OpenLB
Open Library of Bioscience
Advanced Search
Journal of integrative and complementary medicine
Mar, 2024;30 (3): 216-232.

Clinical Practice Guideline for Best Practice Management of Pediatric Patients by Chiropractors: Results of a Delphi Consensus Process.

Genevieve Keating, Cheryl Hawk, Lyndon Amorin-Woods, Deisy Amorin-Woods, Sharon Vallone, Ronald Farabaugh, Angela Todd, Randy Ferrance, Jessie Young, Stephanie O'Neill Bhogal, Helen Sexton, Helen Alevaki, Joyce Miller, Gregory Parkin-Smith, Alec Schielke, Andrew Robinson, Robyn Thompson
Author Information
  1. Genevieve Keating: Fielding Graduate University, Santa Barbara, CA, USA. ORCID
  2. Cheryl Hawk: US-Clinical Compass, Lexington SC, USA. ORCID
  3. Lyndon Amorin-Woods: School of Allied Health, Murdoch University, Murdoch, Australia. ORCID
  4. Deisy Amorin-Woods: Edith Cowan University, Joondalup, Australia. ORCID
  5. Sharon Vallone: Private Practice, Kidspace, Tolland, CT, USA. ORCID
  6. Ronald Farabaugh: Advanced Medicine Integration Group, Columbus, OH, USA.
  7. Angela Todd: Private Practice, Sale, Australia.
  8. Randy Ferrance: Private Practice, Richmond, VA, USA. ORCID
  9. Jessie Young: US-ACA.
  10. Stephanie O'Neill Bhogal: Life University, Marietta, GA, USA.
  11. Helen Sexton: Private Practice, Bendigo, Australia.
  12. Helen Alevaki: Private Practice, Melbourne, Australia. ORCID
  13. Joyce Miller: Anglo European College of Chiropractic, Bournemouth, United Kingdom.
  14. Gregory Parkin-Smith: Private Practice, Perth, Australia.
  15. Alec Schielke: Palmer College of Chiropractic, Davenport, IA, USA.
  16. Andrew Robinson: University of Tasmania, Hobart, Australia.
  17. Robyn Thompson: Private Practice, The Thompson Method Breastfeeding, Melbourne, Australia.
PMID: 37902954 DOI: 10.1089/jicm.2023.0010

Abstract

To build upon existing recommendations on best practices for chiropractic management of children by conducting a formal consensus process and best evidence synthesis. 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. 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. 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. This set of recommendations represents a general framework for an evidence-informed and reasonable approach to the management of pediatric patients by chiropractors.

Keywords

adolescent child chiropractic infant manipulation mobilization pediatrics spinal spine

