds of the cohort were recovered at 3 and 12 months.
Predictors of adverse events following chiropractic care for patients with neck pain.
TLDR
Of the 60 independent variables examined, only 4 were found to be predictive of adverse events after chiropractic treatment for neck pain, one of which was found to been protective.
Outcomes of Usual Chiropractic. The OUCH Randomized Controlled Trial of Adverse Events
TLDR
A substantial proportion of adverse events after chiropractic treatment may result from natural history variation and nonspecific effects, and the frequency and severity of adverse effects when compared with a sham treatment group is established.
Outcomes of Usual Chiropractic; Harm (OUCH). A randomised controlled trial
TLDR
A substantial proportion of adverse events following chiropractic treatment may result from natural history variation and non-specific effects.
Predictors for immediate and global responses to chiropractic manipulation of the cervical spine.
  • H. Thiel, J. Bolton
  • Medicine
    Journal of manipulative and physiological therapeutics
  • 2008
Safety of Chiropractic Interventions: A Systematic Review
TLDR
There is no robust data concerning the incidence or prevalence of adverse reactions after chiropractic, and further investigations are urgently needed to assess definite conclusions regarding this issue.
Multimodal chiropractic care for migraine: A pilot randomized controlled trial
TLDR
Preliminary data support a definitive trial of MCC+ for migraine, and pre-specified feasibility criteria were not met, but deficits were remediable.
Effects of chiropractic care on dizziness, neck pain, and balance: a single-group, preexperimental, feasibility study.
TLDR
Most patients demonstrated improved balance, and some showed reduced dizziness and neck pain, and a large effect size was calculated for the SF-BBS.
Adverse events after manual therapy among patients seeking care for neck and/or back pain: a randomized controlled trial
TLDR
The most common adverse events were soreness in muscles, increased pain and stiffness, and no differences were found between the treatment arms concerning the occurrence of adverse event.
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 51 REFERENCES
Side-effects of chiropractic spinal manipulation: types frequency, discomfort and course.
TLDR
Results from this preliminary study indicate that reactions to spinal manipulation may be relatively common but benign in nature and of short duration.
Predictors of side effects to spinal manipulative therapy.
TLDR
Women were more likely to report reactions to treatment than men and there were also differences between gender in the types of reactions reported, but there were no specific predictors for uncommon side effects.
Frequency and Characteristics of Side Effects of Spinal Manipulative Therapy
TLDR
It was unusual that symptoms commenced later than on the day of or the day after treatment, were of long duration, or that they resulted in reduced activities of daily living in this study.
A risk assessment of cervical manipulation vs. NSAIDs for the treatment of neck pain.
TLDR
Cervical manipulation for neck pain is much safer than the use of NSAIDs, by as much as a factor of several hundred times, and there is no evidence that NSAID use is any more effective than cervical manipulation forneck pain.
A randomized trial of chiropractic manipulation and mobilization for patients with neck pain: clinical outcomes from the UCLA neck-pain study.
TLDR
Cervical spine manipulation and mobilization yield comparable clinical outcomes in neck pain, and mean reductions in pain and disability were similar in the manipulation and mobilize groups through 6 months.
Two-Year Follow-up of a Randomized Clinical Trial of Spinal Manipulation and Two Types of Exercise for Patients with Chronic Neck Pain
TLDR
The results of this study demonstrate an advantage of spinal manipulation combined with low-tech rehabilitative exercise and MedX rehabilitationative exercise versus spinal manipulation alone over two years and are similar in magnitude to those observed after one-year follow-up.
A Randomized Clinical Trial of Exercise and Spinal Manipulation for Patients With Chronic Neck Pain
TLDR
For chronic neck pain, the use of strengthening exercise, whether in combination with spinal manipulation or in the form of a high-technology MedX program, appears to be more beneficial to patients with chronic neckPain than the useof spinal manipulation alone.
Manipulation and Mobilization of the Cervical Spine: A Systematic Review of the Literature
TLDR
Cervical spine manipulation and mobilization probably provide at least short‐term benefits for some patients with neck pain and headaches, and the potential for adverse outcomes must be considered because of the possibility of permanent impairment or death.
Patients using chiropractors in North America: who are they, and why are they in chiropractic care?
TLDR
The theory that patients seek chiropractic care almost exclusively for musculoskeletal symptoms and that chiropractors and their patients share a similar belief system is supported.
Use of chiropractic services from 1985 through 1991 in the United States and Canada.
TLDR
The chiropractic use rate in 6 sites in the United States and Canada is twice that of estimates made 15 years ago and the great majority of patients receive care for musculoskeletal conditions of the back and neck.
...
1
2
3
4
5
...