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Do Stroke Patients Under Chiropractic Care Get Better Resolution From Neck Pain?


Neck pain affects a large proportion of the population and can be debilitating due to musculoskeletal or neurological factors. This study evaluates how chiropractic therapy can treat stroke victims’ neck pain. Chiropractic neck pain therapies for stroke sufferers may improve their quality of life. Neck pain is common in stroke survivors due to weakness, stiffness, and muscle tone abnormalities. Understanding chiropractic therapy’s efficacy in this setting is crucial for stroke rehabilitation and holistic care. About 15% of people worldwide have neck pain (Kosloff et al., 2015). After a stroke, neck pain management requires elaborate and individualized treatments. Holt et al. (2021) reveal that 11% to 55% of stroke patients experience lasting pain. The study considers Mr. John Anderson, a fictional patient in this study, to demonstrate the necessity for chiropractic neck pain therapy following a stroke. Mr. Anderson suffers from right-sided paralysis, hemiparesis, and movement-aggravated neck pain after a stroke six months ago. Stroke survivors’ neck pain requires a multidisciplinary approach, including chiropractic care for musculoskeletal disorders. The study would assess stroke survivors’ neck pain and chiropractic therapy depending on their presentation, physical exam, and care plan. Understanding the advantages and cons of chiropractic care in this demographic might help doctors improve patient outcomes.


To thoroughly examine chiropractic care for neck pain, especially in stroke patients, the systematic literature review was precise and methodical. The search strategy found relevant articles from credible sources to gather proof. A thorough search of critical healthcare journal databases started the systematic literature review. We prioritized PubMed and Google Scholar. PubMed is a trusted medical database with many peer-reviewed publications. Carefully using PubMed and Google Scholar expanded the search to other scholarly sites. This methodological approach ensured the quality and reliability of the evidence, preparing for the analysis and synthesis of chiropractic care’s efficacy in treating neck discomfort, particularly in stroke patients.

In addition to databases, the systematic literature review searched subject-specific professional websites and government databases. This planned addition consulted chiropractic and rehabilitation medicine experts. American Chiropractic Association and rehabilitative medical groups were consulted for expert advice. Government health departments sought evidence-based guidance. These materials were chosen because they could offer stroke survivors functional perspectives and authoritative information on chiropractic neck pain therapies. These professional sources helped the review broaden the research base on chiropractic neck discomfort after stroke.

This systematic literature review was designed to assess chiropractic neck pain treatment properly, especially in stroke patients. Search phrases were carefully selected and consistent across resources. The search included “chiropractic care,” “neck pain,” “stroke patients,” and synonyms like “manual manipulation,” “cervical spine,” and “post-stroke rehabilitation” for a holistic approach. Search term consistency across databases and resources was addressed to avoid missing relevant research and facilitate a complete literature analysis. This strategy replicated and standardized the search process to improve evidence reliability and comparability. The search avoided a small set of phrases since synonyms matter. Studies on chiropractic therapy for stroke patients’ neck pain used different wording. Thus, synonyms and related phrases were included. This comprehensive strategy caught the multifaceted research topic, boosting the systematic review’s quality and inclusivity. The technique acknowledged study language variety to ensure crucial content was noticed and to facilitate a complete understanding of the research subject. The review searched extensively to eliminate bias and synthesize chiropractic therapy for stroke patients’ neck pain.


Numerous studies on chiropractic care and neck pain, vertebrobasilar artery stenosis, dizziness, and stroke recovery were found. It found 43 relevant PubMed, Google Scholar, and professional website articles. These publications’ publication years introduced time dimension to the synthesized literature. Only four articles published less than ten years ago were selected. The case report, “Chiropractic Management of Neck Pain Complicated by Symptomatic Vertebral Artery Stenosis and Dizziness,” by Chu et al. (2022) described a challenging patient. In Kendall et al.’s (2018) feasibility randomized sham-controlled trial, “Chiropractic Treatment Including Instrument-Assisted Manipulation for Non-Specific Dizziness and Neck Pain in Community-Dwelling Older People,” chiropractic treatment feasibility in older populations was examined Instrument-assisted manipulation was investigated for treating non-specific dizziness and neck pain in older persons. Before the literature review’s critical examination and synthesis, each publication presented unique perspectives and ideas.

Kosloff et al. (2015) extensively examine the chiropractic safety argument. Chiropractic therapy and vertebrobasilar stroke risk are discussed in the case-control study. The study’s explicit assessment of chiropractic care risks in US commercial and Medicare Advantage demographics is crucial. A comprehensive study recommends a case-control strategy for chiropractic intervention safety. Kosloff et al. (2015) discuss chiropractic care safety, including vertebrobasilar stroke. Case-control research regulates chiropractic intervention safety.

