Index to Chiropractic Literature
Index to Chiropractic Literature
My ICL     Sign In
Friday, July 19, 2024
Index to Chiropractic LiteratureIndex to Chiropractic LiteratureIndex to Chiropractic Literature

For best results switch to Advanced Search.
Article Detail
Return to Search Results
ID 21160
  Title [Proceedings of the European Chiropractors' Union Convention, London, 13-15 May 2010] Session 1B: Achievements. 1B.5. Cervical manipulation and stroke: Where are we now? [meeting abstract]
Journal Clin Chiropr. 2010 Mar;13(1):85-88
Peer Review Yes
Publication Type Meeting Abstract
Abstract/Notes The relationship between cervical manipulative therapy (CMT) and vertebral artery dissection and stroke (VADS) has been a source of great controversy for many years. A great deal has been written about this topic, from emotionally charged commentaries to high quality science. The evolution of our knowledge about the relationship between CMT and VADS has evolved considerably, from a few case reports to surveys to biomechanical studies and, finally, to large case control studies.

The purpose of this presentation is to follow the evolution of the literature regarding this relationship to where we are today and to help the practising chiropractor and policy makers understand the various issues related to CMT and VADS. In addition, to make recommendations as to what the responsibility is of the practising chiropractic with regard to CMT and VADS.

The current understanding, based on the evidence to date, suggests that while there is a clear, though rare, temporal relationship between CMT and VADS, no plausible causal connection can be made. It appears that, as the most common initial symptom of vertebral artery dissection is neck pain and headache, there are instances in which a patient who has these symptoms, without obvious manifestation of stroke, consults a chiropractor for the neck pain and headache, and subsequent to this experiences a full stroke, independent of anything that the chiropractor does or does not do. This current understanding has changed the responsibility of the practitioner from one of “screening” to one of diagnosis and public health education.

This abstract is reproduced with the permission of the publisher; full text by subscription.

   Text (Citation) Tagged (Export) Excel
Email To
HTML Text     Excel

To use this feature you must register a personal account in My ICL. Registration is free! In My ICL you can save your ICL searches in My Searches, and you can save search results in My Collections. Be sure to use the Held Citations feature to collect citations from an entire search session. Read more search tips.

Sign Into Existing My ICL Account    |    Register A New My ICL Account
Search Tips
  • Enclose phrases in "quotation marks".  Examples: "low back pain", "evidence-based"
  • Retrieve all forms of a word with an "asterisk*", also called a wildcard or truncation.  Example: "chiropract*" retrieves chiropractic, chiropractor, chiropractors
  • Register an account in My ICL to save search histories (My Searches) and collections of records (My Collections)
Advanced Search Tips