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Leitlinien über die Grundlagen der Aus- und Weiterbildung und der Sicherheit in manueller/muskuloskeletaler Medizin

Angenommen durch die FIMM-Generalversammlung am 15. Oktober 2013. Offizieller Inhalt Version 3.1dt

Guidelines on basic training and safety in manual/musculoskeletal medicine

Accepted by the FIMM General Meeting 2013

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Literatur

  1. Tobis JS, Hoehler F (1986) Musculoskeletal manipulation: evaluation of the scientific evidence. Thomas, Springfield

  2. Rivett D, Milburn P (1996) A prospective study of cervical spinal manipulation. J Man Med 4:166–170

    Google Scholar 

  3. Coulter ID, Hurwitz EI, Adams AH et al (1996) Appropriateness of manipulation and mobilization of the cervical spine. RAND, Santa Monica

  4. Vick DA, McKay C, Zengerle CR (1996) The safety of manipulative treatment: review of the literature from 1925 to 1993. J Am Osteopath Assoc 96:113–115

    CAS  PubMed  Google Scholar 

  5. Senstad O, Leboeuf-Yde C, Borchgrevink C (1997) Frequency and characteristics of side effects. Spine 22:435–440

    Article  CAS  PubMed  Google Scholar 

  6. Boullet R (1990) Treatment of sciatica: a comparative survey of the complications of surgical treatment and nucleolysis with chymopapain. Clin Orthop 251:144–152

    Google Scholar 

  7. Cagnie B, Vincka E, Beernaert A, Cambiera D (2004) How common are side effects of spinal manipulation and can these side effects be predicted? Man Ther 9:151–156

    Article  PubMed  Google Scholar 

  8. Cassidy JD, Boyle E, Côté P et al (2008) Risk of vertebrobasilar stroke and chiropractic care. results of a population-based case-control and case-crossover study. Spine 33:176–183

    Article  Google Scholar 

  9. Caswell A (ed) (1998) MIMS annual, Australian edition, 22. edn. MediMedia, St Leonards

  10. Dabbs V, Lauretti W (1995) A risk assessment of cervical manipulation vs NSAIDS for the treatment of neck pain. J Manipulative Physiol Ther 18:530–536

    CAS  PubMed  Google Scholar 

  11. Deyo RA, Cherkin DC, Loesser JD et al (1992) Morbidity and mortality in association with operations on the lumbar spine. J Bone Joint Surg Am 74:536–543

    CAS  PubMed  Google Scholar 

  12. Dittrich R, Rohsbach D, Heidbreder A et al (2007) Mild mechanical traumas are possible risk factors for cervical artery dissection. Cerebrovasc Dis 23:275–281

    Article  CAS  PubMed  Google Scholar 

  13. Ernst E (2001) Life-threatening complications of spinal manipulation. Stroke 32:809–810

    Article  CAS  PubMed  Google Scholar 

  14. Ernst E (2001) Prospective investigations into the safety of spinal manipulation. J Pain Symptom Manage 21:238–242

    Article  CAS  PubMed  Google Scholar 

  15. Gabriel SE, Jaakkimainen L, Bombardier C (1991) Risk of serious gastrointestinal complications related to the use of nonsteroidal anti-inflammatory drugs: a meta-analysis. Ann Intern Med 115:787–796

    Article  CAS  PubMed  Google Scholar 

  16. Gouveia LO, Castanho P, Ferreira JJ (2009) Safety of chiropractic interventions: a systematic review. Spine 34:405–413

    Article  Google Scholar 

  17. Haldeman S, Kohlbeck FJ, McGregor M (1999) Risk factors and precipitating neck movements causing vertebrobasilar artery dissection after cervical trauma and spinal manipulation. Spine 24:785–794

    Article  CAS  PubMed  Google Scholar 

  18. Herzog W, Symonds B (2002) Forces and elongations of the vertebral artery during range of motion testing, diagnostic procedures, and neck manipulative treatments. In: Proceedings of the World Federation of Chiropractic 6th Biennial Congress, Paris, pp 199–200

  19. Horowitz SH (1994) Peripheral nerve injury and causalgia secondary to routine venipuncture. Neurology 44:962–964

    Article  CAS  PubMed  Google Scholar 

  20. Hufnagal A, Hammers A, Schonle P-W et al (1999) Stroke following chiropractic manipulation of the cervical spine. J Neurol 246:683–686

    Article  Google Scholar 

  21. Humphreys BK (2010) Possible adverse events in children treated by manual therapy: a review. Chiropr Osteopat 18:12–19

    Article  PubMed Central  PubMed  Google Scholar 

  22. Hurwitz EL, Morgenstern H, Vassilaki M, Chiang LM (2005) Frequency and clinical predictors of adverse reactions to chiropractic care in the UCLA neck pain study. Spine 30:1477–1484

