Call to Vote! Should We Abandon Cervical Manipulation for Mechanical Neck Pain? | Modern Manual Therapy Blog

Call to Vote! Should We Abandon Cervical Manipulation for Mechanical Neck Pain?

Follow the link below to vote on the British Medical Journal poll on Cervical Thrust Manipulation. This will always be a controversial subject and the few responses have some great points. You all know my vote was no! Follow the link and vote! As of 4:52 EST 6-12-12, the no's are winning!

As for the yes's, no one is forcing you to do it, and you obviously are not. You have no right to tell others who are appropriately educated, trained, and licensed they cannot perform a safe, comfortable, and effective technique in the right cases. Should it be exclusively performed? Of course not, always the right technique for the right patient at the right time, and after an informed consent.

Evidence 2012
What Say You AAOMPT Members?
vote

Your opinion is needed
Vote Now!!
Dear Erson,

This is a Call to Actionfor all AAOMPT Members.   BMJ has posted a poll and recent articles related to cervical manipulation. See the content below for more information. 

British Medical Journal

This week's poll in the British Medical Journal....
Should we abandon cervical spine manipulation for mechanical neck pain?
Read the related articles ( see links in each section) for more information and place your vote in the "this weeks poll" section of the BMJ website.

British Medical Journal
 
 
Should we abandon cervical spine manipulation for mechanical neck pain? Wand says Yes.
Benedict M Wand, associate professor1,
Peter J Heine, research fellow2,
Neil E O'Connell, lecturer3BMJ2012;344doi: 10.1136/bmj.e3679(Published 7 June 2012)  
BMJ2012;344:e3679

 British Medical Journal
Response 
 
 
Should we abandon cervical spine manipulation for mechanical neck pain? Cassidy says No
BMJ2012;344:e3680
J David Cassidy, professor 1, Gert Bronfort, professor2, Jan Hartvigsen, professor3


         

British Medical Journal
Response 
 
 
Should we abandon cervical spine manipulation for mechanical neck pain? Read what Kerry and others from IFOMPT say....      

Roger Kerry, Associate Professor, Physiotherapy, Alan J Taylor, Alison Rushton, Christopher McCarthy, Christopher Mercer. University of Nottingham



2 comments:

  1. Hi Erson,

    Just to be clear you voted NO(t) to abandon thrust cervical manipulation for neck pain. Right?

    I voted yes.

    When you say "you have no right..." I wonder how you would respond to Neill O'Connell's statement that "...professional bodies, including the CSP, should lead the way in recommending that the technique should be abandoned."

    If I believe the evidence of harm is clear then don't I have the right to warn my patients and my peers of the danger they face?

    Thanks,

    Tim
    www.PhysicalTherapyDiagnosis.com

    ReplyDelete
  2. I voted no, that is correct Tim. The "have no right" is me telling other providers who choose not to do manipulation, to tell me I should not be using it as a treatment. I ALWAYS educate my patients on the risks, stats, and what the latest research says, which techniques have been shown to cause VBI, etc... I actually talk many of them out of it. I then do a premanipulative hold as suggested by Meadows.

    I would hope that any provider who uses manipulation does the same, but I know many do not. The evidence of harm is not clear, any may never be, every technique has risk, and to completely abandon it as a viable treatment option, but the ONLY option is ridiculous.

    No provider HAS to use it, and it remains only a tool, one I actually use infrequently, but I will not abandon it. I think we should abandon techniques that have no efficacy rather than those that have efficacy.

    Vigorous exercise results in more deaths/year. We do not abandon that as a treatment option.

    ReplyDelete