Infantile Colic and Chiropractic

This section was compiled by Frank M. Painter, D.C.
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The Effect of Chiropractic Treatment on Infantile Colic:
Study Protocol for a Single-blind Randomized Controlled Trial

Chiropractic & Manual Therapies 2018 (Jun 7);   26:   17 ~ FULL TEXT

In a single-blind randomized controlled design we will evaluate the effectiveness of chiropractic treatment on infantile colic. The study will contribute to determine the effect of chiropractic treatment on infantile colic in an area where limited evidence exists. Furthermore, the study aims to explore if subgroups of children with suspected musculoskeletal problems will benefit more from the intervention than others. If they obtain better results, this could imply the need for stratified care.

Efficacy of Chiropractic Manual Therapy on Infant Colic:
A Pragmatic Single-Blind, Randomized Controlled Trial

J Manipulative Physiol Ther. 2012 (Oct);   35 (8):   600–607 ~ FULL TEXT

In this study, chiropractic manual therapy improved crying behavior in infants with colic (50% reduction). The findings showed that knowledge of treatment by the parent did not appear to contribute to the observed treatment effects in this study. Thus, it is unlikely that observed treatment effect is due to bias on the part of the reporting parent.

Dr. Miller also wrote a follow-up study, a cost comparison of the medical and chiropractic care provided in her earlier RTC study, titled:

Costs of Routine Care For Infant Colic in the UK and Costs of Chiropractic
Manual Therapy as a Management Strategy Alongside a RCT For This Condition

J Clin Chiropr Pediatr 2013 (Jun);   14 (1):   1063–1069

This RTC cast new and significant insights into previous colic trials:

  1. Chiropractic care lowered overall costs more than 400% compared with medical management

  2. That study revealed that excessively crying infants were 5 times less likely to cry significantly, if they were treated with chiropractic manual therapy, and that chiropractic care reduced their crying times by about 50%, compared with those infants provided solely medical management.

Prognostic Significance of Subgroup Classification for Infant Patients
with Crying Disorders: A Prospective Cohort Study

J Can Chiropr Assoc. 2012 (Mar);   56 (1):   40–48 ~ FULL TEXT

An observational cohort design was employed. All infants presenting with excessive infant crying between July 2007 and March 2008 were categorized into three subgroups, (A) infant colic, (B) irritable infant syndrome of musculoskeletal origin (IISMO) and (C) inefficient feeding crying infants with disordered sleep (IFCIDS) based on history and physical findings. Mothers completed questionnaires which rated their own and their child's characteristics prior to and at the end, of a course of manual therapy. Independent associations between infant subgroups and changes in continuous outcomes (crying, stress, sleep, and consolability) were assessed. Multivariable analysis of covariance was used to identify and control for potential confounders.

The Chiropractic Care of Infants With Colic:
A Systematic Review of the Literature

Explore (NY). 2011 (May);   7 (3):   168–174

Our systematic review of the literature revealed 26 articles meeting our inclusion criteria. These consisted of three clinical trials, two survey studies, six case reports, two case series, four cohort studies, five commentaries, and four reviews of the literature. Our findings reveal that chiropractic care is a viable alternative to the care of infantile colic and congruent with evidence-based practice, particularly when one considers that medical care options are no better than placebo or have associated adverse events.

A Retrospective Study of Chiropractic Treatment of 276 Danish Infants
With Infantile Colic

J Manipulative Physiol Ther. 2010 (Sep);   33 (7):   536–541 ~ FULL TEXT

Data matched the clinical experience of good treatment effect independent of the infant's age. Slightly older age and longer duration of treatment were found to explain covariables linked to crying infants with improvement. No apparent link between the natural development of crying pattern and a positive outcome of chiropractic treatment was found. The findings of this study do not support the assumption that possible effect of chiropractic treatment of infantile colic is simply a reflection of the normal cessation of this disorder.

A Description of Children and Adolescents in Danish Chiropractic Practice:
Results from a Nationwide Survey

J Manipulative Physiol Ther. 2009 (Oct);   32 (8):   607–615 ~ FULL TEXT

For the older children, musculoskeletal problems were the most dominant complaint, ranging from 33% among the preschool children to 75% among the teenagers. These complaints were often chronic and about a third of the children older than 2 years had experienced symptoms for more than 1 year before seeing the chiropractor. Among the older children and the adolescents, musculoskeletal complaints were most common and mostly of a chronic nature. The large number of pediatric patients in chiropractic practices and the paucity of evidence of treatment effectiveness indicate the need for further research in these age groups.

