Medical Management of Pediatric and Non-Musculoskeletal Conditions by Spinal Manipulation
Chiropractic Journal of Australia 2013 (Dec); 43 (4): 131–136 ~ FULL TEXT
Peter L. Rome, D.C.
Melbourne, Australia
Thanks to Dr. Rolf Peters, editor of the Chiropractic Journal of Australia for permission to republish this Full Text article, exclusively at Chiro.Org!
Considering the unpleasant fallout from the Simon Singh Case, this article sheds a unique, new perspective on manipulative care for non-musculoskeletal conditions.
The Abstract: There is a well established precedent by medical doctors, particularly in Europe, of managing infant, paediatric and other patients for so-called organic conditions by spinal manipulation. There are also claims that chiropractic should not be involved with this form of management for so-called visceral disorders because it does not quite meet the current orthodox theories. This seems contradictory if not hypocritical when there is noted evidence in the medical literature itself of not only the rationale supporting these concepts, but evidence of medical doctors carrying out the same procedures for the same purpose on the same conditions.
Index terms: (MeSH): chiropractic; manipulation, chiropractic; manipulation, orthopedic; manipulation, musculoskeletal; manipulation, spinal; pediatrics; evidence based medicine. (other): medical manipulative therapy.
From the Full-Text Article:
Introduction
Some have questioned the hypotheses justifying chiropractic involvement in the management of paediatric patients, as well as those with so-called visceral conditions. [1-4] This topic was raised recently in a television program by Demasi. [5]
It is acknowledged that chiropractic constructs have been outside the traditional or orthodox models of understanding. However, there is a major contradiction regarding manipulative management of visceral and paediatric care due to the adoption of those very concepts by other areas of medicine – namely manipulative medicine. [6-9]
In particular, European medical doctors have published refereed papers on these very topics involving spinal manipulation in medical journals and medical textbooks for some decades. [10] (see Table 1) In an apparent contradictory development, it is primarily English language medical authors and other sources that seem to have attracted critics who direct their reservations at the principles espoused by chiropractors, but not to their European medical colleagues who are proponents of spinal manipulation. [11] It is also curious that osteopathic manipulative therapy does not appear to attract the same degree of debate and reservations despite the similarities.
There are at least three medical textbooks which include the topics of paediatric manipulative care and the manipulative management of visceral disorders. [6-8] One such medical text is totally devoted to paediatric manual therapy. [6]
INFANTS
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Perhaps the most obvious medical evidence supporting the intervention of spinal manipulative care of infants is the textbook edited by Biedermann. [6] First published in Biedermann was originally a surgeon and subsequently moved to “Conservative Orthopedics” (sic). The textbook is dedicated to manipulative care of paediatric patients and comprises over twenty contributing authors including some fifteen medical doctors. He first published papers on the topic in a medical journal in 1995 – over 20 years ago. [12]
Some may question why an infant would require manipulation. However, chapter 8 of this text deals specifically with spinal “Birth trauma and its implications for neuromotor development.” [13]
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