tailieunhanh - Báo cáo y học: "Possible adverse events in children treated by manual therapy: a review"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Possible adverse events in children treated by manual therapy: a review. | Humphreys Chiropractic Osteopathy 2010 18 12 http content 18 1 12 CHIROPRACTIC OSTEOPATHY REVIEW _ Open Access Possible adverse events in children treated by manual therapy a review B Kim Humphreys Abstract Background Pediatric manual therapy is controversial within the medical community particularly with respect to adverse events. Pediatric manual therapy Ped MT is commonly used by a number of professions such as chiropractors osteopaths and naturopaths for a variety of treatments in children. Ped MT interventions range from advice light touch massage through to mobilisation and high velocity spinal manipulation. However current evidence related to adverse events associated with Ped MT is not well understood. Objective To update the clinical research literature from the 2007 report by Vohra Johnston Cramer and Humphreys on possible adverse events in children treated by spinal manipulation. Methods A review of the clinical research literature from June 2004 until January 2010 as reported in MEDLINE PubMed and PubMed Central for adverse events specifically related to the treatment of pediatric cases by manual therapy. Results Only three new clinical studies one systematic review with meta-analysis and one evidence report were identified. Two clinical studies reported on chiropractic care and one on osteopathic spinal manipulation in children. The systematic review investigated all studies of adverse events and manual therapy and was not specific for pediatric patients. The evidence review focused on effectiveness of spinal manipulation in a variety of musculoskeletal conditions. No serious or catastrophic adverse events were reported in the clinical studies or systematic review. However for adults it has been estimated that between and of manual therapy treatments may result in a serious adverse event. Although mild to moderate adverse events are common in adults an accurate estimate from high quality pediatric studies is currently .

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