Long-Term Effects of Infant Colic: A Survey Comparison of
Chiropractic Treatment and Nontreatment Groups

J Manipulative Physiol Ther 2009 (Oct);   32 (8):   635–638 ~ FULL TEXT

Toddlers who were treated with chiropractic care for colic were twice as likely to not experience long-term sequelae of infant colic, such as temper tantrums (relative risk, 2.0; 95% confidence interval, 1.3–3.0) and frequent nocturnal waking (relative risk, 2.0; 95% confidence interval, 1.5–2.8) than those who were not treated with chiropractic care as colicky infants.

Sixteen Infants with Acid Reflux or Colic Undergoing Upper Cervical
Chiropractic Care to Correct Vertebral Subluxation:
A Retrospective Analysis of Outcome

J Pediatric, Maternal & Family Health - Chiropractic 2009 (May):   1–7

The objective of this article is to explore the diagnosis and treatment of trauma-induced injury to the upper cervical spine through the use of protocol developed by the International Upper Cervical Chiropractic Association (IUCCA) and to investigate the potential for improving and eliminating colic and acid reflux through the correction of upper cervical injury. Two diagnostic tests, paraspinal digital infrared imaging and laser-aligned cervical radiography, were performed according to IUCCA protocol. These tests objectively identify trauma-induced upper cervical subluxations (misalignments of the upper cervical spine from the neural canal) and resulting neuropathophysiology. Upper cervical subluxations were found in all 16 infants and all 16 cases were resolved with IUCCA upper cervical care.

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

Clinical Chiropractic 2008 (Sep);   11 (3):   122–129

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.

Chiropractic Care for Nonmusculoskeletal Conditions: A Systematic
Review With Implications For Whole Systems Research

J Altern Complement Med. 2007 (Jun);   13 (5):   491–512 ~ FULL TEXT

(1) Adverse effects should be routinely reported. For the few studies that did report, adverse effects of spinal manipulation for all ages and conditions were rare, transient, and not severe.   (2) Evidence from controlled studies and usual practice supports chiropractic care (the entire clinical encounter) as providing benefit to patients with asthma, cervicogenic vertigo, and infantile colic.   Evidence was promising for potential benefit of manual procedures for children with otitis media and elderly patients with pneumonia.

Chiropractic Management of Infantile Colic
Clinical Chiropractic 2004 (Dec);   7 (4):   180–186

These cases suggest a possible association between birth trauma; the development of cranial and spinal segmental dysfunction and consequential manifestation of symptoms of infantile colic. Secondly, they demonstrate chiropractic treatment successfully restoring correct spinal and cranial motion, with an associated resolution of symptoms.

Vertebral Subluxation Correlated with Somatic,Visceral and Immune
Complaints: An Analysis of 650 Children Under Chiropractic Care

Journal of Vertebral Subluxation Research 2004 (Oct 18):   1–23

The process of neurological learning or programming of the central nervous system with respect to locomotion, posture, proprioception, and body kinetics begins within a few short months after birth. Our study revealed a pattern of pelvic dysfunction correlated with numerous somatic, visceral and immune complaints. These dysfunctions should be discovered as early as possible in a child’s development to effect a correction and the relationship between these dysfunctions and ill health should be further studied.

Differential Compliance Instrument in the Treatment of Infantile Colic:
A Report of Two Cases

J Manipulative Physiol Ther 2002 (Jan);   25 (1):   58–62 ~ FULL TEXT

A PulStar Function Recording and Analysis System (PulStar FRAS, Sense Technology, Inc, Pittsburgh, Penn) device was used to administer light impulses (approximately 1.7 joules, which produced a 3 to 4 lb force) at each segmental level throughout the dorsal spine, with probe tips spaced 2 cm apart straddling the spinous processes. Crying was reduced by 50% after a single session of instrumental adjusting in a 6–week old girl and after 4 sessions in a 9–week old boy, according to colic diaries kept by the mothers. Average hours of uninterrupted daily sleep increased from 3.5 to 6.5 hours after a single session.