    Article  PubMed  Google Scholar 

  23. Lee KP, Carlini WG, McCormick GF, Albers GF (1995) Neurologic complications following chiropractic manipulation: a survey of California neurologists. Neurology 45:1213–1215

    Article  CAS  PubMed  Google Scholar 

  24. Licht PB, Christensen HW, Svendensen P, Høilund-Carlsen PF (1992) Vertebral artery flow and cervical manipulation: an experimental study. J Manipulative Physiol Ther 22:431–435

    Article  Google Scholar 

  25. Marx P, Püschmann H, Haferkamp G et al (2009) Manipulative treatment of the cervical spine and stroke. [Manipulationsbehandlung der HWS und Schlaganfall]. Fortschr Neurol Psychiatr 77:83–90

    Article  CAS  PubMed  Google Scholar 

  26. Miley ML, Wellik KE, Wingerchuk DM, Demaerschalk BM (2008) Does cervical manipulative therapy cause vertebral artery dissection and stroke? Neurologist 14:66–73

    Article  PubMed  Google Scholar 

  27. Rome PL (1999) Perspective: an overview of comparative considerations of cerebrovascular accidents. Chiropractic J Aust 29:87–102

    Google Scholar 

  28. Rosner AL (2001) Chiropractic manipulation and stroke – letter to the editor. Stroke 32:2207–2209

    CAS  PubMed  Google Scholar 

  29. Rossetti AO, Bogousslavsky J (2002) Dissections artérielles et manipulations cervicales. Rev Méd Suisse 39

  30. Rothwell DM, Bondy SJ, Williams JI (2001) Chiropractic manipulation and stroke – a population-based case-control study. Stroke 32:1054–1060

    Article  CAS  PubMed  Google Scholar 

  31. Rubinstein SM, Peerdeman SM, Tulder MW van et al (2005) A systematic review of the risk factors for cervical artery dissection. Stroke 36:1575–1580

    Article  PubMed  Google Scholar 

  32. Saxler G, Schopphoff E, Quitmann H, Quint U (2005) Spinal manipulative therapy and cervical artery dissections. HNO 53:563–567

    Article  CAS  PubMed  Google Scholar 

  33. Stevinson C, Honan W, Cooke B, Ernst E (2001) Neurological complications of cervical spine manipulation. J R Soc Med 94:107–109

    CAS  PubMed Central  PubMed  Google Scholar 

  34. Suh SI, Koh SB, Choi EJ et al (2005) Intracranial hypotension induced by cervical spine chiropractic manipulation. Spine 30:340–342

    Article  Google Scholar 

  35. Symons BP, Leonard T, Herzog W (2002) Internal forces sustained by the vertebral artery during spinal manipulative therapy. J Manipulative Physiol Ther 25:504–510

    Article  PubMed  Google Scholar 

  36. Terrett AGL (1987) Vascular accidents from cervical spine manipulation. J Aust Chiropractic Assoc 17:15–24

    Google Scholar 

  37. Terrett AGL (1996) Vertebral stroke following manipulation. National Chiropractic Mutual Insurance Company, West Des Moines

  38. Thiel HW, Bolton JE, Docherty S, Portlock JC (2007) Safety of chiropractic manipulation of the cervical spine – a prospective national survey. Spine 32:2375–2378

    Article  PubMed  Google Scholar 

  39. Vohra S, Johnston BC, Cramer K, Humphreys K (2007) Adverse events associated with pediatric spinal manipulation: a systematic review. Pediatrics 119:275–283

    Article  Google Scholar 

  40. Di Fabio R (1999) Manipulation of the cervical spine: risks and benefits. Phys Ther 79:50–65

    Google Scholar 

  41. Bin Saeed A, Shuaib A, Al-Sulatti G, Emery D (2000) Vertebral artery dissection: warning symptoms, clinical features and prognosis in 26 patients. Can J Neurol Sci 27:292–296

    Google Scholar 

  42. Klougart N, Leboeuf-Yde C, Rasmussen L (1996) Safety in chiropractic practice. Part I: The occurrence of cerebrovascular accidents after manipulation to the neck in Denmark from 1978–1988. J Manipulative Physiol Ther 19:371–377

    CAS  PubMed  Google Scholar 

  43. Lauretti W (2006) What are the risks of chiropractic neck treatments? http://www.chiro.org

  44. Dvořák J, Orelli F (1985) How dangerous is manipulation to the cervical spine? Man Med 2:1–4

    Google Scholar 

  45. Jaskoviak P (1980) Complications arising from manipulation of the cervical spine. J Manipulative Physiol Ther 3:213–219

    Google Scholar 

  46. Henderson DJ, Cassidy JD (1988) Vertebral artery syndrome. In: Vernon H (ed) Upper cervical syndrome: chiropractic diagnosis and treatment. Williams and Wilkins, Baltimore, pp 195–222

