COMPARISON OF THE SHORT-TERM EFFECTS OF CHIROPRACTIC SPINAL MANIPULATION AND OCCIPITO-SACRAL DECOMPRESSION IN THE TREATMENT OF INFANT COLIC: A SINGLE-BLINDED, RANDOMISED, COMPARISON TRIAL
 
   

Comparison of the Short-term Effects of Chiropractic
Spinal Manipulation and Occipito-sacral Decompression
in the Treatment of Infant Colic: A Single-blinded,
Randomised, Comparison Trial

This section is compiled by Frank M. Painter, D.C.
Send all comments or additions to:
   Frankp@chiro.org
 
   

FROM:   Clinical Chiropractic 2008 (Sep);   11 (3):   122129

Maria Browning and Joyce Miller

Anglo-European College of Chiropractic,
13-15 Parkwood Road,
Bournemouth, BH5 2DF, UK


Objective:   To compare two interventions in the treatment of infant colic.

Design:   A single-blinded, randomised, and comparison trial.

Setting:   Anglo-European College of Chiropractic teaching clinic.

Participants:   Forty-three infants of less than 8 weeks of age who cried >3 h/day for at least 4 of the previous 7 days.

Interventions:   Two weeks of spinal manipulative therapy (SMT, n = 22) or occipito-sacral decompression (OSD, n = 21).

Main Outcome Measure:   Change in daily hours of crying.

Results:   At day 7 of the trial, the mean hours of crying per day were significantly reduced in both groups (SMT, by 2.1 h/day, p < 0.001; OSD, by 2.0 h/day, p < 0.001). At day 14, the mean hours of crying per day were significantly reduced in both groups (SMT, by 3.1 h/day, p < 0.001; OSD, by 2.5 h/day, p < 0.001). At day 14, the mean hours of sleep per day were significantly increased in both groups (SMT, by 1.7 h/day, p < 0.01; OSD, by 1.0 h/day, p < 0.01). Four weeks after completion of the treatment trial, colic had resolved in 82% of the SMT group and 67% of the OSD group.

Time Period
Spinal Manipulative Therapy
Occipito-sacral Decompression
Day 7
Hours of Crying
2.1 h/day
by 2.0 h/day
Day 14
Hours of Crying
by 3.1 h/day
by 2.5 h/day
Day 14
Sleep Increased
by 1.7 h/day
by 1.0 h/day
At 4 Weeks:
82% resolved
67% resolved

Conclusion:   Both treatments appear to offer significant benefits to infants with colic. Infants treated by SMT or OSD cried less and slept more after 2 weeks of treatment. There were no differences in outcomes between the two treatment approaches. Although the participants completed the trial of therapy prior to the usual age of remission for infant colic, the natural course cannot be ruled out. Therefore, the treatment approaches as a cause of the observed benefits in this study must be appropriately interpreted.

Keywords:   Colic; Chiropractic; Manipulation


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