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Only 45% of chiropractic respondents in this study indicated they always discussed risk with patients in need of cervical manipulation. When asked whether they believed discussing the possibility of a serious adverse reaction to cervical manipulation could increase patient anxiety to the extent there was a strong possibility the patient would refuse treatment, 46% said they believed this could happen. Jennifer Langworthy and Lianne Forrest, Chiropractic & Osteopathy (October 2010)