Adverse events following cervical spine self‐manipulation: A systematic review

Few cases of AEs following cervical self-manipulation have been reported. Although this practice has the potential for serious AEs, we did not identify evidence that such AEs are a common phenomenon. With very low certainty, this practice has the potential for serious harms. Further research is needed to describe the motivations for using cervical self-manipulation, its prevalence, incidence of associated AEs, and factors predisposing to AEs.

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Publication Details

Journal
PM&R
Published
2026-01-26
DOI
https://doi.org/10.1002/pmrj.70079
Primary Topic
Cervical and Thoracic Myelopathy
Type
article
Field-Weighted Citation Impact
0.00
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article

Adverse events following cervical spine self‐manipulation: A systematic review

Robert J. Butler, Robert J. Trager, Elizabeth Blackwood, Kevin W. Meyer et al.
PM&R
Cervical and Thoracic Myelopathy
article

Adverse events following cervical spine self‐manipulation: A systematic review

Robert J. Butler, Robert J. Trager, Elizabeth Blackwood, Kevin W. Meyer, Zachary A. Cupler, Clinton J. Daniels, Danielle Parrilla, Anna‐Marie L. Ziegler
article en

Abstract

Few cases of AEs following cervical self-manipulation have been reported. Although this practice has the potential for serious AEs, we did not identify evidence that such AEs are a common phenomenon. With very low certainty, this practice has the potential for serious harms. Further research is needed to describe the motivations for using cervical self-manipulation, its prevalence, incidence of associated AEs, and factors predisposing to AEs.

PM&R
Logan University (US), Boston University (US), University of Pittsburgh (US), Duke University (US), University of Washington (US), VA Palo Alto Health Care System (US), University Hospitals of Cleveland (US), Bedford VA Research Corporation (US), VA Puget Sound Health Care System (US), University Hospitals Cleveland Medical Center (US), Duke Medical Center (US), VA Butler Healthcare (US), VA St. Louis Health Care System (US), Duke University Hospital (US), Case Western Reserve University (US)
Openalex Percentile: Top 78%
Cervical and Thoracic Myelopathy
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Adverse events following cervical spine self‐manipulation: A systematic review — Robert J. Butler, Robert J. Trager, et al. · PM&R (2026) | TGRS Research Map | TGRS