References

  1. Chiropr Man Therap. 2020 Feb 25;28(1):12 [PMID: 32093727]
  2. Health Expect. 2006 Jun;9(2):98-109 [PMID: 16677189]
  3. Spine (Phila Pa 1976). 2017 Dec 1;42(23):1810-1816 [PMID: 28459779]
  4. Allergy. 2009 May;64(5):669-77 [PMID: 19210357]
  5. J Clin Epidemiol. 2014 Jan;67(1):33-45 [PMID: 24125894]
  6. J Am Acad Orthop Surg. 2021 May 1;29(9):370-379 [PMID: 33475302]
  7. BMJ Open. 2017 Sep 29;7(9):e015830 [PMID: 28965091]
  8. Daru. 2019 Dec;27(2):811-826 [PMID: 31734825]
  9. Pediatrics. 2018 Mar;141(3): [PMID: 29483202]
  10. Chiropr Man Therap. 2020 Jul 9;28(1):33 [PMID: 32641135]
  11. J Altern Complement Med. 2021 Oct;27(10):850-867 [PMID: 34314609]
  12. Syst Rev. 2021 Apr 20;10(1):121 [PMID: 33879246]
  13. BMJ. 2014 Jun 13;348:g3725 [PMID: 24927763]
  14. JAMA. 2020 Apr 28;323(16):1563-1564 [PMID: 32343315]
  15. JAMA. 2017 Jun 20;317(23):2417-2426 [PMID: 28632874]
  16. BMJ Open Qual. 2020 Nov;9(4): [PMID: 33203708]
  17. Int J Environ Res Public Health. 2022 Jan 28;19(3): [PMID: 35162545]
  18. Br J Nutr. 2019 Apr;121(8):894-904 [PMID: 30674358]
  19. BMJ. 1996 Jan 13;312(7023):71-2 [PMID: 8555924]
  20. BMJ. 2008 Apr 26;336(7650):924-6 [PMID: 18436948]
  21. Pediatrics. 2021 Feb;147(2): [PMID: 33500321]
  22. Eur J Pediatr. 2021 Jul;180(7):2165-2171 [PMID: 33649910]
  23. Sci Rep. 2023 Jan 23;13(1):1254 [PMID: 36690712]
  24. Front Integr Neurosci. 2022 May 10;16:871227 [PMID: 35645742]
  25. Intern Med J. 2020 Jan;50(1):30-37 [PMID: 31943616]
  26. J Manipulative Physiol Ther. 2009 Oct;32(8):639-47 [PMID: 19836600]
  27. Scoliosis Spinal Disord. 2018 Jan 10;13:3 [PMID: 29435499]
  28. JAMA. 2020 Apr 28;323(16):1590-1598 [PMID: 32343336]
  29. J Manipulative Physiol Ther. 2016 Jul-Aug;39(6):401-410 [PMID: 27346861]
  30. Sleep Med. 2020 May;69:145-154 [PMID: 32087408]
  31. J Manipulative Physiol Ther. 2015 Nov-Dec;38(9):699-712 [PMID: 25439034]
  32. Chiropr Man Therap. 2017 Dec 7;25:37 [PMID: 29234493]
  33. Aust Fam Physician. 2012 May;41(5):288-90 [PMID: 22558618]
  34. J Manipulative Physiol Ther. 2015 Nov-Dec;38(9):713-726 [PMID: 23845198]
  35. Chiropr Man Therap. 2018 Nov 21;26:48 [PMID: 30479744]
  36. Clin Perinatol. 2011 Dec;38(4):643-55 [PMID: 22107895]
  37. Disabil Rehabil. 2009;31(25):2111-7 [PMID: 19888841]
  38. J Manipulative Physiol Ther. 2017 Jul - Aug;40(6):452-458 [PMID: 28822477]
  39. Curr Opin Pediatr. 2018 Aug;30(4):582-590 [PMID: 29771763]
  40. Br J Community Nurs. 2014 Jan;19(1):12, 14-9 [PMID: 24800322]
  41. JAMA. 2018 Jan 9;319(2):165-172 [PMID: 29318284]
  42. J Manipulative Physiol Ther. 2016 Mar-Apr;39(3):158-68 [PMID: 27040034]
  43. J Manipulative Physiol Ther. 2022 Jan;45(1):73-89 [PMID: 35760594]
  44. Chiropr Man Therap. 2020 Jun 11;28(1):31 [PMID: 32522230]
  45. Fam Pract. 2022 Sep 24;39(5):985-987 [PMID: 35078244]
  46. J Manipulative Physiol Ther. 2017 Mar - Apr;40(3):139-146 [PMID: 28274487]
  47. JAMA. 2018 Mar 20;319(11):1134-1142 [PMID: 29558558]
  48. Adv Neonatal Care. 2013 Aug;13(4):262-9, quiz 270-1 [PMID: 23912018]
  49. BMJ. 2004 Feb 28;328(7438):476-7 [PMID: 14988165]
