Possible adverse events in children treated by manual therapy: a review

摘要: Background: Pediatric manual therapy is controversial within the medical community particularly with respect to adverse events. (Ped MT) commonly used by a number of professions such as chiropractors, osteopaths and naturopaths for variety treatments in children. Ped MT interventions range from advice, light touch, massage, through mobilisation high velocity spinal manipulation. However, current evidence related events associated not well understood. Objective: To update clinical research literature 2007 report Vohra, Johnston, Cramer Humphreys on possible children treated Methods: A review June 2004 until January 2010 reported MEDLINE, PubMed Central specifically treatment pediatric cases therapy. Results: Only three new studies, one systematic meta-analysis were identified. Two studies chiropractic care osteopathic manipulation The investigated all was specific patients. focused effectiveness musculoskeletal conditions. No serious or catastrophic review. However adults, it has been estimated that between 0.003% 0.13% may result event. Although mild moderate are common an accurate estimate quality currently available. Conclusions: There insufficient reviews adult patients undergoing therapy, self limiting. rare much less than medication prescribed these problems. More addressing needed.