Holt et al.’s (2021) randomized controlled trial, “The Effects of 4 Weeks of Chiropractic Spinal Adjustments on Motor Function in People with Stroke”, highlights chiropractic’s role in stroke rehabilitation. Motor function is assessed after four weeks of chiropractic spinal adjustments, suggesting stroke survivors may improve. The study examines chiropractic spinal adjustments and stroke rehabilitation. Important data suggests chiropractic therapy helps stroke survivors. Organizational arguments explain techniques and data, showing how chiropractic care may improve stroke rehabilitation. “Chiropractic Management of Neck Pain Complicated by Symptomatic Vertebral Artery Stenosis and Dizziness” (Chu et al. 2021) improves chiropractic care in difficult clinical conditions. A complex case study shows chiropractic therapy for neck discomfort with symptomatic vertebral artery stenosis and disorientation. The investigation effectively integrates chiropractic care, neck pain, and vascular concerns.

Kendall et al.’s 2018 feasibility randomized sham-controlled trial “Chiropractic Treatment Including Instrument-Assisted Manipulation for Non-Specific Dizziness and Neck Pain in Community-Dwelling Older People” evaluates chiropractic neck and dizziness treatments for older folks Tests include chiropractic, instrument-assisted manipulation, and non-specific dizziness. This article examines chiropractic therapy’s suitability for diverse groups. The detailed arguments highlight chiropractic therapy’s pros and cons for seniors. According to its peer-reviewed “Chiropractic & Manual Therapies,” chiropractic can help elderly adults with non-specific neck discomfort and dizziness.

Ultimately, the literature on chiropractic care for neck discomfort, vertebrobasilar artery stenosis, dizziness, and stroke recovery is practical, but further research is needed. Few large-scale, longitudinal research have studied chiropractic therapy’s long-term efficacy and safety in diverse patient populations. Few studies have integrated chiropractic care into multidisciplinary patient management, notably for stroke recovery. Patient demographics, pre-existing conditions, and therapy duration may affect outcomes, but this is unstudied. Chiropractic care’s role and limitations in various healthcare areas need further investigation.


Chu et al.’s (2022) study highlights the complications of chiropractic therapy and a complex case of symptomatic vertebral artery obstruction and dizziness. Findings reveal chiropractors’ difficulty with difficult situations and the importance of personalized treatment. Chiropractic care, especially for vascular disorders, should be thorough for maximum results. The case study highlights chiropractic’s special considerations and adjustments, advocating for a personalized approach to meet patients’ needs and preparing for the discussion on chiropractic care’s flexibility. The Holt et al. randomized controlled trial (2021) on chiropractic spinal adjustments on stroke survivors’ motor function is relevant. Motor function improvements suggest chiropractic therapy may aid stroke survivors. This expanded discussion implies chiropractic therapy may help stroke survivors recover.

Stroke patients need motor function, and the trial’s outcome measure emphasizes it. Chiropractic care can enhance stroke rehabilitation as an adjuvant therapy. Finally, Chu et al. (2022) and Holt et al. (2021) provide chiropractic insights. Chu et al.’s case study suggests sophisticated condition-specific chiropractic therapy. Holt et al.’s stroke experiment shows chiropractic’s adaptability by including specialized therapies. These findings demonstrate chiropractic care’s versatility and encourage further research into its use in other healthcare settings.

Kendall et al.’s (2018) feasibility randomized sham-controlled trial examines chiropractic treatment for non-specific dizziness and neck pain for older adults. The study examines chiropractic therapy’s obstacles and efficacy in this cohort. Older patients may benefit from chiropractic therapy modification, but their needs must be identified. This understanding encourages patient variation and customized chiropractic care. Chiropractic practice will grow as the older population grows, with this study showing how to integrate chiropractic therapy into geriatric healthcare programs efficiently. Next, Kosloff et al.’s (2015) case-control study on chiropractic therapy and vertebrobasilar stroke risk provides valuable insights. Though it does not prove the hypothesis, the study raises awareness of chiropractic intervention hazards, especially in specific populations. This study stresses the importance of thorough chiropractic evaluation and treatment for vertebrobasilar stroke patients.

Despite not supporting the notion, the study emphasizes patient safety and warns practitioners of risks. This helps chiropractors develop patient-centered clinical decision-making safety and risk management criteria. Chiropractic viewpoints diverge in Kendall et al.’s feasibility trial and Kosloff’s case-control study. Kendall et al.’s study promote adaptable patient-centred chiropractic care for seniors. While not validating the hypothesis, Kosloff et al.’s study shows the safety of chiropractic care and the need for cautious treatment and risk assessment, especially in at-risk populations. Research on difficulties, feasibility, and safety in many clinical situations advances chiropractic practice.

