What contraindications do BSO clinic tutors consider before cervical manipulation?

Item

Title
What contraindications do BSO clinic tutors consider before cervical manipulation?
Title
What contraindications do BSO clinic tutors consider before cervical manipulation?
Author(s)
Tyler Christopher
Abstract
Background: With the ongoing concerns about potential risks to cervical manipulation (Ernst, 2001), specific questions need to be asked to ensure there are no contraindications to such treatment (Reggers et al., 2003). It is therefore important that osteopaths understand what contraindicates cervical manipulation, and how the case history can be used to screen for contraindications. Objectives: Firstly to explore BSO clinic tutors’ thoughts towards contraindications of cervical manipulation. Secondly to understand how the case history is used to screen for these contraindications. Methods: Semi-structured interviews with a convenience sample of 8 qualified osteopaths working within the BSO clinic. Interviews were analysed using Content Analysis consistent with elements of Grounded Theory (Kvale 1996). Results: BSO clinic tutors have a large range of relative and absolute contraindications to cervical manipulation that they screen for within the case history. Every aspect of the case history was thought to be important. Conclusion: Cervical manipulation was believed to be a relatively safe and effective form of treatment, and screening for contraindications was patient dependent and based upon clinical judgement. These osteopaths considered that the case history plays a large role within minimising the risk of any adverse effects, as long as the practitioner understands the contraindications to such a treatment. Many of the contraindications are believed to be associated with insufficiency of the Vertebrobasilar system and the integrity of bone.
Abstract
Background: With the ongoing concerns about potential risks to cervical manipulation (Ernst, 2001), specific questions need to be asked to ensure there are no contraindications to such treatment (Reggers et al., 2003). It is therefore important that osteopaths understand what contraindicates cervical manipulation, and how the case history can be used to screen for contraindications. Objectives: Firstly to explore BSO clinic tutors’ thoughts towards contraindications of cervical manipulation. Secondly to understand how the case history is used to screen for these contraindications. Methods: Semi-structured interviews with a convenience sample of 8 qualified osteopaths working within the BSO clinic. Interviews were analysed using Content Analysis consistent with elements of Grounded Theory (Kvale 1996). Results: BSO clinic tutors have a large range of relative and absolute contraindications to cervical manipulation that they screen for within the case history. Every aspect of the case history was thought to be important. Conclusion: Cervical manipulation was believed to be a relatively safe and effective form of treatment, and screening for contraindications was patient dependent and based upon clinical judgement. These osteopaths considered that the case history plays a large role within minimising the risk of any adverse effects, as long as the practitioner understands the contraindications to such a treatment. Many of the contraindications are believed to be associated with insufficiency of the Vertebrobasilar system and the integrity of bone.
Date Accepted
2011
Date Submitted
3.2.2012 00:00:00
Type
osteo_thesis
Language
English
Pub-Identifier
15114
Inst-Identifier
780
Keywords
Contraindications, case history, cervical manipulation, osteopath
Recommended
0
Item sets
Thesis

Tyler Christopher, “What contraindications do BSO clinic tutors consider before cervical manipulation?”, Osteopathic Research Web, accessed May 2, 2025, https://www.osteopathic-research.com/s/orw/item/1726