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KMID : 0895820070170030191
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Journal of Oriental Rehabilitation Medicine
2007 Volume.17 No. 3 p.191 ~ p.206
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The Safety of Lumbar Manipulation; Adverse Reaction, Mechanism and Cases Reports
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Park Tae-Yong
Song Yung-Sun
Shin Byung-Cheul
Kong Jae-Cheol
Lee Eu-Gene
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Abstract
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Objectives :The aim of this study was to investigate the safety, injury mechanism, complications and adverse reactions associated with lumbar manipulation treatment (LMT), to report newly reported three cases of adverse reactions with LMT.
Methods :We searched relevant documents associated with safety of LMT using internet based search (through medline in international field, relavant institute in domestic field) and bibliography, combed adverse cases in clinical field.
Results :The relative-to-absolute contraindications were classified into vascular disorders, articular derangement, trauma, bone-weakening and destructive disorders, neurological disorder or psychological factors. The majority of adverse reactions were mild to moderate in about 90%, began within 4 h and generally disappeared within the next 24 h. The most common were local discomfort (15.2-53.0%), stiffness (19.5%), fatigue or tiredness (11.0-12.1%), or radiating discomfort (10.0-12.1%). All three newly reported cases were generation or aggravation of herniated lumbar disc.
Conclusion :We have to go ahead of inspecting patient’s past history, going through with physical, neurological, and diagnostic radiological examination. We should be fully aware of the relative and absolute contraindications to Chuna manipulation for preventing adverse reactions before treating patients with LMT. In the future, we need sufficient education and systematic discipline through curriculum or related institute to decrease complications and adverse reactions of Chuna manipulation.
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KEYWORD
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Maripulation, Safety, Lumbar spine, Adverse reaction, Complication
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