Journal of Osteopathic Medicine, 2003/04, 6(1):24-29. doi: 10.1016/S1443-8461(03)80006-0, type of study: ,art,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

Full text    (http://www.sciencedirect.com/science/article/pii/S1443846103800060)

Keywords:

article [2635]
cervical spine [319]
extension rotation test [1]
premanipulative screening [1]

Abstract:

Premanipulative screening tests aimed at assessing the risk of vascular accident resulting from cervical manipulation are widely advocated by professional bodies, consensus groups, and other experts. Evidence-based medicine provides a framework for clinical reasoning that integrates evidence derived from literature review, together with clinical experience and patient needs and circumstances. In this article we describe our application of this approach in the context of a presentation of uncomplicated neck pain and headache. A MEDLINE search using PubMed identified six studies of interest, although only one of these provided any quantitative analysis in estimating the utility of the test. Barriers to applying the framework in the practice setting are also discussed.