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

Overview of attention for article published in Chiropractic & Manual Therapies, August 2010
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Title
Current understanding of the relationship between cervical manipulation and stroke: what does it mean for the chiropractic profession?
Published in
Chiropractic & Manual Therapies, August 2010
DOI 10.1186/1746-1340-18-22
Pubmed ID
Authors

Donald R Murphy

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.

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Mendeley readers

The data shown below were compiled from readership statistics for 108 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 5 5%
Brazil 1 <1%
Australia 1 <1%
Canada 1 <1%
Sweden 1 <1%
Unknown 99 92%

Demographic breakdown

Readers by professional status Count As %
Other 19 18%
Student > Master 13 12%
Student > Bachelor 13 12%
Student > Postgraduate 12 11%
Researcher 10 9%
Other 32 30%
Unknown 9 8%
Readers by discipline Count As %
Medicine and Dentistry 62 57%
Nursing and Health Professions 19 18%
Agricultural and Biological Sciences 5 5%
Neuroscience 4 4%
Biochemistry, Genetics and Molecular Biology 1 <1%
Other 6 6%
Unknown 11 10%