  47. Eder M, Tilscher H (1990) Chiropractic therapy: diagnosis and treatment (English translation). Aspen, Rockville, p 61

  48. Haldeman S, Chapman-Smith D, Petersen DM (1993) Guidelines for chiropractic quality assurance and practice parameters. Aspen, Gaithersburg, pp 170–172

  49. Kleynhans AM, Terrett AG (1992) Cerebrovascular complications of manipulation. In: Haldeman S (ed) Principles and practice of chiropractic, 2. edn. Appleton Lang, East Norwalk

  50. Haldeman S, Kohlbeck F, McGregor M (2002)Unpredictability of cerebrovascular ischemia associated with cervical spine manipulation therapy: a review of sixty‐four cases after cervical spine manipulation. Spine 27:49–55

    Article  PubMed  Google Scholar 

  51. Haldeman S, Carey P, Townsend M, Papadopoulos C (2002) Clinical perception of the risk of vertebral artery dissection after cervical manipulation: the effect of referral bias. Spine J 2:334–342

    Article  PubMed  Google Scholar 

  52. Haldeman S, Carey P, Townsend M, Papadopoulos C (2001) Arterial dissections following cervical manipulation: the chiropractic experience. Can Med Ass J 165:905–906

    CAS  Google Scholar 

  53. Ernst E (2002) Spinal manipulation: its safety is uncertain. CMAJ 166:40–41

    PubMed Central  PubMed  Google Scholar 

  54. U.S. Preventive Services Task Force (1989) Guide to clinical preventive services: report of the U.S. Preventive Services Task Force. Diane, Darby/PA, pp 24

    Google Scholar 

  55. Ernst E (2007) Adverse effects of spinal manipulation: a systematic review. J R Soc Med 100:330–338

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  56. Maigne JY, Goussard JC, Dumont F et al (2007) Société française de médecine manuelle orthopédique et ostéopathique (SOFMMOO). Is systematic radiography needed before spinal manipulation? Recommendations of the SOFMMOO. Ann Readapt Med Phys 50:111–118

    Article  PubMed  Google Scholar 

  57. Michell K, Keen D, Dyson C et al (2004) Is cervical spine rotation, as used in the standard vertebrobasilar insufficiency test, associated with a measureable change in intracranial vertebral artery blood flow? Man Ther 9:220–227

    Article  Google Scholar 

  58. Côté P, Kreitz BC, Cassidy JD, Thiel H (1996) The validity of the extension-rotation test as a clinical screening procedure before neck manipulation: a secondary analysis. J Manip Physiol Ther 19:159–164

    Google Scholar 

  59. Michell JA (2003) Changes in vertebral artery blood flow following normal rotation of the cervical spine. J Manipulative Physiol Ther 26:347–351

    Article  Google Scholar 

  60. Licht PB, Christensen HW, Høgasrd P, Marving J (1998) Vertebral artery flow and spinal manipulation: a randomized, controlled and observer-blinded study. J Manipulative Physiol Ther 21:141–144

    CAS  PubMed  Google Scholar 

  61. Haldeman S, Kohlbeck FJ, McGregor M (2002) Stroke, cerebral artery dissection, and cervical spine manipulation therapy. J Neurol 249:1098–1104

    Article  PubMed  Google Scholar 

  62. Haldeman S, Carey P, Townsend M, Papadopoulos C (2003) Clinical perceptions of the risk of vertebral artery dissection after cervical manipulation: the effect of referral bias. Neurology 60:1424–1428

    Article  Google Scholar 

  63. Gross AR, Hoving JL, Haines TA et al (2004) A Cochrane review of manipulation and mobilization for mechanical neck disorders. Spine 29:1541–1548

    Article  PubMed  Google Scholar 

  64. Anderson-Peacock E, Blouin JS, Bryans R et al (2005) Chiropractic clinical practice guideline: evidence-based treatment of adult neck pain not due to whiplash. J Can Chiropr Assoc 49:160–212

    Google Scholar 

  65. Haneline MT, Lewkovich GN (2005) An analysis of the aetiology of cervical artery dissections: 1994 to 2003. J Manipulative Physiol Ther 28:617–622

    Article  PubMed  Google Scholar 

  66. Smith WS, Johnston SC, Skalabrin EJ et al (2006) Spinal manipulative therapy is an independent risk factor for vertebral artery dissection. Cerebrovasc Dis 23:275–281

    Google Scholar 

  67. Smith WS, Johnston SC, Skalabrin EJ et al (2003) Spinal manipulative therapy is an independent risk factor for vertebral artery dissection. Neurology 60:1424–1428

