Mike wrote:
>Our outpatient department is considering developing a protocol for patients
>prior to and following MUA of the lumbar and cervical spines. I undertook a
>literature search 2 years ago, and found nothing on the usefulness of mua.
>We are carrying out a second search, but I would be grateful for any
>thoughts from the clinical or academic sphere on the subject of mua. I am
>quietly sceptical of the value of spinal mua, but my views are very much
>experiential.
I don't know what the indications would be for a MUA for lumbar and
cervical spine, but, The Royal College of General Practitioners' National
Low Back Pain Clinical Guidelines state that "there is no evidence that
manipulation under general anaesthesia is effective. It is associated with
an increased risk of serious neurological damage". Their source is a
review article by Haldeman and Rubinstein (1992) in Spine 17:1469-1473.
These back pain guidelines are available online at
http://www.rcgp.org.uk/backpain/index.htm
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Megan Davidson !
School of Physiotherapy !
La Trobe University !
Bundoora 3083 !
Victoria !
Australia !
phone: 61 3 9479 5766 !
fax: 61 3 9479 5768 !
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