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Spinal Manipulation – Evidence for Physiotherapist Delivery of Effective Procedures – a focussed  symposia Duncan Reid DHSc – Convenor (New Zealand) Tim Flynn PhD (USA) Wayne Hing PhD (NZ) Chris McCarthy PhD (UK) Peiter Westerhuis (Switzerland)
CERVICAL SPINE  - GENERAL HEALTH ASSESSMENT More Questions than Answers! ,[object Object]
Cervical Spine Health & Manipulation Does OMPT cause CAD? What are the risk factors for CAD? What are the signs and symptoms? What should be included in consent discussions?
 
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818 /100,000,000 0.8/100,000
Chiro the same as Physio?
Cervical Spine Health & Manipulation Does OMPT cause CAD? What are the risk factors for CAD? What are the signs and symptoms? What should be included in consent discussions?
[object Object],[object Object],[object Object],[object Object],Lancet Neurol  2009; 8: 668–78
 
Cervical Spine Health & Manipulation Does OMPT cause CAD? What are the risk factors for CAD? What are the signs and symptoms? What should be included in consent discussions?
 
 
 
Cervical Spine Health & Manipulation Does OMPT cause CAD? What are the risk factors for CAD? What are the signs and symptoms? What should be included in consent discussions?
 
Does OMPT cause CAD?   “ Lack of Evidence but possibly ~ 1.3 / 100,000 patients”  What are the risk factors for CAD? “ Many  including SMT- more in the young” What are the signs and symptoms? “ Headache, “5DA3N”, Cranial Nerves, UC Instability” What should be included in consent discussions? “ Worst case, Small odds, Uncertainty, Alternatives”
 

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Safety of Cervical Manipulation

  • 1. Spinal Manipulation – Evidence for Physiotherapist Delivery of Effective Procedures – a focussed symposia Duncan Reid DHSc – Convenor (New Zealand) Tim Flynn PhD (USA) Wayne Hing PhD (NZ) Chris McCarthy PhD (UK) Peiter Westerhuis (Switzerland)
  • 2.
  • 3. Cervical Spine Health & Manipulation Does OMPT cause CAD? What are the risk factors for CAD? What are the signs and symptoms? What should be included in consent discussions?
  • 4.  
  • 5.
  • 6.  
  • 7.
  • 9. Chiro the same as Physio?
  • 10. Cervical Spine Health & Manipulation Does OMPT cause CAD? What are the risk factors for CAD? What are the signs and symptoms? What should be included in consent discussions?
  • 11.
  • 12.  
  • 13. Cervical Spine Health & Manipulation Does OMPT cause CAD? What are the risk factors for CAD? What are the signs and symptoms? What should be included in consent discussions?
  • 14.  
  • 15.  
  • 16.  
  • 17. Cervical Spine Health & Manipulation Does OMPT cause CAD? What are the risk factors for CAD? What are the signs and symptoms? What should be included in consent discussions?
  • 18.  
  • 19. Does OMPT cause CAD? “ Lack of Evidence but possibly ~ 1.3 / 100,000 patients” What are the risk factors for CAD? “ Many including SMT- more in the young” What are the signs and symptoms? “ Headache, “5DA3N”, Cranial Nerves, UC Instability” What should be included in consent discussions? “ Worst case, Small odds, Uncertainty, Alternatives”
  • 20.