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脊椎按摩师和整骨疗法师的风险管理:颈部推拿与椎基底动脉供血不足性中风

RISK MANAGEMENT FOR CHIROPRACTORS AND OSTEOPATHS: Neck Manipulation & Vertebrobasilar Stroke.

作者信息

Reggars John W, French Simon D, Walker Bruce F, Cameron Melainie, Pollard Henry, Vitiello Andrew, Werth Peter D

出版信息

Australas Chiropr Osteopathy. 2003 Mar;11(1):9-15.

Abstract

Although rare, vertebrobasilar stroke is the best known of the possible side effects of cervical manipulation. Due to the serious sequelae that may result from cervical manipulation, chiropractors and osteopaths must take the appropriate steps to ensure the risk is minimised. This article outlines how the astute practitioner can minimise this risk. Practitioners must decide on the options for treatment of a patient with neck problems. Practitioners must also advise the patient of these options as part of an appropriate informed consent.

摘要

尽管罕见,但椎动脉卒中是颈椎推拿可能产生的最广为人知的副作用。由于颈椎推拿可能导致严重的后遗症,脊椎按摩师和整骨疗法医生必须采取适当措施,确保风险降至最低。本文概述了经验丰富的从业者如何将这种风险降至最低。从业者必须决定颈部问题患者的治疗方案。从业者还必须将这些方案告知患者,作为适当知情同意过程的一部分。

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