Chiro.org - Chiropractic Resource Organization.     Support Chiropractic Research!

Musculoskeletal Complaints

Home/Musculoskeletal Complaints

Children and Adolescents Presenting to Chiropractors in Norway

By |August 16, 2016|Musculoskeletal Complaints, Pediatrics|

Children and Adolescents Presenting to Chiropractors in Norway: National Health Insurance Data and a Detailed Survey

The Chiro.Org Blog


SOURCE:   Chiropractic & Manual Therapies 2016 (Aug 1); 24: 29

Anna Allen-Unhammer, (1) Francis J. H. Wilson, (2)
and Lise Hestbaek (3)

1   Markveien Fysikalske Institutt,
Markveien 25, 0554 Oslo, Norway.

2   Anglo-European College of Chiropractic,
Bournemouth, Dorset BH5 2DF UK.

3   Nordic Institute of Chiropractic and Clinical Biomechanics
and Institute of Sports Science and Biomechanics,
University of Southern Denmark,
Campusvej 55, Odense M, DK-5230 Denmark.


BACKGROUND:   The idea of chiropractors treating children is controversial, yet many parents seek chiropractic care for their children. The reasons for this are not well documented. Part one of this study aimed to document the profile of all paediatric patients consulting Norwegian chiropractors in 2013 using National Health Insurance data (NHI) with regards to age, gender and primary complaints. Part two aimed to provide a more detailed description of these patients in the form of a descriptive, paper-based survey.

METHODS:   Part one involved Norwegian NHI data from 2013. Part two consisted of a year-long, paper-based survey. Chiropractors registered with the Norwegian chiropractic association (NKF) were invited to participate via email. Participating chiropractors were assigned one random month to collect data. All paediatric patients (or their parents) during that were asked to complete questionnaires containing information on presenting complaint, consequences of this complaint, age, and mode of referral.

RESULTS:   In general, there was good concordance between part one and two of the study in terms of age, gender and presenting complaint. The youngest children constituted the largest paediatric group in Norwegian chiropractic practice. Musculoskeletal problems were the most common reason for children visiting a chiropractor in all of the age categories, according to NHI data. Part two of the study found that one-third of young school children and adolescents reported pain lasting longer than 1-year. Eleven percent of children found that their complaint had severely affected their mood and 22 % felt their activities were very limited by their condition. Referrals from healthcare professionals were uncommon. The survey’s results were based on 161 completed questionnaires, received from 15 % of the Norwegian chiropractors.

There are more articles like this @ our:

Chiropractic Pediatrics Section

(more…)

First-Contact Care With a Medical vs Chiropractic Provider

By |August 23, 2015|Musculoskeletal Complaints, Patient Satisfaction|

First-Contact Care With a Medical vs Chiropractic Provider After Consultation With a Swiss Telemedicine Provider: Comparison of Outcomes, Patient Satisfaction, and Health Care Costs in Spinal, Hip, and Shoulder Pain Patients

The Chiro.Org Blog


SOURCE:   J Manipulative Physiol Ther. 2015 (Aug 15)]

Taco A.W. Houweling, DC, MRes, PhD,
Andrea V. Braga, MD, MBA,
Thomas Hausheer, DC, arco Vogelsang, DC,
Cynthia Peterson, RN, DC, MMedEd,
B. Kim Humphreys, DC, PhD

Department of Chiropractic Medicine,
University Hospital Balgrist, Forchstrasse 340, 8008
Zürich, Switzerland.


OBJECTIVE:   The purpose of this study was to identify differences in outcomes, patient satisfaction, and related health care costs in spinal, hip, and shoulder pain patients who initiated care with medical doctors (MDs) vs those who initiated care with doctors of chiropractic (DCs) in Switzerland.

METHODS:   A retrospective double cohort design was used. A self-administered questionnaire was completed by first-contact care spinal, hip, and shoulder pain patients who, 4 months previously, contacted a Swiss telemedicine provider regarding advice about their complaint. Related health care costs were determined in a subsample of patients by reviewing the claims database of a Swiss insurance provider.

RESULTS:   The study sample included 403 patients who had seen MDs and 316 patients who had seen DCs as initial health care providers for their complaint. Differences in patient sociodemographic characteristics were found in terms of age, pain location, and mode of onset. Patients initially consulting MDs had significantly less reduction in their numerical pain rating score (difference of 0.32) and were significantly less likely to be satisfied with the care received (odds ratio = 1.79) and the outcome of care (odds ratio = 1.52). No significant differences were found for Patient’s Global Impression of Change ratings. Mean costs per patient over 4 months were significantly lower in patients initially consulting DCs (difference of CHF 368; US $368).

There are more articles like this @ our:

Low Back Pain and Chiropractic Page

and our:

The Shoulder Girdle & Chiropractic Page

(more…)