The need for large-scale, longitudinal chiropractic therapy efficacy and safety studies is questioned. Many studies have examined chiropractic care, but few have explored its long-term efficacy. This gap in the literature requires further investigation of chiropractic care’s long-term risks. Recognizing this gap motivates scientists to focus and conduct methodologically sound, longitudinal studies on chiropractic therapy’s long-term efficacy and safety across diverse patient populations. Chiropractic interdisciplinary stroke healing research is rare. Collaborative and integrative healthcare is becoming increasingly important, but the literature search found few publications on chiropractic and other stroke rehabilitation approaches. Given this gap, future studies should examine how chiropractic therapies, physical therapy, occupational therapy, and medical management improve stroke recovery.

Due to the literature deficit, academics should seek transdisciplinary collaboration to improve patient care and chiropractic therapy. The literature review advises further investigation despite inconclusive results. Inconclusive data changes research areas and continues. Chiropractic knowledge-building follows scientific principles of continuous research and development. The argument emphasizes the importance of ongoing research in influencing evidence-based chiropractic practice and advocates more research to promote chiropractic care in healthcare.


The literature reviewed chiropractic treatment for stroke recovery, dizziness, vertebrobasilar artery stenosis, and neck pain. Studies suggest tailoring chiropractic therapies for complex disorders such as symptomatic vertebral artery stenosis. Kosloff et al. (2015) reveal that the dangers of chiropractic care are different. There are few large-scale, longitudinal, multidisciplinary stroke recovery trials, therefore chiropractic care’s efficacy and safety need more study. The study shows that chiropractic therapy can be employed in numerous healthcare settings. Studies cover stroke recovery and geriatric chiropractic therapy problems and benefits. The literature review underlines the need for continuous study to influence evidence-based chiropractic practice despite unclear outcomes. Multidisciplinary techniques can include chiropractic care to improve patient management.

Thus, the inquiry underscores tailored and flexible treatment to improve Mr. Anderson’s management. Chu et al. (2022) emphasize challenging dizziness and symptomatic vertebral artery stenosis therapies. Holt et al.’s randomized controlled experiment suggest chiropractic care may help stroke survivors more than expected. Kendall’s feasibility study examines seniors’ adaptability. This enhances risk awareness and promotes vigilance, helping to define chiropractic therapy safety. This literature recommends chiropractors fulfill individual requirements, identify risks, and collaborate.

Informed Patient Management

Based on the review, Mr. Anderson’s neck pain, symptomatic vertebral artery stenosis, and dizziness treatment is significantly transformed. The research recommends assessing Mr. Anderson’s needs for individualized care. The case report by Chu et al. recommends moderate and personalized chiropractic treatments for symptomatic vertebral artery stenosis. Based on Holt et al.’s stroke recovery findings, targeted chiropractic interventions restore Mr. Anderson’s motor function. However, careful notes in the literature, such as Kosloff et al.’s study, raise awareness of chiropractic care’s hazards, requiring a thorough risk assessment a conservative approach to protect Mr. Anderson. According to the literature evaluation, this adjusted patient treatment strategy for Mr. Anderson respects his complicated issues and matches with the changing chiropractic care landscape.


Chu, E. C. P., Trager, R. J., Tao, C., & Lee, L. Y. K. (2022). “Chiropractic Management of Neck Pain Complicated by Symptomatic Vertebral Artery Stenosis and Dizziness.” The American Journal of Case Reports23, e937991-1.

Holt, K., Niazi, I. K., Amjad, I., Kumari, N., Rashid, U., Duehr, J., & Haavik, H. (2021). “The Effects of 4 Weeks of Chiropractic Spinal Adjustments on Motor Function in People with Stroke: A Randomized Controlled Trial.” Brain Sciences11(6), 676.

Kendall, J. C., French, S. D., Hartvigsen, J., & Azari, M. F. (2018). “Chiropractic Treatment Including Instrument-Assisted Manipulation for Non-Specific Dizziness and Neck Pain in Community-Dwelling Older People: A Feasibility Randomized Sham-Controlled Trial.” Chiropractic & Manual Therapies26(1), 1-11.

Kosloff, T. M., Elton, D., Tao, J., & Bannister, W. M. (2015). “Chiropractic Care and the Risk of Vertebrobasilar Stroke: Results of a Case–Control Study in US Commercial and Medicare Advantage Populations.” Chiropractic & Manual Therapies23(1), 1-10.


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