Support Chiropractic Research!

Pediatrics

Spinal Pain in Pre-adolescence and the Relation with Screen Time and Physical Activity Behavior

By |May 2, 2021|Neck Pain, Pediatrics|

Spinal Pain in Pre-adolescence and the Relation with Screen Time and Physical Activity Behavior

The Chiro.Org Blog


SOURCE:   BMC Musculoskelet Disord 2021 (Apr 26); 22 (1): 7 393

   OPEN ACCESS   

Anne Cathrine Joergensen, Katrine Strandberg-Larsen, Per Kragh Andersen, Lise Hestbaek, Anne-Marie Nybo Andersen

Section of Epidemiology, Department of Public Health,
Faculty of Health and Medical Science,
University of Copenhagen,
Oster Farimagsgade 5, Box 2099,
DK-1014, Copenhagen K, Denmark.


Background:   To investigate how screen time and physical activity behavior were associated with spinal pain in pre-adolescence.

Methods:   This study included 45,555 pre-adolescents who participated in the 11–year follow-up of the Danish National Birth Cohort. The 11–year follow-up included self-reported information on computer and TV behavior, aspects of physical activity, as well as frequency and intensity of spinal pain (neck-, mid back- and low back pain). Data were linked with parental socioeconomic data from Statistics Denmark registers. Associations were estimated using multinomial logistic regression models. To account for sample selection, we applied inverse probability weighting.

Results:   Duration of screen time was stepwise associated with the degree of spinal pain. Compared with those spending < 2 h/day in front of a screen, screen time of ≥6 h/day was associated with a substantially increased relative risk ratio (RRR) of severe pain for both girls (RRR: 2.49, 95% CI: 2.13–2.92) and boys (RRR: 1.95, 95% CI: 1.65–2.32). Being physical inactive was likewise associated with higher likelihood of severe spinal pain (RRR: 1.22, 95% CI: 1.10–1.34) relative to those being moderately active. We observed that being physically active was seemingly associated with lower risk of spinal pain among boys with high frequency of screen time.

There are more articles like this @ our:

Pediatrics Section

(more…)

Maternal Report of Outcomes of Chiropractic Care for Infants

By |July 2, 2019|Patient Satisfaction, Pediatrics|

Maternal Report of Outcomes of Chiropractic Care for Infants

The Chiro.Org Blog


SOURCE:   J Manipulative Physiol Ther. 2019 (Mar; 42 (3): 167–176

Joyce E. Miller, DC, PhD, Heather A. Hanson, DC, MSc, Mandy Hiew, BA, Derek S. Lo Tiap Kwong, BA, Zicheng Mok, BA, Yun-Han Tee, BA

Outpatient Teaching Clinic,
AECC University College,
Bournemouth, Dorset, UK.


OBJECTIVE:   The purpose of this study was to investigate the report by mothers of their infants’ condition before and after a trial of care provided by registered chiropractic clinicians in addition to ratings of satisfaction, cost of care, and reports of any adverse events or side effects. A second purpose was to report the demographic profile of infants who presented for care to 16 chiropractic clinics in the United Kingdom.

METHODS:   This observational study prospectively collected reports by mothers of their infants’ demographic profiles and outcomes across several domains of infant behavior and their own mental state using the United Kingdom Infant Questionnaire. Participating registered chiropractors were recruited through the Royal College of Chiropractors annual meeting in January 2016, and 15 clinics and the Anglo-European College of Chiropractic University College teaching clinic volunteered to participate.

RESULTS:   In all, 2001 mothers completed intake questionnaires and 1092 completed follow-up forms. Statistically significant (P < .05) improvements were reported across all aspects of infant behavior studied, including feeding problems, sleep issues, excessive crying, problems with supine sleep position, infant pain, restricted cervical range of motion, and time performing prone positioning. Maternal ratings of depression, anxiety, and satisfaction with motherhood also demonstrated statistically significant improvement (P < .05). In total, 82% (n = 797) reported definite improvement of their infants on a global impression of change scale. As well, 95% (n = 475) reported feeling that the care was cost-effective, and 90.9% (n = 712) rated their satisfaction 8 or higher on an 11–point scale. Minor self-limiting side effects were reported (5.8%, n = 42/727) but no adverse events.

There are more articles like this @ our:

PEDIATRICS Section

(more…)

Change in Young People’s Spine Pain

By |May 7, 2019|Pediatrics, Spinal Pain|

Change in Young People’s Spine Pain Following Chiropractic Care at a Publicly Funded Healthcare Facility in Canada

The Chiro.Org Blog


SOURCE:   Complement Ther Clin Pract. 2019 (May); 35: 301–307

Christian Manansala, DC, MSc(c), Steven Passmore, DC, PhD, Katie Pohlman, DC, PhD(c), Audrey Toth, DC, Gerald Olin, BSc, DC, CDir

Faculty of Kinesiology and Recreation Management,
University of Manitoba, Canada.


BACKGROUND:   The presence of spinal pain in young people has been established as a risk factor for spinal pain later in life. Recent clinical practice guidelines recommend spinal manipulation (SM), soft tissue therapy, acupuncture, and other modalities that are common treatments provided by chiropractors, as interventions for spine pain. Less is known specifically on the response to chiropractic management in young people with spinal pain. The purpose of this manuscript was to describe the impact, through pain measures, of a pragmatic course of chiropractic management in young people’s spinal pain at a publicly funded healthcare facility for a low-income population.

METHODS:   The study utilized a retrospective analysis of prospectively collected quality assurance data attained from the Mount Carmel Clinic (MCC) chiropractic program database. Formal permission to conduct the analysis of the database was acquired from the officer of records at the MCC. The University of Manitoba’s Health Research Ethics Board approved all procedures.

