Genevieve Keating 1 2, Cheryl Hawk 3 4, Lyndon Amorin-Woods 5 6, Deisy Amorin-Woods 7 8, Sharon Vallone 9, Ronald Farabaugh 10 11, Angela Todd 12 13, Randy Ferrance 14, Jessie Young 15 16, Stephanie O’Neill Bhogal 17, Helen Sexton 18, Helen Alevaki 2, Joyce Miller 19, Gregory Parkin-Smith 6 5, Alec Schielke 20, Andrew Robinson 21, Robyn Thompson 22 23
Affiliations Expand
- PMID: 37902954
- PMCID: PMC10954607
- DOI: 10.1089/jicm.2023.0010
Abstract
Objective: To build upon existing recommendations on best practices for chiropractic management of children by conducting a formal consensus process and best evidence synthesis.
Design: Best practice guide based on recommendations from current best available evidence and formal consensus of a panel of experienced practitioners, consumers, and experts for chiropractic management of pediatric patients.
Methods: Synthesis of results of a literature search to inform the development of recommendations from a multidisciplinary steering committee, including experts in pediatrics, followed by a formal Delphi panel consensus process.
Results: The consensus process was conducted June to August 2022. All 60 panelists completed the process and reached at least 80% consensus on all recommendations after three Delphi rounds. Recommendations for best practices for chiropractic care for children addressed these aspects of the clinical encounter: patient communication, including informed consent; appropriate clinical history, including health habits; appropriate physical examination procedures; red flags/contraindications to chiropractic care and/or spinal manipulation; aspects of chiropractic management of pediatric patients, including infants; modifications of spinal manipulation and other manual procedures for pediatric patients; appropriate referral and comanagement; and appropriate health promotion and disease prevention practices.
Conclusion: This set of recommendations represents a general framework for an evidence-informed and reasonable approach to the management of pediatric patients by chiropractors.
Full text article: https://pubmed.ncbi.nlm.nih.gov/37902954/
Keywords: adolescent; child; chiropractic; infant; manipulation; mobilization; pediatrics; spinal; spine.
