Biomedical subjects

C Leboeuf-Yde

Publications and source records attributed to C Leboeuf-Yde.

39 records · Page 3Linked to original sources

PubMedDate not supplied

The types and frequencies of improved nonmusculoskeletal symptoms reported after chiropractic spinal manipulative therapy.

OBJECTIVE: To investigate the frequency and types of improved nonmusculoskeletal symptoms reported after chiropractic spinal manipulative therapy. DESIGN: Retrospective information obtained by chiropractors through standardized interview of patients on return visit within 2 weeks of previous treatment. SETTING: The private practice of 87 Swedish chiropractors (response rate 81%). SUBJECTS: Twenty consecutive (presumably naive) patients per chiropractor (1504 valid questionnaires returned, 86% of optimal number of replies). INTERVENTION: Spinal manipulation with or without additional therapy provided by chiropractors. MAIN OUTCOME MEASURES: Self-reported improved nonmusculoskeletal symptoms (reactions). RESULTS: At least I reaction was reported after the previous treatment in 21% to 25% of cases. Of these responses, 26% were related to the airway passages (usually reported as "easier to breathe"), 25% were related to the digestive system (mostly reported as "improved function"), 14% were classified under eyes/vision (usually reported as "improved vision"), and 14% under heart/ circulation (about half of these reported as "improved circulation"). The number of spinal areas treated was positively associated with the number of reactions. CONCLUSION: A minority of chiropractic patients report having positive nonmusculoskeletal reactions after spinal manipulative therapy but such reports cluster predominantly around specific symptoms. It would be interesting to find out if these can be verified objectively and, if so, to investigate if they are caused by the treatment or if they are signs of natural variations in human physiology.

Adolescent↗

PubMedDate not supplied

Safety in chiropractic practice, Part I; The occurrence of cerebrovascular accidents after manipulation to the neck in Denmark from 1978-1988.

BACKGROUND: Problems in ascertaining cases and in determining the total number of treatments have made it difficult to establish the rate of cerebrovascular accidents (CVA) after spinal manipulative therapy. OBJECTIVES: To estimate the occurrence of cerebrovascular accidents after chiropractic treatment to the cervical spine. DESIGN: Information was sought on cases of CVA in Denmark during the period 1978-1988 inclusive, through several sources and through a survey of the Danish Chiropractors' Association. Information was sought also on proportion of consultations consisting of cervical treatment and preferred type of therapy. The incidence rate of CVA was calculated for several denominators. PARTICIPANTS: Targeted sample in survey 1: all 226 practicing members of the Danish Chiropractors' Association in 1989 [i.e., 99% of the chiropractors in Denmark at that time (response rate 54%)]. In survey 2, a random sample of 40 chiropractors (response rate 72.5%) was used. OUTCOME MEASURES: The number of CVAs in relation to the number of chiropractor-years, number of consultations, consultations including neck treatment, upper and lower neck treatment, and type of technique used. MAIN RESULTS: Five cases of CVA were identified; one resulted in death and the others in permanent neurological sequelae of varying severity. One case of CVA appeared for every estimated 1.3 million cervical treatment sessions and 1 for every 0.9 million upper cervical treatment sessions. Rotation techniques were over-represented in relation to their estimated frequency of use. CONCLUSION: Although the incidence of CVA after chiropractic SMT was confirmed to be low, there seems to be sufficient evidence to justify a firm policy statement cautioning against upper cervical rotation as a technique of first choice.

Adolescent↗

PubMedDate not supplied

Safety in chiropractic practice. Part II: Treatment to the upper neck and the rate of cerebrovascular incidents.

BACKGROUND: Circumstances surrounding cerebrovascular accidents after cervical manipulation need further clarification. In particular, more information is needed on the importance of specific techniques. OBJECTIVES: To estimate the occurrence of cerebrovascular incidents (CVI) after chiropractic treatment to the cervical spine in relation to both the estimated number of treatments given to the upper and lower cervical spine and the techniques used. DESIGN: Retrospective data were collected from questionnaires covering the period 1978-1988 inclusive; in a second survey, chiropractors provided information obtained through inspection of their own case records. PARTICIPANTS: All 226 practicing members of the Danish Chiropractors' Association in 1989 (response rate 54%) and a random sample of 40 chiropractors (response rate 72.5%) from the same population were invited to participate in the study. OUTCOME MEASURES: Survey 1: Estimated proportion of consultations that involved treatment to the cervical spine, number and clinical particulars of CVI. Survey 2: proportion of treatment sessions on a specific day that included the neck, upper/lower neck and the type of treatment (nonrotation or rotation techniques) preferred. MAIN RESULTS: Among the respondents, the reported incidence of CVI between 1981 and 1988 was about one for every 120,000 cervical treatment sessions, and SMT to the upper neck was about four times more commonly associated with CVI than treatment of the lower neck. Rotation procedures to the upper cervical spine were almost twice as often linked to CVI as nonrotation procedures of that area. CONCLUSIONS: Although there seems to be a link between upper cervical rotation manipulative techniques and cerebrovascular incidents, treatment to the lower neck and the use of other techniques are implicated as well.

Adult↗