Randomised Controlled Trial of Infantile Colic
Treated With Chiropractic Spinal Manipulation

Arch Dis Child. 2001 (Feb);   84 (2):   138–141

Chiropractic spinal manipulation is no more effective than placebo in the treatment of infantile colic. This study emphasises the need for placebo controlled and blinded studies when investigating alternative methods to treat unpredictable conditions such as infantile colic.

Chiropractic Management of an Infant Experiencing Breastfeeding
Difficulties and Colic: A Case Study

J Clinical Chiropractic Pediatrics 2000;   4 (1):   245–247

Immediate improvement of infant's symptoms following the first adjustment with complete resolution within five days. A recurrence, with exacerbated presentation, (as reported by the mother) was noted within three hours of the infant receiving his second Hepatitis B vaccine. Immediate remission was not observed nor was the infant able to remain subluxation free during the stress-reaction phase described by Scheibner. However, complete remission of symptoms and the ability of the infant to remain subluxation free occurred once the infant was past that acute reaction phase.

The Short-term Effect of Spinal Manipulation in the Treatment of
Infantile Colic: A Randomized Controlled Clinical Trial
with a Blinded Observer

J Manipulative Physiol Ther 1999 (Oct);   22 (8):   517–522 ~ FULL TEXT

By trial days 4 to 7, hours of crying were reduced by 1 hour in the dimethicone group compared with 2.4 hours in the manipulation group (P = .04). On days 8 through 11, crying was reduced by 1 hour for the dimethicone group, whereas crying in the manipulation group was reduced by 2.7 hours (P = .004). From trial day 5 onward the manipulation group did significantly better that the dimethicone group. The authors then conclude: Spinal manipulation is effective in relieving infantile colic.
You may also enjoy FCER's review of this article.

Chiropractic Care of Infantile Colic: A Case Study
J Clinical Chiropractic Pediatrics 1999;   3 (1):   203–206

This study outlines the chiropractic care of an eleven-month-old male with severe, complicated, late onset infantile colic. The infant had been unable to consume solid foods for a period of four months, and suffered from severe constipation. In addition, this subject demonstrated extreme muscular weakness and lack of coordination The baby was unable to crawl, stand, or walk, and was greatly unresponsive to his surroundings.

Infantile Colic Treated by Chiropractors: A Prospective Study of 316 Cases
J Manipulative Physiol Ther 1989 (Aug);   12 (4):   281–288

A prospective, uncontrolled study of 316 infants suffering from infantile colic and selected according to well-defined criteria shows a satisfactory result of spinal manipulative therapy in 94% of the cases.

Infant Colic and Chiropractic
Eur J Chiropr 1985;  33 (4):  264–265

In a retrospective uncontrolled questionnaire study of 132 infants colic, 91% of the parents reported an improvement, which occurred after an average of two to three manipulations, and one week after the treatment started.

Study Finds Benefits for Colic with Chiropractic Spinal Manipulation
The first controlled randomized clinical trial involving the chiropractic management of infantile colic has just been published by a research group in Denmark at Odense University and in private practice. Although previous studies dating back over the last 10 years have been encouraging, this is the first demonstration of the clear clinical advantage conferred upon infants by spinal manipulation as compared to a control group given dimethicone, commonly used in medical treatment of colic.

Infantile Colic ~ Kids Need Chiropractic Too!
The following day Sally took her baby to the chiropractor to have his spine evaluated. The doctor evaluated Brendan's spine and found two areas which needed to be corrected. A couple of light, finger-tip adjustments and the job was done. "How could my baby have spinal problems at his young age," Sally asked. "Well," said the chiropractor, "it can often be the trauma from a difficult birth, a long labor or perhaps even the way we burp the baby or pick the baby up from the crib, that produces spinal problems at such a young age." The next day, Brendan was somewhat better. Sally took him to the chiropractor again for a further adjustment, similar to the ones performed the previous day. Three days after Brendan's first spinal adjustment, Sally just couldn't believe how much her son had improved. He now slept like a baby, only cried when he was hungry or wet, and was once again the perfect baby that Sally knew he was. And Bob slept happily ever after.


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