LibGuides: Evidence Based Chiropractic: Safety of Chiropractic

Safety of Chiropractic

Chiropractic associated vertebral artery dissection: An analysis of 34 patients amongst a cohort of 31
Mitra A, Azad HA, Prasad N, Shlobin NA, Cloney MB, Hopkins BS, Jahromi BS, Potts MB, Dahdaleh NS. 0. Clin Neurol Neurosurg. 2021 Jul;206:106665
Risk of Carotid Stroke after Chiropractic Care: A Population-Based Case-Crossover Study.
Cassidy JD, Boyle E, Côté P, Hogg-Johnson S, Bondy SJ, Haldeman S. J Stroke Cerebrovasc Dis. 2016 Nov 21. pii: S1052-3057(16)30434-7.
Systematic Review and Meta-analysis of Chiropractic Care and Cervical Artery Dissection: No Evidence for Causation.
Church EW, Sieg EP, Zalatimo O, Hussain NS, Glantz M, Harbaugh RE. Cureus. 2016 Feb 16;8(2):e498.
Adverse events due to chiropractic and other manual therapies for infants and children: a review of the literature.
Todd AJ, Carroll MT, Robinson A, Mitchell EK. J Manipulative Physiol Ther. 2015 Nov-Dec;38(9):699-712.
The Association Between Cervical Spine Manipulation and Carotid Artery Dissection: A Systematic Review of the Literature.
Chung CL, Côté P, Stern P, L'Espérance G. J Manipulative Physiol Ther. 2015 Nov-Dec;38(9):672-6
Serious adverse events and spinal manipulative therapy of the low back region: a systematic review of cases.
Hebert JJ, Stomski NJ, French SD, Rubinstein SM. J Manipulative Physiol Ther. 2015 Nov-Dec;38(9):677-91.
Chiropractic care and the risk of vertebrobasilar stroke: results of a case-control study in U.S. commercial and Medicare Advantage populations.
Kosloff TM, Elton D, Tao J, Bannister WM. Chiropr Man Therap. 2015 Jun 16;23:19.
Risk of stroke after chiropractic spinal manipulation in medicare B beneficiaries aged 66 to 99 years with neck pain.
Whedon JM, Song Y, Mackenzie TA, Phillips RB, Lukovits TG, Lurie JD. J Manipulative Physiol Ther. 2015 Feb;38(2):93-101.
Cervical arterial dissections and association with cervical manipulative therapy: a statement for healthcare professionals from the american heart association/american stroke association.
Biller J, Sacco RL, Albuquerque FC, Demaerschalk BM, Fayad P, Long PH,
Noorollah LD, Panagos PD, Schievink WI, Schwartz NE, Shuaib A, Thaler DE,
Tirschwell DL; American Heart Association Stroke Council. Stroke. 2014 Oct;45(10):3155-74.
Quesnele JJ, Triano JJ, Noseworthy MD, Wells GD. Changes in vertebral artery blood flow following various head positions and cervical spine manipulation. J Manipulative Physiol Ther. 2014 Jan;37(1):22-31.
Chiropractic and stroke: association or causation?
Tuchin P. Int J Clin Pract. 2013 Sep;67(9):825-33.
Outcomes of usual chiropractic. The OUCH randomized controlled trial of adverse events.
Walker BF, Hebert JJ, Stomski NJ, Clarke BR, Bowden RS, Losco B, French SD.
Spine (Phila Pa 1976). 2013 Sep 15;38(20):1723-9.
Serious Adverse Events and Spinal Manipulative Therapy of the Low Back Region: A Systematic Review of Cases.
Hebert JJ, Stomski NJ, French SD, Rubinstein SM. J Manipulative Physiol Ther. 2013 Jun 17
Risk of traumatic injury associated with chiropractic spinal manipulation in Medicare Part B beneficiaries aged 66 to 99 years
Whedon JM, Mackenzie TA, Phillips RB, Lurie JD. Spine (Phila Pa 1976). 2015 Feb 15;40(4):264-70.
Adverse events from spinal manipulation in the pregnant and postpartum periods: a critical review of the literature.
Stuber KJ, Wynd S, Weis CA. Chiropr Man Therap. 2012 Mar 28;20:8.
Should we abandon cervical spine manipulation for mechanical neck pain? No.
Cassidy JD, Bronfort G, Hartvigsen J. BMJ. 2012 Jun 7;344:e3680.
Should we abandon cervical spine manipulation for mechanical neck pain? Yes.
Wand BM, Heine PJ, O'Connell NE. BMJ. 2012 Jun 7;344:e3679.
Adverse events and manual therapy: a systematic review.
Carnes D, Mars TS, Mullinger B, Froud R, Underwood M. Man Ther. 2010 Aug;15(4):355-63.
Possible adverse events in children treated by manual therapy: a review.
Humphreys BK. Chiropr Osteopat. 2010 Jun 2;18:12.
Safety of chiropractic interventions: a systematic review.
Gouveia LO, Castanho P, Ferreira JJ. Spine (Phila Pa 1976). 2009 May 15;34(11):E405-13. Review.
Risk of vertebrobasilar stroke and chiropractic care: results of a population-based case-control and case-crossover study.
Cassidy JD, Boyle E, Côté P, He Y, Hogg-Johnson S, Silver FL, Bondy SJ.Spine (Phila Pa 1976). 2008 Feb 15;33(4 Suppl):S176-83.
Safety of chiropractic manipulation of the cervical spine: a prospective national survey
Thiel HW, Bolton JE, Docherty S, Portlock JC. Spine (Phila Pa 1976). 2007 Oct 1;32(21):2375-8; discussion 2379.
Adverse events associated with pediatric spinal manipulation: a systematic review.
Vohra S, Johnston BC, Cramer K, Humphreys K. Pediatrics. 2007 Jan;119(1):e275-83.
Frequency and clinical predictors of adverse reactions to chiropractic care in the UCLA neck pain study.
Hurwitz EL, Morgenstern H, Vassilaki M, Chiang LM.Spine (Phila Pa 1976). 2005 Jul 1;30(13):1477-84.
The benefits outweigh the risks for patients undergoing chiropractic care for neck pain: a prospective, multicenter, cohort study
Rubinstein SM, Leboeuf-Yde C, Knol DL, de Koekkoek TE, Pfeifle CE, van Tulder MW. J Manipulative Physiol Ther. 2007 Jul-Aug;30(6):408-18.

