{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T09:09:33Z","timestamp":1784797773225,"version":"3.55.0"},"reference-count":37,"publisher":"National University of Health Sciences","issue":"1","license":[{"start":{"date-parts":[[2010,1,1]],"date-time":"2010-01-01T00:00:00Z","timestamp":1262304000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Manipulative and Physiological Therapeutics"],"published-print":{"date-parts":[[2010,1]]},"DOI":"10.1016\/j.jmpt.2009.11.004","type":"journal-article","created":{"date-parts":[[2010,1,26]],"date-time":"2010-01-26T04:59:17Z","timestamp":1264481957000},"page":"62-69","source":"Crossref","is-referenced-by-count":9,"title":["Patients With Symptoms and Signs of Stroke Presenting to a Rural Chiropractic Practice"],"prefix":"10.67400","volume":"33","author":[{"given":"Robert A.","family":"Leach","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"57152","reference":[{"key":"10.1016\/j.jmpt.2009.11.004_bib1","first-page":"469","article-title":"Prevalence of Stroke\u2014United States, 2005","volume":"56","author":"Editors","year":"2007","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"10.1016\/j.jmpt.2009.11.004_bib2","doi-asserted-by":"crossref","unstructured":"Barnes PM, Bloom B, Nahin R. Complimentary and alternative medicine use among adults and children: United States, 2007. CDC National Health Statistics Report #12. 2008:24.","DOI":"10.1037\/e623942009-001"},{"key":"10.1016\/j.jmpt.2009.11.004_bib3","doi-asserted-by":"crossref","first-page":"1232","DOI":"10.1097\/SMJ.0b013e3181840bc5","article-title":"Complimentary and alternative medicine use among primary care patients in west Texas","volume":"101","author":"Zhang","year":"2008","journal-title":"South Med J"},{"key":"10.1016\/j.jmpt.2009.11.004_bib4","doi-asserted-by":"crossref","first-page":"718","DOI":"10.1016\/j.jmpt.2007.11.001","article-title":"Chiropractors as safety net providers: first report of findings and methods from a US survey of chiropractors","volume":"30","author":"Smith","year":"2007","journal-title":"J Manipulative Physiol Ther"},{"key":"10.1016\/j.jmpt.2009.11.004_bib5","first-page":"65","article-title":"Education needed on stroke symptoms and prevention","volume":"6","author":"Villejo","year":"2008","journal-title":"Patient Educ Manag"},{"key":"10.1016\/j.jmpt.2009.11.004_bib6","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1159\/000047778","article-title":"Stroke following chiropractic manipulation. Report of 3 cases and review of the literature","volume":"13","author":"Jeret","year":"2002","journal-title":"Cerebrovasc Dis"},{"key":"10.1016\/j.jmpt.2009.11.004_bib7","first-page":"203","article-title":"Misuse of the literature by medical authors in discussing spinal manipulative therapy injury","volume":"18","author":"Terrett","year":"1995","journal-title":"J Manipulative Physiol Ther"},{"key":"10.1016\/j.jmpt.2009.11.004_bib8","doi-asserted-by":"crossref","first-page":"33","DOI":"10.1016\/S0168-6054(02)00351-3","article-title":"Complications following vertebral manipulation-a survey of a French region physicians","volume":"46","author":"Dupeyron","year":"2003","journal-title":"Ann Readapt Med Phys"},{"key":"10.1016\/j.jmpt.2009.11.004_bib9","doi-asserted-by":"crossref","first-page":"1424","DOI":"10.1212\/01.WNL.0000063305.61050.E6","article-title":"Spinal manipulative therapy is an independent risk factor for vertebral artery dissection","volume":"60","author":"Smith","year":"2003","journal-title":"Neurology"},{"key":"10.1016\/j.jmpt.2009.11.004_bib10","doi-asserted-by":"crossref","first-page":"1054","DOI":"10.1161\/01.STR.32.5.1054","article-title":"Chiropractic manipulation and stroke: a population-based case-control study","volume":"32","author":"Rothwell","year":"2001","journal-title":"Stroke"},{"key":"10.1016\/j.jmpt.2009.11.004_bib11","unstructured":"Lang E, Afilalo M. Vertebral Artery Dissection. In: Medscape; http:\/\/emedicine.medscape.com\/article\/761451-overview. Accessed May 6, 2009."