A retrospective analysis of self-reported symptoms from 761 consecutive new patients presenting to a Neuro Emotional Technique chiropractic clinic

Bablis, Peter; Pollard, Henry; Bonello, Rod

doi:10.1016/j.ctcp.2009.02.005

Cited by 4 publications

(15 citation statements)

References 31 publications

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“…Previous chiropractic pediatric studies showed that, in children, nonmusculoskeletal conditions were most prevalent, 8,11,16 whereas other chiropractic pediatric studies showed that musculoskeletal conditions were most prevalent. 7,9,12 It was observed that the differences in results arose from the methodological designs of those studies: different pediatric age groups were investigated, [7][8][9]11,12,16 and/or grouping of reports or verbatim reports were applied. [7][8][9][10]12 In this survey, it was observed that grouping of reports leads to different results.…”

Section: Discussionmentioning

confidence: 95%

“…Although this survey used 5 age groups, there was a tendency for earlier studies to create fewer groups. 8,11,16 It could be proposed to use 4 groups (0 to 23 months, 2 to 5 years, 6 to12 years, and 13 to 18 years), which could be appropriate and more practical for chiropractic research because both the 0 to 2 months and 3 to 23 months groups showed similarities on conditions reported and treatment opinions. The 8.1% mean pediatric patient load over the past year is consistent with previous studies, 1-3,5 is lower than 17.1% in the United States, 4 but differs from results reporting 21.0% of weekly visits as pediatric and 28 visits per week for specialized chiropractors.…”

Section: Discussionmentioning

confidence: 97%

“…13,14 Several authors have traditionally reported conditions in 2 distinct categories of musculoskeletal and nonmusculoskeletal conditions. 3,5,7,8,[10][11][12]15,16 The rationale behind such a separation has not been investigated (to the author's knowledge). The safety of spinal manipulative therapy in pediatric care has been addressed in the literature with few safety incidents reported.…”

mentioning

confidence: 95%

“…6 In the absence of high levels of evidence, 5 doctors of chiropractic have relied on clinical experience and education to provide care. The informative surveys available on chiropractic pediatric care mainly originate from North America and Australia, [6][7][8][9][10][11][12] and few studies have aimed at informing chiropractic pediatric practice in Europe. 1,3,5 Pediatric health conditions seen by chiropractors have been reviewed systematically.…”

mentioning

confidence: 99%

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Chiropractic Care of Children from Birth to Adolescence and Classification of Reported Conditions: An Internet Cross-Sectional Survey of 956 European Chiropractors

Marchand¹

2012

Journal of Manipulative and Physiological Therapeutics

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Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 97%

mentioning

confidence: 95%

mentioning

confidence: 99%

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Chiropractic Care of Children from Birth to Adolescence and Classification of Reported Conditions: An Internet Cross-Sectional Survey of 956 European Chiropractors

Marchand¹

2012

Journal of Manipulative and Physiological Therapeutics

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“…Although figures appear low, parents are presenting to chiropractors with their children [50,53,55], looking for alternative therapies for AD/HD [42,43]. Anecdotally it has been suggested that AD/HD may be managed by chiropractic care, however to date no systematic review on the safety and efficacy of chiropractic care for paediatric and adolescent AD/HD has been conducted.…”

Section: Introductionmentioning

confidence: 99%

Chiropractic care for paediatric and adolescent Attention-Deficit/Hyperactivity Disorder: A systematic review

2010

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BackgroundPsychostimulants are first line of therapy for paediatric and adolescent AD/HD. The evidence suggests that up to 30% of those prescribed stimulant medications do not show clinically significant outcomes. In addition, many children and adolescents experience side-effects from these medications. As a result, parents are seeking alternate interventions for their children. Complementary and alternative medicine therapies for behavioural disorders such as AD/HD are increasing with as many as 68% of parents having sought help from alternative practitioners, including chiropractors.ObjectiveThe review seeks to answer the question of whether chiropractic care can reduce symptoms of inattention, impulsivity and hyperactivity for paediatric and adolescent AD/HD.MethodsElectronic databases (Cochrane CENTRAL register of Controlled Trials, Cochrane Database of Systematic reviews, MEDLINE, PsycINFO, CINAHL, Scopus, ISI Web of Science, Index to Chiropractic Literature) were searched from inception until July 2009 for English language studies for chiropractic care and AD/HD. Inclusion and exclusion criteria were applied to select studies. All randomised controlled trials were evaluated using the Jadad score and a checklist developed from the CONSORT (Consolidated Standards of Reporting Trials) guidelines.ResultsThe search yielded 58 citations of which 22 were intervention studies. Of these, only three studies were identified for paediatric and adolescent AD/HD cohorts. The methodological quality was poor and none of the studies qualified using inclusion criteria.ConclusionsTo date there is insufficient evidence to evaluate the efficacy of chiropractic care for paediatric and adolescent AD/HD. The claim that chiropractic care improves paediatric and adolescent AD/HD, is only supported by low levels of scientific evidence. In the interest of paediatric and adolescent health, if chiropractic care for AD/HD is to continue, more rigorous scientific research needs to be undertaken to examine the efficacy and effectiveness of chiropractic treatment. Adequately-sized RCTs using clinically relevant outcomes and standardised measures to examine the effectiveness of chiropractic care verses no-treatment/placebo control or standard care (pharmacological and psychosocial care) are needed to determine whether chiropractic care is an effective alternative intervention for paediatric and adolescent AD/HD.

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Axial Spondyloarthritis in the Chiropractic Care Setting

et al. 2021

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Diagnosis of axial spondyloarthritis (axSpA), an immune-mediated inflammatory disease, is commonly associated with chronic inflammatory back pain (IBP) and often occurs years after initial onset of clinical symptoms. Recognition of IBP is important for timely referral of patients with suspected axSpA to a rheumatologist. Patients with all types of back pain are treated in chiropractic care, but the proportion of patients with undiagnosed axSpA is unknown. This systematic literature review investigated the presence of axSpA in patients treated by chiropractors and identified the chiropractor's role in axSpA diagnosis, referral, and management. A PubMed search was conducted using the following search strings: "chiropract*" AND ("sacroiliac" OR "back pain" OR "spondyloarthritis" OR "ankylosing spondylitis"); English language, since 2009; and (chiropractic OR chiropractor) AND (ankylosing spondylitis OR axial spondyloarthritis), with no date limits. Of 652 articles identified in the searches, 27 met the inclusion criteria. Although back pain was identified as a common reason for patients seeking chiropractic care, there was no mention of axSpA, ankylosing spondylitis, or the distinction between mechanical and IBP. Data from relevant articles suggested that the majority of patients seeking chiropractic care have lower back pain, whereas no articles reported axSpA in this patient population. The near absence of any identified articles on axSpA in chiropractic care may be due to underrecognition of axSpA, resulting in delayed rheumatology referral and appropriate management. Better awareness and increased use of validated screening tools could reduce diagnostic delay of axSpA in chiropractic care.

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A retrospective analysis of self-reported symptoms from 761 consecutive new patients presenting to a Neuro Emotional Technique chiropractic clinic

Cited by 4 publications

References 31 publications

Chiropractic Care of Children from Birth to Adolescence and Classification of Reported Conditions: An Internet Cross-Sectional Survey of 956 European Chiropractors

Chiropractic Care of Children from Birth to Adolescence and Classification of Reported Conditions: An Internet Cross-Sectional Survey of 956 European Chiropractors

Chiropractic care for paediatric and adolescent Attention-Deficit/Hyperactivity Disorder: A systematic review

Axial Spondyloarthritis in the Chiropractic Care Setting

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