Serious adverse events following lumbar spine mobilization or manipulation and potential associated factors: a systematic review protocol

Martha Funabashi, Simon D. French, H. A. (Rik) Kranenburg, Jeffrey J. Hebert

    Research output: Contribution to journalReview articlepeer-review

    Abstract

    Objectives: The objectives of this review are to describe the serious adverse events reported in the literature following lumbopelvic mobilization and manipulation, and identify patient, provider and/or treatment factors that may be associated with serious adverse events after these interventions.

    Introduction: Spinal mobilization and manipulation are types of conservative care commonly used to treat people with low back pain and other musculoskeletal conditions of the lumbar spine and pelvis. Although most adverse events following these interventions are benign and transient, serious adverse events have been reported mostly following spinal manipulative therapy. Given the significant impact serious adverse events can have on patients' lives, identifying factors that may be associated with serious adverse events following spinal mobilization and manipulation of the low back and pelvis would allow for a more specific pre-treatment screening, potentially reducing the occurrence of serious adverse events following these popular interventions and contributing to a safer treatment delivery.

    Inclusion criteria: This review will consider interventional and observational studies that report serious adverse events following lumbopelvic spinal mobilization or manipulation experienced by people of any age. Examples of serious adverse events include disc herniation, cauda equina syndrome, and vertebral fracture.

    Methods: MEDLINE, Embase, CINAHL, Pubmed, The Cochrane Database of Systematic Reviews/Central Register of Controlled Trials, and Index to Chiropractic Literature (ICL) databases will be searched as well as OpenGrey and ProQuest. Two independent reviewers will screen titles and abstracts of identified references as well as the full-text of identified studies, and extract data following a standardized data extraction form. Data will be summarized, categorized, and a comprehensive narrative summary will be presented.

    Systematic review registration number: Prospero (CRD42019122339).

    Original languageEnglish
    Pages (from-to)1489-1496
    Number of pages8
    JournalJBI Evidence Synthesis
    Volume19
    Issue number6
    Early online date14 Dec 2020
    DOIs
    Publication statusPublished - Jun 2021

    Keywords

    • adverse event
    • lumbar spine
    • pelvis spinal mobilization
    • spinal manipulation

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