title: The types and frequencies of improved nonmusculoskeletal symptoms reported after chiropractic spinal manipulative therapy.
abstract: OBJECTIVE
  To investigate the frequency and types of improved nonmusculoskeletal symptoms reported after chiropractic spinal manipulative therapy.
  
  
  METHODS
  Retrospective information obtained by chiropractors through standardized interview of patients on return visit within 2 weeks of previous treatment.
  
  
  METHODS
  The private practice of 87 Swedish chiropractors (response rate 81%).
  
  
  METHODS
  Twenty consecutive (presumably naive) patients per chiropractor (1504 valid questionnaires returned, 86% of optimal number of replies).
  
  
  METHODS
  Spinal manipulation with or without additional therapy provided by chiropractors.
  
  
  METHODS
  Self-reported improved nonmusculoskeletal symptoms (reactions).
  
  
  RESULTS
  At least I reaction was reported after the previous treatment in 21% to 25% of cases. Of these responses, 26% were related to the airway passages (usually reported as "easier to breathe"), 25% were related to the digestive system (mostly reported as "improved function"), 14% were classified under eyes/vision (usually reported as "improved vision"), and 14% under heart/ circulation (about half of these reported as "improved circulation"). The number of spinal areas treated was positively associated with the number of reactions.
  
  
  CONCLUSIONS
  A minority of chiropractic patients report having positive nonmusculoskeletal reactions after spinal manipulative therapy but such reports cluster predominantly around specific symptoms. It would be interesting to find out if these can be verified objectively and, if so, to investigate if they are caused by the treatment or if they are signs of natural variations in human physiology.
authors.affiliation: Medical Research Unit, Amtsrådhuset, Torvet, Denmark. fecy@ringamt.dk
authors.forename: C
authors.initials: C
authors.lastname: Leboeuf-Yde
authors.forename: I
authors.initials: I
authors.lastname: Axén
authors.forename: G
authors.initials: G
authors.lastname: Ahlefeldt
authors.forename: P
authors.initials: P
authors.lastname: Lidefelt
authors.forename: A
authors.initials: A
authors.lastname: Rosenbaum
authors.forename: T
authors.initials: T
authors.lastname: Thurnherr
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002684:Chiropractic / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D020393:Manipulation, Spinal / Q000379:methods*; D008875:Middle Aged; D009140:Musculoskeletal Diseases / Q000628:therapy*; D059408:Pain Management; D012189:Retrospective Studies; D013122:Spinal Diseases / Q000628:therapy*; D011795:Surveys and Questionnaires