Article

The purpose of this study was to determine the use of manipulation and
mobilisation by the Chartered Physiotherapists (CMPT) in Manipulative Therapy
Ireland and to describe adverse effects associated with the use of these
techniques. A 44 item postal survey was sent to all 259 members of the CPMT
(response rate 49%, n=127). All 127 respondents used non-High Velocity Thrust
Techniques (HVTT) and 27% (n=34) used HVTT. Nine percent (n=12) used HVTT on the
upper cervical spine. Twenty six percent (n=33) reported an adverse effect in the
previous 2 years. The adverse effects were associated with the use of HVTT (4%,
n=5), non-HVTT (20%, n=26) and cervical traction (2%, n=2). The most serious
adverse effects were associated with non-HVTT and included 1 drop attack, 1
fainting episode and 1 Transient Ischemic Attack (TIA) 4 days post treatment.
Fifty three percent (n=18) of HVTT users and 40% (n=44) of non-HVTT users
reported carrying out a vertebrobasilar insufficiency (VBI) assessment. The study
shows that VBI assessment may not detect every patient at risk of adverse
effects. Large scale studies to investigate the risk of serious adverse reactions
are needed. A system of reporting adverse effects on a routine basis could be
considered.

Langue : ANGLAIS