The Safety of Cervical Chuna Manipulation; Mechanism, Adverse Reactions and Cases Report (경추 추나치료의 안전성에 대한 임상보고)

고연석; Park Tae Yong (박태용); SONG YUNG SUN (송용선); Shin, Byung Cheul (신병철); 공재철; 오원교

The Safety of Cervical Chuna Manipulation; Mechanism, Adverse Reactions and Cases Report

Journal of Korean Medicine Rehabilitation
Abbr : JKMR
2006, 16(4), pp.83-95
Publisher : The Korean Academy Of Oriental Rehabilitation Medicine
Research Area : Medicine and Pharmacy > Korean Medicine

고연석 ¹, Park Tae Yong ², SONG YUNG SUN ¹, Shin, Byung Cheul ³, 공재철 ¹, 오원교 ¹

¹원광대학교
²한국외국어대학교
³부산대학교

Candidate

ABSTRACT

Objectives : The aim of the present study was to report the safety of cervical Chuna manipulation treatment (CCMT). We investigated the mechanism and complications of adverse reactions associated with CCMT, and newly demonstrated three cases in litigation. Methods : We searched relevant case reports, surveys, and review articles using a comprehensive databases of online and bibliography, combed adverse cases in clinical field. Results : A relative-to-absolute contraindication to cervical Chuna manipulation was circulatory and haematological disorders, neurological disorders, bone-weakening and destructive disorders, articular derangement or psychological factors. The majority of adverse reactions were mild or moderate in 85~90%, began within 4 h and generally disappeared within the next 24 h, at least one of them was reported by 30.0~60.9% of the patients after cervical manipulation. The most common were local discomfort (15.2~53.0%), headache (10.0~19.8%), stiffness (19.5~25.0%), tiredness (10.0~12.1%), or radiating discomfort (10.0~23.0%). The two of reported clinical cases were the occurrence of retropharngeal hematoma and cervical herniated disc disease after CCMT. The one was not a fault of practitioner, but complain for compensation. Conclusions : Manipulation of the cervical spine may also be associated with higher complication rates than previously reported. Although It is difficult to estimate the incidence of cervical manipulation complications, it is important to differentiate those patients who are susceptible to adverse reactions in order to inform them correctly.

KEYWORDS

Chuna manipulation, Safety, Cervical spine, Mechanism, Adverse reaction, Complication

Citation status

* References for papers published after 2023 are currently being built.

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