Index to Chiropractic Literature
Index to Chiropractic Literature
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Thursday, December 9, 2021
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ID 26762
  Title Adverse events from spinal manipulations in the pregnant and postpartum periods: A systematic review and update / [Manipulations vertébrales chez la femme enceinte et la femme en postpartum : mise à jour : mise à jour d’une étude sur les effets indésirables]
URL https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8128327/
Journal J Can Chiropr Assoc. 2021 Apr;65(1):32-49
Author(s)
Subject(s)
Peer Review Yes
Publication Type Systematic Review
Abstract/Notes

Methods: The following databases were searched: PubMed, CINAHL, Index to Chiropractic Literature, Cochrane Database of Systematic Reviews/Cochrane Central Register of Controlled Trials and MEDLINE. We included all study design types as it was determined a priori that there would not be enough high-quality research on spinal manipulative therapy (SMT) in these populations to make any determinations. The Scottish Intercollegiate Guidelines Network (SIGN) and CARE (CAse REport) checklists were used for quality rating.

Results: This update found one case study that demonstrated a serious adverse event in the cervical spine following SMT and a handful of minor and transient adverse events in the low back following SMT.

Conclusions: There was limited evidence of adverse events following SMT in these populations. Although we are calling for improved reporting of such events in future studies, it may be that such injuries are rare.

Author keywords:  chiropractic, spinal manipulative therapy, manual therapy, pregnancy, postpartum, adverse events

Author affiliations: CAW, KS, KM: Canadian Memorial Chiropractic College, Toronto, Ontario, Canada; SW: Texas Chiropractic College, Pasedena, Texas, United States
Corresponding author: CAW—cweiss@cmcc.ca

This abstract is reproduced with the permission of the publisher. Click on the above link for free full text. Online access only. PubMed Record | PDF


Contexte : La présente étude vise à mettre à jour les résultats d’un examen critique des effets défavorables des manipulations vertébrales chez la femme enceinte et la femme en postpartum.

Méthodologie : On a interrogé les bases de données suivantes : PubMed, CINAHL, Index to Chiropractic Literature, Cochrane Database of Systematic Reviews/ Cochrane Central Register of Controlled Trials et MEDLINE. On a retenu toutes les études parce qu’il avait été établi antérieurement que le nombre de recherches de bonne qualité sur les manipulations vertébrales (MV) chez la femme enceinte et la femme en postpartum était insuffisant pour trancher toute question. On s’est servi des listes de vérification Scottish Intercollegiate Guidelines Network (SIGN) et CARE (CAse REport) pour évaluer la qualité des études.

Résultats : Une étude de cas faisait état d’un grave effet indésirable à la colonne cervicale après des MV et d’une poignée d’effets indésirables mineurs et transitoires à la colonne lombaire.

Conclusions : Il existe peu de preuves que les MV ont des effets indésirables chez les populations à l’étude. Il faudrait plus de données. Mais il est permis d’affirmer que ces effets indésirables sont rares.

Mots-clés de l'auteur: chiropratique, manipulations vertébrales, grossesse, postpartum, effets indésirable

Ce résumé est reproduit avec l'autorisation de l'éditeur. Cliquez sur le lien ci-dessus pour obtenir l’article gratuitement.


 

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