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Home Chiropractic Research Satisfaction, Cost, and Safety of Chiropractic Treatment-Related Aggravations, Complications and Improvements Attributed to Chiropractic Spinal Manipulative Therapy of Pediatric Patients: A Practice-Based Survey of Practitioners

Treatment-Related Aggravations, Complications and Improvements Attributed to Chiropractic Spinal Manipulative Therapy of Pediatric Patients: A Practice-Based Survey of Practitioners

Abstract

Objective: To investigate the iatrogenesis and symptom improvements associated with chiropractic spinal manipulative therapy (SMT) of pediatric patients.

Materials and methods: This study was approved by the IRB of Life University, Atlanta, GA, USA. Data extracted include geographical information, presenting complaints, chiropractic technique and treatment-associated changes such as aggravations, complications and improvements.

Results: The data is derived from 812 pediatric clinical cases attending a total of 7436 office visits. The patients (382 females: 430 males) ranged in age from less than a day to 18 years.  Eighty percent of the patients (N=651) were returning patients, 153 (18.8%) were “new patients” with the remaining 8 as not categorized. Interestingly, 346 patients were for “wellness check-up.” Of the remaining patients, the 3 most common primary complaints were ear, nose and throat/respiratory disorders followed by musculoskeletal disorders involving the cervical spine and gastrointestinal disorders.

With respect to chiropractic SMT, the three most common techniques practiced were Diversified Technique, Thompson Technique and Cranial Technique.Of the 812 clinical cases, 717 indicated experiencing an improvement with their presenting symptoms, while 9 patients reported treatment-related aggravations. These were described as “soreness” or “fussy.” No treatment-related complications were reported. Seventy-four cases had reported improvements unrelated to their presenting complaints and described as increased range of motion, improved sleep, improved immune function and improved patient mood.

Conclusion: This study suggests that the chiropractic SMT care of children is safe and effective.

Alcantara J 1, Ohm J 2 and Kunz D 3

  1. Research Director, International Chiropractic Pediatric Association, Media, PA, USA and Private Practice of Chiropractic, San Jose, CA, USA
  2. Private Practice of Chiropractic, Media, PA, USA and Executive Director, International Chiropractic Pediatric Association, Media, PA, USA
  3. Research Associate, International Chiropractic Pediatric Association, Media, PA, USA

This study was funded by the International Chiropractic Pediatric Association, Media, PA, USA.

Presented at 14th Annual Symposium on Complementary Health Care. Exeter, UK, December 2007.