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Titolo:
Chiropractic manipulation and stroke - A population-based case-control study
Autore:
Rothwell, DM; Bondy, SJ; Williams, JI;
Indirizzi:
Inst Clin Evaluat Sci, Toronto, ON M4N 3M5, Canada Inst Clin Evaluat Sci Toronto ON Canada M4N 3M5 ronto, ON M4N 3M5, Canada Univ Toronto, Dept Publ Hlth Sci, Toronto, ON, Canada Univ Toronto Toronto ON Canada , Dept Publ Hlth Sci, Toronto, ON, Canada Univ Toronto, Dept Family & Community Med, Toronto, ON M5S 1A1, Canada Univ Toronto Toronto ON Canada M5S 1A1 y Med, Toronto, ON M5S 1A1, Canada Univ Toronto, Dept Continuing Educ, Toronto, ON M5S 1A1, Canada Univ Toronto Toronto ON Canada M5S 1A1 Educ, Toronto, ON M5S 1A1, Canada Sunnybrook & Womens Coll, Ctr Hlth Sci, Toronto, ON, Canada Sunnybrook & Womens Coll Toronto ON Canada Hlth Sci, Toronto, ON, Canada
Titolo Testata:
STROKE
fascicolo: 5, volume: 32, anno: 2001,
pagine: 1054 - 1059
SICI:
0039-2499(200105)32:5<1054:CMAS-A>2.0.ZU;2-W
Fonte:
ISI
Lingua:
ENG
Soggetto:
SPINAL MANIPULATION; ARTERY DISSECTION; COMPLICATIONS; CANADA;
Keywords:
case-control studies; chiropractic; complications; vertebrobasilar stroke;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
22
Recensione:
Indirizzi per estratti:
Indirizzo: Rothwell, DM Inst Clin Evaluat Sci, G-106,2075 Bayview Ave, Toronto, ON M4N 3M5, Canada Inst Clin Evaluat Sci G-106,2075 Bayview Ave Toronto ON Canada M4N 3M5
Citazione:
D.M. Rothwell et al., "Chiropractic manipulation and stroke - A population-based case-control study", STROKE, 32(5), 2001, pp. 1054-1059

Abstract

Background and Purpose-Several reports have linked chiropractic manipulation of the neck to dissection or occlusion of the vertebral artery. However,previous studies linking such strokes to neck manipulation consist primarily of uncontrolled case series. We designed a population-based nested case-control study to test the association. Methods-Hospitalization records were used to identify vertebrobasilar accidents (VBAs) in Ontario, Canada, during 1993-1998. Each of 582 cases was age and sex matched to 4 controls from the Ontario population with no historyof stroke at the event date. Public health insurance billing records were used to document use of chiropractic services before the event date. Results-Results for those aged < 45 years showed VBA cases to be 5 times more likely than controls to have visited a chiropractor within 1 week of the VBA (95% CI from bootstrapping, 1.32 to 43.87), Additionally, in the younger age group, cases were 5 times as likely to have had greater than or equal to3 visits with a cervical diagnosis in the month before the case's VBA date (95% CI from bootstrapping, 1.34 to 18.57), No significant associations were found for those aged greater than or equal to 45 years. Conclusions-While our analysis is consistent with a positive association in young adults, potential sources of bias are also discussed. The rarity ofVBAs makes this association difficult to study despite high volumes of chiropractic treatment. Because of the popularity of spinal manipulation, high-quality research on both its risks and benefits is recommended.

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Documento generato il 04/07/20 alle ore 14:06:55