    Article  CAS  PubMed  Google Scholar 

  68. Dittrich R, Rohsbach D, Heidbreder A et al (2009) Mild mechanical traumas are possible risk factors for cervical artery dissection. Fortschr Neurol Psychiatr 77:83–90

    Article  Google Scholar 

  69. Murphey DR (2010) Current understanding of the relationship between cervical manipulation and stroke: what does it mean for the chiropractic profession? Chiropr Osteopat 8:22–31

    Article  Google Scholar 

  70. Haymo W, Thiel DC, Bolton EJ et al (2007) Safety of chiropractic manipulation of the cervical spine. A prospective national survey. Spine 32:2375–2378

    Article  Google Scholar 

  71. Barbieri M, Maero S, Mariconda C (2007) Manipulazioni vertebrali: danni correlati e potenziali fattori di rischio. Eur Medicophys 43-Supl. 1:1–2

  72. Guzman J, Haldeman S, Carroll LJ et al (2008) Clinical practice implications of the bone and joint decade 2000–2010 task force on neck pain and its associated disorders. From concepts and findings to recommendations. Spine 33(Suppl 4):199–213

    Article  Google Scholar 

  73. Cassidy JD, Bronfort G, Hartvigsen J (2012) Should we abandon cervical spine manipulation for mechanical neck pain? No. BMJ 344:3680

    Article  Google Scholar 

  74. Cassidy JD, Thiel H, Kirkaldy-Willis W (1993) Side posture manipulation for lumbar intervertebral disk herniation. J Manipulative Physiol Ther 16:96–103

    CAS  PubMed  Google Scholar 

  75. Oliphant D (2004) Safety of spinal manipulation in the treatment of lumbar disk herniations: a systematic review and risk assessment. J Manipulative Physiol Ther 27:197–210

    Article  PubMed  Google Scholar 

  76. Oppenheim JS, Spitzer DE, Segal DH (2005) Nonvascular complications following spinal manipulation. Spine J 5:660–667

    Article  PubMed  Google Scholar 

  77. Dvořák J, Dvořák V, Schneider W, Tritschler T (1999) Manual therapy in lumbo-vertebral syndromes. Orthopäde 28:939–945

    PubMed  Google Scholar 

  78. Dvořák J, Loustalot D, Baumgartner H, Antinnes JA (1993) Frequency of complications of manipulation of the spine. A survey among the members of the Swiss Medical Society of Manual Medicine. Eur Spine J 2:136–139

    Article  PubMed  Google Scholar 

  79. Heymann WJ von, Schloemer P, Timm J, Muehlbauer B (2013) Spinal high-velocity low amplitude manipulation in acute nonspecific low back pain: a double-blinded randomized controlled trial in comparison with diclofenac and placebo. Spine 38:540–548

    Article  Google Scholar 

  80. Donovan JS, Kerber CW, Donovan WH, Marshall LF (2007) Development of spontaneous intracranial hypotension concurrent with grade IV mobilization of the cervical and thoracic spine: a case report. Arch Phys Med Rehabil 88:1472–1473

    Article  PubMed  Google Scholar 

  81. Dominicucci M, Ramieri A, Salvati M et al (2007) Cervicothoracic epidural hematoma after chiropractic spinal manipulation therapy. Case report and review of the literature. J Neursurg Spine 7:571–574

    Article  Google Scholar 

  82. Lee TH, Chen CF, Lee TC et al (2011) Acute thoracic epidural hematoma following spinal manipulative therapy: case report and review of the literature. Clin Neurol Neurosurg 113:575–577

    Article  PubMed  Google Scholar 

  83. Sozio MS, Cave M (2008) Boerhaave’s syndrome following chiropractic manipulation. Am Surg 74:428–429

    PubMed  Google Scholar 

  84. Wilson PM, Greiner MV, Duma EM (2012) Posterior rib fractures in a young infant who received chiropractic care. Pediatrics 130:1359–1362

    Article  Google Scholar 

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Einhaltung ethischer Richtlinien

Interessenkonflikt. W. von Heymann und B. Terrier geben an, dass kein Interessenkonflikt besteht. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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  1. Orthopädische Praxis, Schwachhauser Heerstr. 367, 28211, Bremen, Deutschland

    W. von Heymann

  2. RehaClinic Baden, Bäderstr. 16, 5400, Baden, Schweiz

    B. Terrier

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  1. W. von Heymann
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  2. B. Terrier
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Correspondence to W. von Heymann or B. Terrier.

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Teil 1 der Leitlinie wurde in Ausgabe 02/2014 von Manuelle Medizin abgedruckt.

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von Heymann, W., Terrier, B. Leitlinien über die Grundlagen der Aus- und Weiterbildung und der Sicherheit in manueller/muskuloskeletaler Medizin. Manuelle Medizin 52, 229–236 (2014). https://doi.org/10.1007/s00337-014-1105-5

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