PMID- 35710214
OWN - NLM
STAT- MEDLINE
DCOM- 20220620
LR  - 20220824
IS  - 1532-9283 (Electronic)
IS  - 1360-8592 (Linking)
VI  - 31
DP  - 2022 Jul
TI  - Adverse events associated with manual therapy of peripheral joints: A scoping 
      review.
PG  - 159-163
LID - S1360-8592(22)00077-8 [pii]
LID - 10.1016/j.jbmt.2022.04.012 [doi]
AB  - METHODS: We performed a systematic review of potential adverse events (AEs) of 
      manual therapy to peripheral joints using PubMed, CINAHL, PEDro, AMED, and Google 
      Scholar with a single term for each peripheral body region (shoulder, elbow, 
      wrist, hand, hip, knee, ankle, foot). Inclusion criteria included articles that 
      examined or reported the occurrence of AEs. Exclusion criteria included 
      literature discussing treatment other than manual therapy or surgery. RESULTS: 
      Twenty total articles meeting the inclusion criteria were found. A total of 
      fifty-three adverse events were analyzed. Most AEs were benign. Little evidence 
      exists for serious AEs with manual therapy. Scant serious AEs were reported with 
      acupuncture or massage near the shoulder, hip, and knee. DISCUSSION: AEs with 
      manual therapy to the spine have garnered ample attention in literature. 
      Traditional manual therapy consists of joint mobilization, thrust manipulation, 
      and a variety of soft tissue techniques. However, with the popularity of other 
      "manual therapies", outside the traditional definition, the practitioner and 
      client should be aware of the risks. CONCLUSION: AEs occurring with most manual 
      therapy techniques to the peripheral joints are transient and mild. It is 
      difficult to attribute true AEs to manual therapy in multi-modal treatment 
      paradigms with numerous single session interventions. Since there are no 
      international definitions or classifications of AEs, and the definition of 
      manual.
CI  - Copyright (c) 2022 Elsevier Ltd. All rights reserved.
FAU - Sheldon, Austin
AU  - Sheldon A
AD  - North American Institute of Orthopedic Manual Therapy, United States.
FAU - Karas, Steve
AU  - Karas S
AD  - North American Institute of Orthopedic Manual Therapy, United States; Chatham 
      University, United States. Electronic address: skaras@chatham.edu.
LA  - eng
PT  - Journal Article
PT  - Review
PT  - Systematic Review
DEP - 20220420
PL  - United States
TA  - J Bodyw Mov Ther
JT  - Journal of bodywork and movement therapies
JID - 9700068
SB  - IM
MH  - *Acupuncture Therapy/adverse effects
MH  - Ankle Joint
MH  - Humans
MH  - Massage
MH  - *Musculoskeletal Manipulations/adverse effects
MH  - Spine
COIS- Declaration of competing interest The authors have no conflicts of interest to 
      declare.
EDAT- 2022/06/17 06:00
MHDA- 2022/06/22 06:00
CRDT- 2022/06/16 21:06
PHST- 2021/02/05 00:00 [received]
PHST- 2022/03/22 00:00 [revised]
PHST- 2022/04/16 00:00 [accepted]
PHST- 2022/06/16 21:06 [entrez]
PHST- 2022/06/17 06:00 [pubmed]
PHST- 2022/06/22 06:00 [medline]
AID - S1360-8592(22)00077-8 [pii]
AID - 10.1016/j.jbmt.2022.04.012 [doi]
PST - ppublish
SO  - J Bodyw Mov Ther. 2022 Jul;31:159-163. doi: 10.1016/j.jbmt.2022.04.012. Epub 2022 
      Apr 20.