},{"key":"10.1016\/j.jmpt.2009.11.004_bib12","first-page":"21","article-title":"Sporadic hypercoagulability, hemodynamic alterations, and manipulation-linked stroke","volume":"9","author":"Gotlib","year":"2002","journal-title":"Top Clin Chiropr"},{"key":"10.1016\/j.jmpt.2009.11.004_bib13","unstructured":"Editors. Stroke. In: Online encyclopedia. www.en.wikipedia.org\/wiki\/stroke. Accessed May 8, 2009."},{"key":"10.1016\/j.jmpt.2009.11.004_bib14","unstructured":"Vega J. Arterial dissection and stroke. In: About.com; http:\/\/stroke.about.com\/od\/causesofstroke\/a\/Dissection.htm. Accessed May 18, 2009."},{"key":"10.1016\/j.jmpt.2009.11.004_bib15","unstructured":"AHA. Stroke warning signs. In: American Heart Association; http:\/\/www.americanheart.org\/presenter.jhtml?identifier= 4742. Accessed Dec. 27, 2008."},{"key":"10.1016\/j.jmpt.2009.11.004_bib16","first-page":"536","article-title":"The risk of over-reporting spinal manipulative therapy-induced injuries: a description of some cases that failed to burden the statistics","volume":"19","author":"Leboeuf-Yde","year":"1996","journal-title":"J Manipulative Physiol Ther"},{"key":"10.1016\/j.jmpt.2009.11.004_bib17","doi-asserted-by":"crossref","first-page":"334","DOI":"10.1016\/S1529-9430(02)00411-4","article-title":"Clinical perceptions of the risk of vertebral artery dissection after cervical manipulation: the effect of referral bias","volume":"2","author":"Haldeman","year":"2002","journal-title":"Spine J"},{"key":"10.1016\/j.jmpt.2009.11.004_bib18","first-page":"159","article-title":"The validity of the extension-rotation test as a clinical screening procedure before neck manipulation: a secondary analysis","volume":"19","author":"Cote","year":"1996","journal-title":"J Manipulative Physiol Ther"},{"key":"10.1016\/j.jmpt.2009.11.004_bib19","doi-asserted-by":"crossref","first-page":"330","DOI":"10.1016\/j.jmpt.2006.03.001","article-title":"Cerebrovascular accident without chiropractic manipulation: a case report","volume":"29","author":"Kier","year":"2006","journal-title":"J Manipulative Physiol Ther"},{"issue":"4 Suppl","key":"10.1016\/j.jmpt.2009.11.004_bib20","doi-asserted-by":"crossref","first-page":"S176","DOI":"10.1097\/BRS.0b013e3181644600","article-title":"Risk of vertebrobasilar stroke and chiropractic care: results of a population-based case-control and case-crossover study","volume":"33","author":"Cassidy","year":"2008","journal-title":"Spine"},{"issue":"2 Suppl","key":"10.1016\/j.jmpt.2009.11.004_bib21","doi-asserted-by":"crossref","first-page":"S201","DOI":"10.1016\/j.jmpt.2008.11.020","article-title":"Risk of vertebrobasilar stroke and chiropractic care: results of a population-based case-control and case-crossover study","volume":"32","author":"Cassidy","year":"2009","journal-title":"J Manipulative Physiol Ther"},{"issue":"2 Suppl","key":"10.1016\/j.jmpt.2009.11.004_bib22","doi-asserted-by":"crossref","first-page":"S194","DOI":"10.1016\/j.jmpt.2008.11.019","article-title":"Examining vertebrobasilar artery stroke in two Canadian provinces","volume":"32","author":"Boyle","year":"2009","journal-title":"J Manipulative Physiol Ther"},{"key":"10.1016\/j.jmpt.2009.11.004_bib23","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1016\/j.jmpt.2008.06.001","article-title":"Adverse events following chiropractic care for subjects with neck or low-back pain: do the benefits outweigh the risks","volume":"31","author":"Rubinstein","year":"2008","journal-title":"J Manipulative Physiol Ther"},{"key":"10.1016\/j.jmpt.2009.11.004_bib24","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1016\/S1529-9430(01)00024-9","article-title":"Cervicogenic headaches: a critical review","volume":"1","author":"Haldeman","year":"2001","journal-title":"Spine J"},{"key":"10.1016\/j.jmpt.2009.11.004_bib25","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1097\/01.BRS.0000042225.88095.7C","article-title":"Patterns and perceptions of care for treatment of back and neck pain: results of a national survey","volume":"28","author":"Wolsko","year":"2003","journal-title":"Spine"},{"key":"10.1016\/j.jmpt.2009.11.004_bib26","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1016\/j.clch.2008.01.002","article-title":"BISIMAN study: The background incidence of stroke in manipulation in the United Kingdom","volume":"11","author":"Cashley","year":"2008","journal-title":"Clin Chiropr"},{"key":"10.1016\/j.jmpt.2009.11.004_bib27","unstructured":"Editors. Mississippi Stroke Death Rates. In. Atlanta: Centers for Disease Control; http:\/\/apps.need.cdc.gov\/giscvh2\/Results.aspx. Stroke Mortality Rate 1991-1998. Accessed May 18, 2009."