December 2017
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Pediatric Patients in Swiss Chiropractic Clinics

Chiro.Org Blog: The sample consisted of 144 chiropractors, which represented a 53% response rate, and 98% of the responding practitioners treated patients younger than age 18. The proportion of pediatric patients treated was 8.7%. The most common pediatric age groups were schoolchildren and adolescents, with infants younger than 6 months being the third most common. Musculoskeletal complaints were the most common conditions treated in all age groups. […]

Attitudes and Opinions of Doctors of Chiropractic Specializing in Pediatric Care Toward Patient Safety

Chiro.Org Blog: Compared with 2014 Agency for Healthcare Research and Quality physician referent data from medical offices, pediatric DCs appear to have more positive patient safety attitudes and opinions. Future patient safety studies need to prospectively evaluate safety performance with direct feedback from patients and compare results with these self-assessed safety attitudes, as well as make further use of this survey to develop a comparable database for spinal manipulation providers. […]

Neck Pain In Children

Chiro.Org Blog: Spinal pain is common amongst the paediatric population (including children and adolescents). It is a significant health issue [1, 2] where 52% of paediatric patients report musculoskeletal (MSK) symptoms over a one-year period. [3] Neck pain is the most common spinal pain in paediatric patients [3, 4] with 60% reporting neck pain persisting at two years after this study began. […]

Is There a Difference in Head Posture and Cervical Spine Movement in Children With and Without Pediatric Headache?

Chiro.Org Blog: Thirty children (mean age 120.70 months [SD 15.14]) with features of CGH and 34 (mean age 125.38 months [13.14]) age-matched asymptomatic controls participated in the study. When compared to asymptomatic controls, symptomatic children had a significantly smaller CVA (p < 0.001), significantly less active ROM in all cardinal planes (p < 0.001), and significantly less ROM during the FRT (p < 0.001), especially towards the dominant headache side (p < 0.001). […]

Children and Adolescents Presenting to Chiropractors in Norway

Chiro.Org Blog: 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. […]

Effect of Spinal Manipulation on Pelvic Floor Functional Changes in Pregnant and Nonpregnant Women

Chiro.Org Blog: This study showed that spinal manipulation of pregnant women in their second trimester appears to relax the pelvic floor muscles (PFMs) at rest, as reflected by an increase in levator hiatus area measured with translabial 3D ultrasonography. No changes occurred postmanipulation in the nonpregnant control group; thus, the changes seen in the pregnant group may be due to the hormonal changes of pregnancy. This relaxation of the levator ani muscles seen with spinal manipulation may mean that spinal manipulation could be of benefit to pregnant women’s vaginal delivery by aiding the relaxation of their PFMs if this does not occur naturally for them. […]

Musculoskeletal Pain in Children and Adolescents

Chiro.Org Blog: Musculoskeletal (MSK) pain in children and adolescents is responsible for substantial personal impacts and societal costs, but it has not been intensively or systematically researched. This means our understanding of these conditions is limited, and healthcare professionals have little empirical evidence to underpin their clinical practice. In this article we summarise the state of the evidence concerning MSK pain in children and adolescents, and offer suggestions for future research. […]

Safety of Chiropractic Manual Therapy for Children

Chiro.Org Blog: Adverse effects from chiropractic spinal manipulation are rare with 2 moderate and 4 severe events reported during a 59 year period with up to 30 million treatments estimated per year. Current reports show a very low rate (<1% in 8,290 treatments) of mild transient side effects lasting less than 24 hours. […]

Prevalence and Tracking of Back Pain From Childhood to Adolescence

Chiro.Org Blog: The prevalence estimates for children at the ages of 9, 13, and 15, respectively, were for back pain (BP) 33%, 28%, and 48%; for low back pain (LBP) 4%, 22%, and 36%; for MBP 20%, 13%, and 35%; and for neck pain (NP) 10%, 7%, and 15%. Seeking care for BP increased from 6% and 8% at the two youngest ages to 34% at the oldest. Only 7% of the children who participated in all three surveys reported BP each time and 30% of these always reported no pain. The patterns of development differed for the three spinal regions and between genders. Status at the previous survey predicted status at the next survey, so that those who had pain before were more likely to report pain again and vice versa. This was most pronounced for care-seeking. […]

An Investigation of Musculoskeletal Dysfunctions in Infants

Chiro.Org Blog: The primary differences between the diagnosis and treatment recommended by Biedermann and that in the AECC clinic are 1) the recommended use of x-ray prior to treatment by Biedermann and 2) recommended force used in treatment (4 N at AECC versus 70 N with Biedermann). […]

A Survey of Parent Satisfaction with Chiropractic Care of the Pediatric Patient

Chiro.Org Blog: The parents in this study appear to be satisfied with the care their infant received. However, the satisfaction scores and improvement scores are only moderately correlated, which indicates that there are other factors influencing the level of satisfaction. […]

Pregnancy and Chiropractic:
A Narrative Review of the Literature

Chiro.Org Blog: Chiropractic care has typically included the care of pregnant patients to assure the patient a comfortable pregnancy and to help facilitate an uncomplicated labor and delivery. The literature describing the rationale for characteristics of care for this group of patients is sparse but growing. A few conducted studies support the care of pregnant patients, but the paucity of definitive literature has resulted in a lack of consensus in approaches to chiropractic care within the profession. […]

Recognition of Perinatal Stroke in a Chiropractic Practice

Chiro.Org Blog: It would be prudent for chiropractors to receive more training in the detection of perinatal stroke. Early detection can be accomplished by way of a comprehensive questionnaire and focused physical examination. The early detection of possible perinatal stroke will permit a referral to the proper professional and rapid intervention which will increase the likelihood of a positive outcome. […]

Chiropractic Care during Pregnancy

Chiro.Org Blog: Musculoskeletal (MSK) problems in pregnancy constitute a tremendous cost to society, both in regards to sick leave and chronic pain, and are a major public health concern. (In Norway one-third of all pregnant women are on sick leave at any given time, and many of these because of back pain). […]

Injuries in the Pediatric Patient

Chiro.Org Blog: A plethora of conditions specifically target children and adolescents which are not prevalent in the adult population. Understanding the age-related differences in this population can help clinicians improve diagnosis and therefore management of these conditions. Though it is beyond the scope of this paper to extensively address diseases targeting the pediatric population, common key injuries will be discussed with emphasis on the role imaging plays in establishing accurate diagnosis. […]