  50. BMJ Open. 2020 Feb 25;10(2):e035405 [PMID: 32102827]
  51. Phys Ther. 2021 Apr 4;101(4): [PMID: 33513233]
  52. Orthopade. 2022 Jan;51(1):36-43 [PMID: 34767043]
  53. Pak J Med Sci. 2017 Nov-Dec;33(6):1312-1317 [PMID: 29492050]
  54. Res Integr Peer Rev. 2019 Mar 26;4:5 [PMID: 30962953]
  55. Explore (NY). 2009 Sep-Oct;5(5):290-5 [PMID: 19733815]
  56. London J Prim Care (Abingdon). 2016 Feb 24;8(1):12-14 [PMID: 28250823]
  57. J Manipulative Physiol Ther. 2008 Feb;31(2):91-2 [PMID: 18328934]
  58. J Intellect Disabil Res. 2000 Feb;44 ( Pt 1):31-44 [PMID: 10711648]
  59. J Clin Nurs. 2008 Dec;17(23):3115-22 [PMID: 19012781]
  60. Sociol Health Illn. 2019 Jun;41(5):831-851 [PMID: 30793332]
  61. J Chiropr Educ. 2023 Mar 1;37(1):71-81 [PMID: 36763495]
  62. Pediatrics. 2021 Sep;148(3): [PMID: 34362807]
  63. J Eat Disord. 2021 Jan 14;9(1):11 [PMID: 33446274]
  64. Implement Sci. 2012 Jul 04;7:62 [PMID: 22762242]
  65. Chiropr Osteopat. 2010 Jun 02;18:16 [PMID: 20525200]
  66. PLoS One. 2019 Jun 25;14(6):e0218940 [PMID: 31237917]
  67. Lancet. 2017 Jul 22;390(10092):415-423 [PMID: 28215660]
  68. BMJ. 2008 May 10;336(7652):1049-51 [PMID: 18467413]
  69. Natl Health Stat Report. 2015 Feb 10;(78):1-19 [PMID: 25671583]
  70. J Pediatr Hematol Oncol. 2020 Aug;42(6):e518-e520 [PMID: 31306336]
  71. Chiropr Man Therap. 2017 Nov 22;25:35 [PMID: 29201346]
  72. BMC Complement Altern Med. 2019 Mar 13;19(1):60 [PMID: 30866915]
  73. J Assoc Nurses AIDS Care. 2015 Nov-Dec;26(6):732-42 [PMID: 26255897]
  74. Eur Spine J. 2018 Sep;27(Suppl 6):901-914 [PMID: 30151811]
  75. J Clin Epidemiol. 2022 Aug;148:160-169 [PMID: 35447356]
  76. J R Coll Physicians Edinb. 2011 Jun;41(2):163-8 [PMID: 21677923]
  77. J Clin Epidemiol. 2012 May;65(5):526-34 [PMID: 22189163]
  78. Child Abuse Negl. 2021 Jun;116(Pt 1):104225 [PMID: 31711682]
  79. Br J Soc Work. 2016 Jul;46(5):1191-1207 [PMID: 27559222]
  80. Children (Basel). 2020 Dec 17;7(12): [PMID: 33348822]

MeSH Term

Infant
Humans
Child
Chiropractic
Manipulation, Chiropractic
Consensus
Delphi Technique
Manipulation, Spinal
Journal Article Review
Article has an altmetric score of 12

Word Cloud

Created with Highcharts 10.0.0chiropracticrecommendationsconsensusbestmanagementprocesspediatricpatientsincludingappropriatepracticesformalDelphispinalmanipulationchildrenevidenceBestpanelexpertspediatricscareaspectsclinicalhealthproceduresPracticebuilduponexistingconductingsynthesispracticeguidebasedcurrentavailableexperiencedpractitionersconsumersSynthesisresultsliteraturesearchinformdevelopmentmultidisciplinarysteeringcommitteefollowedconductedJuneAugust202260panelistscompletedreachedleast80%threeroundsRecommendationsaddressedencounter:patientcommunicationinformedconsenthistoryhabitsphysicalexaminationredflags/contraindicationsand/orinfantsmodificationsmanualreferralcomanagementpromotiondiseasepreventionsetrepresentsgeneralframeworkevidence-informedreasonableapproachchiropractorsClinicalGuidelineManagementPediatricPatientsChiropractors:ResultsConsensusProcessadolescentchildinfantmobilizationspine

Similar Articles

Cited By