RESULTS:   Young people (defined as 10-24 years of age) demonstrated statistically and clinically significant improvement on the numeric rating scale (NRS) in all four spinal regions following chiropractic management.

There are more articles like this @ our:

CHIROPRACTIC PEDIATRICS Page

(more…)

Diagnosis and Chiropractic Treatment of Infant Headache

By |March 23, 2019|Headache, Pediatrics|

Diagnosis and Chiropractic Treatment of Infant Headache Based on Behavioral Presentation and Physical Findings: A Retrospective Series of 13 Cases

The Chiro.Org Blog


SOURCE:   J Manipulative Physiol Ther. 2009 (Oct); 32 (8): 682–686

Aurélie M. Marchand, MChiro, DC, Joyce E. Miller, BS, DC, Candice Mitchell, MChiro

Private Practice,
Brussels, Belgium


OBJECTIVE:   This case series presents information on diagnosis and treatment of 13 cases of benign infant headache presenting to a chiropractic teaching clinic.

CLINICAL FEATURES:   A retrospective search was performed for files of infants presenting with probable headache revealing 13 cases of headache from 350 files.

INTERVENTION AND OUTCOMES:   Thirteen cases (6 females, 7 males) from 2 days old to 8.5 months old were identified by behavioral presentation, parental, or medical diagnosis. In the cohort, historical findings included: birth trauma, assisted birth, familial headache history and feeding difficulty. Examination and behavioral findings were grabbing or holding of the face, ineffective latching, grimacing and positional discomfort, rapping head against the floor, photophobia and anorexia. Posterior joint restrictions of the cervical spine were found in these cases. No cases of malignant headache were found. All infants received a trial of chiropractic care including manual therapy.

There are more articles like this @ our:

Chiropractic Pediatrics Section and the:

Headache and Chiropractic Page

(more…)

Manual Therapy for the Pediatric Population

By |March 21, 2019|Pediatrics|

Manual Therapy for the Pediatric Population: A Systematic Review

The Chiro.Org Blog


SOURCE:   BMC Complement Altern Med. 2019 (Mar 13); 19 (1): 60

Carol Parnell Prevost, Brian Gleberzon, Beth Carleo, Kristian Anderson, Morgan Cark and Katherine A. Pohlman

Palmer College of Chiropractic,
4777 City Center Parkway,
Port Orange, FL, 32129, USA.


BACKGROUND:   This systematic review evaluates the use of manual therapy for clinical conditions in the pediatric population, assesses the methodological quality of the studies found, and synthesizes findings based on health condition. We also assessed the reporting of adverse events within the included studies and compared our conclusions to those of the UK Update report.

METHODS:   Six databases were searched using the following inclusion criteria: children under the age of 18 years old; treatment using manual therapy; any type of healthcare profession; published between 2001 and March 31, 2018; and English. Case reports were excluded from our study. Reference tracking was performed on six published relevant systematic reviews to find any missed article. Each study that met the inclusion criteria was screened by two authors to:

(i)   determine its suitability for inclusion,

(ii)   extract data, and

(iii)   aasess quality of study.

RESULTS:   Of the 3,563 articles identified, 165 full articles were screened, and 50 studies met the inclusion criteria. Twenty-six articles were included in prior reviews with 24 new studies identified. Eighteen studies were judged to be of high quality. Conditions evaluated were: attention deficit hyperactivity disorder (ADHD), autism, asthma, cerebral palsy, clubfoot, constipation, cranial asymmetry, cuboid syndrome, headache, infantile colic, low back pain, obstructive apnea, otitis media, pediatric dysfunctional voiding, pediatric nocturnal enuresis, postural asymmetry, preterm infants, pulled elbow, suboptimal infant breastfeeding, scoliosis, suboptimal infant breastfeeding, temporomandibular dysfunction, torticollis, and upper cervical dysfunction. Musculoskeletal conditions, including low back pain and headache, were evaluated in seven studies. Twenty studies reported adverse events, which were transient and mild to moderate in severity.

There are more articles like this @ our:

Chiropractic Pediatrics Section

(more…)

Instrument-assisted Delivery and the Prevalence

By |February 11, 2019|Pediatrics|

Instrument-assisted Delivery and the Prevalence of Reduced Cervical Spine Range of Motion in Infants

The Chiro.Org Blog


SOURCE:   Chiropractic J Australia 2018 (Jun); 46 (2): 162–171

Christian Fludder, B.Chiro.Sc, M.Chiro, DACCP,
Braden G. Keil, B.App.Sc. (Chiropractic), M.C.Sc. (Paediatrics), FICC, FACCP

Chiropractic Children’s Healthcare,
9 Lower Plenty Road,
Rosanna, VIC, 3084


Introduction:   Instrument-assisted delivery occurs regularly in Australia. This study aims to determine if there is a higher prevalence of restricted cervical spine range of motion (ROM) in infants born via instrumental delivery or Caesarean section compared to vaginal delivery without instrument assistance.

Methods:   Data was collated from all 176 infants under 112 days of age in a paediatric chiropractic clinic. Details regarding method of delivery and instrumental assistance were obtained. Passive ROM assessment was recorded as either “Full” or “Reduced”.

Results:   Reduced cervical spine ROM was apparent in 76.1% of infants born vaginally without intervention (n=88), 75.0% with forceps assistance (n=16), 88.9% with vacuum-assistance (n = 18), 100% born with vacuum and forceps (n=3), and 82.3% born via Caesarean section (n = 51).

There are more articles like this @ our:

PEDIATRICS Section

(more…)