Chiropractic diagnosis and management of non-musculoskeletal conditions in children and adolescents

Hospitalist and Medical Director of Hospital-Based Quality, Riverside Tappahannock Hospital, Tappahannock, VA, USA. .
Chiropractic & Osteopathy 06/2010; 18(1):14. DOI: 10.1186/1746-1340-18-14
Source: PubMed


A great deal has been published in the chiropractic literature regarding the response, or lack thereof, of various common pediatric conditions to chiropractic care. The majority of that literature is of low scientific value (that is, case reports or case series). The purpose of this review is to summarize the literature from the point of view of clinicians, rather than researchers, and to discuss some additional detail of the conditions themselves.
Databases searched were PubMed, Mantis, Index to Chiropractic Literature, and CINAHL. Keywords were chiropractic paired with colic, crying infant, nocturnal enuresis, asthma, otitis media and attention deficit hyperactivity disorder.
Most of the published literature centers around case reports or series. The more scientifically rigorous studies show conflicting results for colic and the crying infant, and there is little data to suggest improvement of otitis media, asthma, nocturnal enuresis or attention deficit hyperactivity disorder.
The efficacy of chiropractic care in the treatment of non-musculoskeletal disorders has yet to be definitely proven or disproven, with the burden of proof still resting upon the chiropractic profession.

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    • "These early "quality of life" problems such as excess crying (previously known as infant colic) and feeding problems as well as sleep dysomnias may be considered to be amenable to biomechanical attention [13]. However, the efficacy of chiropractic care for these conditions has not yet been proven or disproven [14]. There are some suggestions that feeding problems in the neonate may be biomechanical in nature [15] and one study suggests that multidisciplinary care which included chiropractic may be helpful [16]. "
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    ABSTRACT: Considering the increasing use of alternative therapies for children, it is appropriate to determine the demographic profile of pediatric patients entering a chiropractic clinic. Collection of demographic data including age, gender, condition at presentation, previous clinicians consulted and medical referral rates of pediatric patients presenting to a chiropractic teaching clinic between 2006 and 2010. Over-all, 20.5% of patients were aged between two days and 15 years and classified as pediatric patients. The most common presenting complaint was musculoskeletal (35%). Excess crying (30%) was the most common complaint in the largest presenting age group which was under 12 weeks of age (62.3%). All children had previously presented for medical care for the same condition. Most (83%) of the infant patients under 12 weeks of age were referred for care by a medical practitioner. Parents commonly presented their child for care at this chiropractic clinic with a recommendation from a medical practitioner. The most common complaints were musculoskeletal and excessive crying conditions and the most prevalent age group was under 12 weeks of age.
    Chiropractic & Osteopathy 12/2010; 18(1):33. DOI:10.1186/1746-1340-18-33
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    Chiropractic & Osteopathy 06/2010; 18(1):17. DOI:10.1186/1746-1340-18-17
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    ABSTRACT: The practice of integrative medicine has raised new questions for medical ethicists and providers of care. These questions are complicated by the particular ethical considerations in the care of children and adolescents. Several authors have provided guidelines for the use of complimentary and alternative therapies in pediatric care. In this manuscript, typical case scenarios from the author's clinical experience provide a springboard for the expansion and modification of these guidelines. The implications for provision of optimal compassionate pediatric care are discussed.
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