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      Complication of the Cervical Thrust Technique in a Patient with Athetoid Cerebral Palsy

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      https://www.riss.kr/link?id=A108429094

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      다국어 초록 (Multilingual Abstract) kakao i 다국어 번역

      Manual therapy has been widely practiced in almost all countries worldwide. With its potential complications, there are contraindications for thrust technique. A 56-year-old woman diagnosed with athetoid cerebral palsy visited a local clinic due to a tingling sensation in right hand that lasted for a year and aggravated to both upper extremities. The patient underwent three sessions of cervical manual therapy including thrust technique. No evaluation was performed. The patient immediately felt weakness in all extremities after performing cervical thrust technique. Magnetic resonance imaging showed atlantoaxial instability and cervical myelopathy. Approximately one-third of adults with cerebral palsy reported chronic musculoskeletal pain and they often experience neck pain. Particularly in athetoid cerebral palsy, malalignment or instability of the cervical spine is prevalent and often results in myelopathy. Therefore, musculoskeletal evaluation is necessary to identify cervical instability in case of cervical thrust technique, and it should be performed by relevant medical professionals.
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      Manual therapy has been widely practiced in almost all countries worldwide. With its potential complications, there are contraindications for thrust technique. A 56-year-old woman diagnosed with athetoid cerebral palsy visited a local clinic due to a ...

      Manual therapy has been widely practiced in almost all countries worldwide. With its potential complications, there are contraindications for thrust technique. A 56-year-old woman diagnosed with athetoid cerebral palsy visited a local clinic due to a tingling sensation in right hand that lasted for a year and aggravated to both upper extremities. The patient underwent three sessions of cervical manual therapy including thrust technique. No evaluation was performed. The patient immediately felt weakness in all extremities after performing cervical thrust technique. Magnetic resonance imaging showed atlantoaxial instability and cervical myelopathy. Approximately one-third of adults with cerebral palsy reported chronic musculoskeletal pain and they often experience neck pain. Particularly in athetoid cerebral palsy, malalignment or instability of the cervical spine is prevalent and often results in myelopathy. Therefore, musculoskeletal evaluation is necessary to identify cervical instability in case of cervical thrust technique, and it should be performed by relevant medical professionals.

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      참고문헌 (Reference)

      1 HS Bae, "The Manual Therapy Guideline : Types and Techniques of Manual Therapy and Its Application" 15 : 65-70, 2016

      2 Giacalone A, "The Effect of High Velocity Low Amplitude Cervical Manipulations on the Musculoskeletal System: Literature Review" 12 : e7682-, 2020

      3 Oppenheim JS, "Nonvascular complications following spinal manipulation" 5 : 660-666, 2005

      4 Quinby JM, "Musculoskeletal problems in cerebral palsy" 15 : 9-14, 2005

      5 Jahnsen R, "Musculoskeletal pain in adults with cerebral palsy compared with the general population" 36 : 78-84, 2004

      6 Malone DG, "Complications of cervical spine manipulation therapy : 5-year retrospective study in a single-group practice" 13 : ecp1-, 2002

      7 Fuji T, "Cervical radiculopathy or myelopathy secondary to athetoid cerebral palsy" 69 : 815-821, 1987

      8 Atchison JW, "Braddom’s Physical Medicine and Rehabilitation" Elsevier 316-337, 2021

      9 Mathiowetz V, "Adult norms for the Box and Block Test of manual dexterity" 39 : 386-391, 1985

      1 HS Bae, "The Manual Therapy Guideline : Types and Techniques of Manual Therapy and Its Application" 15 : 65-70, 2016

      2 Giacalone A, "The Effect of High Velocity Low Amplitude Cervical Manipulations on the Musculoskeletal System: Literature Review" 12 : e7682-, 2020

      3 Oppenheim JS, "Nonvascular complications following spinal manipulation" 5 : 660-666, 2005

      4 Quinby JM, "Musculoskeletal problems in cerebral palsy" 15 : 9-14, 2005

      5 Jahnsen R, "Musculoskeletal pain in adults with cerebral palsy compared with the general population" 36 : 78-84, 2004

      6 Malone DG, "Complications of cervical spine manipulation therapy : 5-year retrospective study in a single-group practice" 13 : ecp1-, 2002

      7 Fuji T, "Cervical radiculopathy or myelopathy secondary to athetoid cerebral palsy" 69 : 815-821, 1987

      8 Atchison JW, "Braddom’s Physical Medicine and Rehabilitation" Elsevier 316-337, 2021

      9 Mathiowetz V, "Adult norms for the Box and Block Test of manual dexterity" 39 : 386-391, 1985

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