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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