Spinal manipulative therapy (SMT) is reported to be the most common treatment modality provided by chiropractors - not surprising!
Adverse events (AEs) have been reported to occur following SMT in about 50% of patients, although varying in frequency and severity. Most commonly, AEs following SMT have been minor/benign, although there have been much less frequent reports of serious AEs, such as cauda equina syndrome.
How do YOU handle the risk and occurrence of MILD AEs with treatment in your practice?
Reported predictors of benign AEs post-SMT include sex, SMT technique, multiple treated locations, working status, and duration of pain at presentation. It is unknown whether benign AEs are a result of SMT itself, part of the natural history of the patient’s condition, and/or inadequacies of treatment.
While it is important to investigate the mechanisms causing benign AEs post-SMT to eliminate them, efforts to mitigate AEs should also be made to improve the patient’s experience and quality of care.
Previous studies have investigated mitigation strategies regarding the risk factors for serious AEs post-cervical SMT. However, no study has investigated strategies for mitigating benign AEs post-SMT. Therefore, the aim of this study was to identify the beliefs, perceptions and practices of chiropractors and patients regarding benign AEs post-SMT and potential strategies to mitigate them…enjoy!
THIS WEEK'S RESEARCH REVIEW: “Mitigation Strategies for Benign Adverse Events After Spinal Manipulation”
This paper was published in Chiropractic & Manual Therapies (2020) and this Review is posted in Recent Reviews, Spinal Manipulation - Adverse Events & Safety, Clinical Practice and the 2021 Archive.
Risk management