The Safety and Effectiveness of Pediatric Chiropractic
Context: With continued popularity of CAM therapies for children, their safety and effectiveness are of high concern for both CAM and conventional therapy providers. Chiropractic is the most popular of the CAM therapies for children.
Objective: To describe the practice of pediatric chiropractic including its safety and effectiveness.
Design: Cross-sectional survey
Setting: Practice-based research network Patients or Other
Participants: Participants are chiropractors and parents of pediatric patients (≤18 years of age) attending chiropractic visits ranging from 1-12.
Results: The indicated primary reason for chiropractic care of children was “wellness care.” With respect to condition-based presentations, musculoskeletal conditions were the most common in addition to nonmusculoskeletal conditions of childhood. The most common technique utilized were Diversified Technique, Gonstead Technique, Thompson Technique and Activator Methods. Treatment-associated complications were not indicated by the chiropractic and parent responders. Chiropractor responders indicated 3 per 5438 treatment-associated aggravations from the treatment of 577 children. The parents indicated 2 treatment associated aggravations from 1735 SMT clinical encounters involving 239 patients. Both sets of responders indicated a high rate of improvement with respect to the patients’ presenting complaints, in addition to salutary effects unrelated to their clinical presentations.
Joel Alcantara BSc, DC 1 2 *, Jeanne Ohm DC 1 3 and Derek Kunz BS 1
International Chiropractic Pediatric Association, Media, PA
Private practice, Alcantara Chiropractic Wellness Care, San Jose, CA
Private practice, Ohm Family Chiropractic, Media, PA
* Corresponding author. Address: 327 N Middletown Rd, Media, PA 19063. Email: firstname.lastname@example.org
Accepted for publication, Explore: The Journal of Science and Healing, 2009.