},{"key":"10.1016\/j.jmpt.2009.11.004_bib28","series-title":"Healthy People 2010","author":"CDC","year":"1999"},{"key":"10.1016\/j.jmpt.2009.11.004_bib29","unstructured":"CDC. Healthy People 2010 Focus Area 12; Heart Disease and Stroke Progress Review. In: Atlanta: CDC, 2007 power point presentation; http:\/\/www.cdc.gov\/nchs\/ppt\/hpdata2010\/focusareas\/fa12_2_prog_rev.ppt. Accessed Dec. 28, 2008."},{"key":"10.1016\/j.jmpt.2009.11.004_bib30","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1016\/j.jmpt.2004.02.005","article-title":"Prescribing wellness: a case study exploring the use of health information brochures","volume":"27","author":"Jamison","year":"2004","journal-title":"J Manipulative Physiol Ther"},{"key":"10.1016\/j.jmpt.2009.11.004_bib31","doi-asserted-by":"crossref","first-page":"423","DOI":"10.1016\/j.jmpt.2005.06.015","article-title":"Implementation of a course on wellness concepts into a chiropractic college curriculum","volume":"28","author":"Hawk","year":"2005","journal-title":"J Manipulative Physiol Ther"},{"key":"10.1016\/j.jmpt.2009.11.004_bib32","doi-asserted-by":"crossref","first-page":"223","DOI":"10.1016\/j.cger.2004.02.008","article-title":"Chiropractic and geriatrics: a review of the training, role, and scope of chiropractic in caring for aging patients","volume":"20","author":"Killinger","year":"2004","journal-title":"Clin Geriatr Med"},{"key":"10.1016\/j.jmpt.2009.11.004_bib33","first-page":"10","article-title":"Chiropractic in the American Public Health Association","volume":"19","author":"Baird","year":"2001","journal-title":"Dynamic Chiropr"},{"key":"10.1016\/j.jmpt.2009.11.004_bib34","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1016\/j.jmpt.2004.04.002","article-title":"A survey of US chiropractors on clinical preventive services","volume":"27","author":"Hawk","year":"2004","journal-title":"J Manipulative Physiol Ther"},{"key":"10.1016\/j.jmpt.2009.11.004_bib35","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1016\/S0161-4754(03)00071-X","article-title":"Dietary diversity: case study of fruit and vegetable consumption by chiropractic patients","volume":"26","author":"Jamison","year":"2003","journal-title":"J Manipulative Physiol Ther"},{"key":"10.1016\/j.jmpt.2009.11.004_bib36","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1016\/j.jen.2006.11.002","article-title":"Emergency nurses' knowledge of evidence-based ischemic stroke care: A pilot study","volume":"33","author":"Harper","year":"2007","journal-title":"J Emerg Nurs"},{"key":"10.1016\/j.jmpt.2009.11.004_bib37","doi-asserted-by":"crossref","first-page":"1355","DOI":"10.1161\/01.STR.0000128529.63156.c5","article-title":"Agreement between ambulance paramedic- and physician-recorded neurologic signs with face arm speech test (FAST) in acute stroke patients","volume":"35","author":"Nor","year":"2004","journal-title":"Stroke"}],"container-title":["Journal of Manipulative and Physiological Therapeutics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0161475409003005?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0161475409003005?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T08:53:51Z","timestamp":1784796831000},"score":1,"resource":{"primary":{"URL":"https:\/\/jmpt.kglmeridian.com\/doi\/10.1016\/j.jmpt.2009.11.004"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2010,1]]},"references-count":37,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2010,1]]}},"alternative-id":["S0161475409003005"],"URL":"https:\/\/doi.org\/10.1016\/j.jmpt.2009.11.004","relation":{},"ISSN":["0161-4754"],"issn-type":[{"value":"0161-4754","type":"print"}],"subject":[],"published":{"date-parts":[[2010,1]]}}}