Efectos adversos en las manipulaciones vertebrales, una revisión sistemática
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2016-06-16
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Jaén: Universidad de Jaén
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[ES] Objetivo: Determinar los posibles efectos adversos tras la realización de una manipulación vertebral de alta velocidad y corta amplitud. Métodos: Se lleva a cabo una revisión bibliográfica en Pubmed, PEDro, Scopus y ScienceDirect. Se seleccionaron 15 ensayos clínicos con una puntuación >5 en la escala PEDro, que mencionaran los efectos adversos acontecidos tras una manipulación de alta velocidad y corta amplitud. Resultados: Encontramos 9 en los que sí se presentan efectos adversos de los cuales 5 sucedían en manipulación cervical o dorsal, 3 en manipulación lumbar y 1donde no especifica la zona. Sin eventos adversos encontramos 6 estudios de los cuales 2 corresponden a manipulaciones cervicales y 4 a lumbares. Conclusión: No se han encontrado pruebas suficientes que determinen la frecuencia de sufrir algún efecto adverso tras una manipulación vertebral. Los más frecuentes son aumento del dolor, rigidez, dolor irradiado, mareos, dolor de cabeza, fatiga y espasmos musculares.
[EN] Objetive: Determine the potential adverse effects after performing a spinal high-velocity low-amplitude manipulation. Methods: It carried out a literature review on PubMed, PEDro, Scopus and ScienceDirect . Fifteen randomized clinical trials were selected with a higher score to 5 in the methodological PEDro scale, which mention the adverse effects that occurred after a high-velocity low-amplitude type. Results: Among the 15 articles selected for this systematic review we found 9 in which adverse effects appears, 5 were happening in cervical or dorsal manipulation, 3 in lumbar manipulation and 1 in any part of the spine. Regarding those without adverse events are 6 studios, 2 of cervical manipulation and 4 of lumbar manipulation. Conclusion: Not found sufficient evidence to determine the frequency of experiencing any adverse effects after spinal manipulation. The most common are increased pain, stiffness, radiating pain, dizziness, headache, fatigue and muscle spasms.
[EN] Objetive: Determine the potential adverse effects after performing a spinal high-velocity low-amplitude manipulation. Methods: It carried out a literature review on PubMed, PEDro, Scopus and ScienceDirect . Fifteen randomized clinical trials were selected with a higher score to 5 in the methodological PEDro scale, which mention the adverse effects that occurred after a high-velocity low-amplitude type. Results: Among the 15 articles selected for this systematic review we found 9 in which adverse effects appears, 5 were happening in cervical or dorsal manipulation, 3 in lumbar manipulation and 1 in any part of the spine. Regarding those without adverse events are 6 studios, 2 of cervical manipulation and 4 of lumbar manipulation. Conclusion: Not found sufficient evidence to determine the frequency of experiencing any adverse effects after spinal manipulation. The most common are increased pain, stiffness, radiating pain, dizziness, headache, fatigue and muscle spasms.