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Manipulation of the neck and stroke: time for more rigorous evidence

Alan Breen
Med J Aust 2002; 176 (8): 364-365.

To fill this important gap in our knowledge would require collaboration between researchers from the manipulation disciplines and neurologists

Alan Breen, DC, PhD, Director
Anglo-European College of Chiropractic, Bournemouth, Dorset, UK.
Article References: 
Reference Text: 
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Rothwell DM, Bondy SJ, Williams I. Chiropractic manipulation and stroke: a population-based case-control study. Stroke 2001; 32: 1054-1060.
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Smith RA, Estridge MN. Neurologic complications of head and neck manipulations: report of two cases. JAMA 1962; 182: 528-531.
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Haldeman S, Kohlbeck FJ, McGregor M. Risk factors and precipitating neck movements causing vertebrobasilar artery dissection after cervical trauma and spinal manipulation. Spine 1999; 24: 785-794.
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10222530
Reference Text: 
Licht PB, Christensen HW, Hoilund-Carlsen PF. Is there a role for premanipulative testing before cervical manipulation? J Manipulative Physiol Ther 2000; 23: 175-179.
Reference Order: 
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10771502
Reference Text: 
Symons BP, Leonard T, Herzog W. Internal forces sustained by the vertebral artery during spinal manipulation therapy. J Manipulative Physiol Ther. In press.
Reference Order: 
8

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