Misuse of Chiropractic Terminology / Misclassification / Quality of Reports

Does case misclassification threaten the validity of studies investigating the relationship between neck manipulation and vertebral artery dissection stroke? No.
Murphy DR, Schneider MJ, Perle SM, Bise CG, Timko M, Haas M. Chiropr Man
Therap. 2016 Nov 5;24:43.
Does case misclassification threaten the validity of studies investigating the relationship between neck manipulation and vertebral artery dissection stroke? Yes.
Paulus JK, Thaler DE. Chiropr Man Therap. 2016 Nov 5;24:42.
Case Misclassification in Studies of Spinal Manipulation and Arterial Dissection.
Cai X, Razmara A, Paulus JK, Switkowski K, Fariborz PJ, Goryachev SD, D'Avolio L, Feldmann E, Thaler DE. J Stroke Cerebrovasc Dis. 2014 Jul 29. pii: S1052-3057(14)00143-8.
The quality of reports on cervical arterial dissection following cervical spinal manipulation.
Wynd S, Westaway M, Vohra S, Kawchuk G. PLoS One. 2013;8(3):e59170.
Inappropriate use of the title 'chiropractor' and term 'chiropractic manipulation' in the peer-reviewed biomedical literature.
Wenban AB. Chiropr Osteopat. 2006 Aug 22;14:16.
Misuse of the literature by medical authors in discussing spinal manipulative therapy injury.
Terrett AG. J Manipulative Physiol Ther. 1995 May;18(4):203-10. Review.

Safety of Chiropractic - Keywords & MeSH Terms

Use following keywords and MeSH terms, in combination or alone, to search for information related to the safety of chiropractic care throughout databases.

Safety

Chiropractic

Stroke/epidemiology

Manipulation, Chiropractic/adverse effects

Chiropractic/adverse effects

Manipulation, Spinal/adverse effects

Reports / Additional Sources

Chiropractic: In Depth
Information about chiropractic from the National Center for Complementary and Integrative Health which includes a section on safety.

Quick Searches on the Safety of Chiropractic

PubMed Search String - Safety and Chiropractic
Search in PubMed on safety and chiropractic within Logan's journals. This link will perform a search in PubMed. Click on an article's title to view an abstract. Look for the Logan Online icon to view full text.
Index to Chiropractic Literature - Peer Reviewed Article Search Safety and Manipulation
Search in Index to Chiropractic literature for peer reviewed articles on safety and manipulation. This link takes you to the search string. Click on an article's title to view the abstract.
PubMed Search String - Adverse Effects of Spinal Manipulation
Search in PubMed on adverse events association with spinal manipulation within Logan's journals. This link will perform a search in PubMed. Click on an article's title to view an abstract. Look for the Logan Online icon to view full text.
Index to Chiropractic Literature - Peer Reviewed Article Search on Chiropractic Manipulation and Adverse Effects
Search in Index to Chiropractic literature for peer reviewed articles on chiropractic manipulation and adverse events. This link takes you to the search string. Click on an article's title to view the abstract.