BISIMAN study: The background incidence of stroke in manipulation in the United Kingdom

It is not surprising that some patients presenting to neurologists with stroke have had a recent history of chiropractic cervical manipulation, owing to the high background incidence of stroke and the number manipulations performed annually. The authors propose future prospective studies to ascertain the so far un-elicited risk ratio as well as a co-ordinated neurology based education programme for the recognition of early signs of stroke in chiropractic clinics.