Pediatrics

Neck Pain In Children

By Frank M. Painter|September 17, 2016|Neck Pain, Pediatrics|

Neck Pain In Children: A Retrospective Case Series

SOURCE: J Can Chiropr Assoc. 2016 (Sep); 60 (3): 212–219

Jocelyn Cox, BPhEd, DC,
Christine Davidian, DC, MSc,
Silvano Mior, DC, FCCS, PhD

Graduate Education and Research Department
of Canadian Memorial Chiropractic College

Introduction: Spinal pain in the pediatric population is a significant health issue, with an increasing prevalence as they age. Pediatric patients attend for chiropractor care for spinal pain, yet, there is a paucity of quality evidence to guide the practitioner with respect to appropriate care planning.

Methods: A retrospective chart review was used to describe chiropractic management of pediatric neck pain. Two researchers abstracted data from 50 clinical files that met inclusion criteria from a general practice chiropractic office in the Greater Toronto Area, Canada. Data were entered into SPSS 15 and descriptively analyzed.

Results: Fifty pediatric neck pain patient files were analysed. Patients’ age ranged between 6 and 18 years (mean 13 years). Most (98%) were diagnosed with Grade I-II mechanical neck pain. Treatment frequency averaged 5 visits over 19 days; with spinal manipulative therapy used in 96% of patients. Significant improvement was recorded in 96% of the files. No adverse events were documented.

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Is There a Difference in Head Posture and Cervical Spine Movement in Children With and Without Pediatric Headache?

By Frank M. Painter|August 27, 2016|Headache, Pediatrics|

Is There a Difference in Head Posture and Cervical Spine Movement in Children With and Without Pediatric Headache?

The Chiro.Org Blog

SOURCE: Eur J Pediatr. 2013 (Oct); 172 (10): 1349–1356

Kim Budelmann, Harry von Piekartz, Toby Hall

University of Applied Science,
Osnabrück, Germany

Pediatric headache is an increasingly reported phenomenon. Cervicogenic headache (CGH) is a subgroup of headache, but there is limited information about cervical spine physical examination signs in children with CGH. Therefore, a cross-sectional study was designed to investigate cervical spine physical examination signs including active range of motion (ROM), posture determined by the craniovertebral angle (CVA), and upper cervical ROM determined by the flexion-rotation test (FRT) in children aged between 6 and 12 years. An additional purpose was to determine the degree of pain provoked by the FRT.

Thirty children (mean age 120.70 months [SD 15.14]) with features of CGH and 34 (mean age 125.38 months [13.14]) age-matched asymptomatic controls participated in the study. When compared to asymptomatic controls, symptomatic children had a significantly smaller CVA (p < 0.001), significantly less active ROM in all cardinal planes (p < 0.001), and significantly less ROM during the FRT (p < 0.001), especially towards the dominant headache side (p < 0.001).

In addition, symptomatic subjects reported more pain during the FRT (p < 0.001) and there was a significant negative correlation (r = -0.758, p < 0.001) between the range recorded during the FRT towards the dominant headache side and FRT pain intensity score. This study found evidence of impaired function of the upper cervical spine in children with CGH and provides evidence of the clinical utility of the FRT when examining children with CGH.

From the FULL TEXT Article:

Introduction

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Children and Adolescents Presenting to Chiropractors in Norway

By Frank M. Painter|August 16, 2016|Musculoskeletal Complaints, Pediatrics|

Children and Adolescents Presenting to Chiropractors in Norway: National Health Insurance Data and a Detailed Survey

The Chiro.Org Blog

SOURCE: Chiropractic & Manual Therapies 2016 (Aug 1); 24: 29

Anna Allen-Unhammer, (1) Francis J. H. Wilson, (2)
and Lise Hestbaek (3)

1 Markveien Fysikalske Institutt,
Markveien 25, 0554 Oslo, Norway.

2 Anglo-European College of Chiropractic,
Bournemouth, Dorset BH5 2DF UK.

3 Nordic Institute of Chiropractic and Clinical Biomechanics
and Institute of Sports Science and Biomechanics,
University of Southern Denmark,
Campusvej 55, Odense M, DK-5230 Denmark.

BACKGROUND: The idea of chiropractors treating children is controversial, yet many parents seek chiropractic care for their children. The reasons for this are not well documented. Part one of this study aimed to document the profile of all paediatric patients consulting Norwegian chiropractors in 2013 using National Health Insurance data (NHI) with regards to age, gender and primary complaints. Part two aimed to provide a more detailed description of these patients in the form of a descriptive, paper-based survey.

METHODS: Part one involved Norwegian NHI data from 2013. Part two consisted of a year-long, paper-based survey. Chiropractors registered with the Norwegian chiropractic association (NKF) were invited to participate via email. Participating chiropractors were assigned one random month to collect data. All paediatric patients (or their parents) during that were asked to complete questionnaires containing information on presenting complaint, consequences of this complaint, age, and mode of referral.

RESULTS: In general, there was good concordance between part one and two of the study in terms of age, gender and presenting complaint. The youngest children constituted the largest paediatric group in Norwegian chiropractic practice. Musculoskeletal problems were the most common reason for children visiting a chiropractor in all of the age categories, according to NHI data. Part two of the study found that one-third of young school children and adolescents reported pain lasting longer than 1-year. Eleven percent of children found that their complaint had severely affected their mood and 22 % felt their activities were very limited by their condition. Referrals from healthcare professionals were uncommon. The survey’s results were based on 161 completed questionnaires, received from 15 % of the Norwegian chiropractors.

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Effect of Spinal Manipulation on Pelvic Floor Functional Changes in Pregnant and Nonpregnant Women

By Frank M. Painter|July 7, 2016|Pediatrics|

Effect of Spinal Manipulation on Pelvic Floor Functional Changes in Pregnant and Nonpregnant Women:
A Preliminary Study

The Chiro.Org Blog

SOURCE: J Manipulative Physiol Ther. 2016 (Jun); 39 (5): 339–347

Heidi Haavik, BSc (Chiro), PhDip (Science), PhD,
Bernadette A. Murphy, DC, MSc, PhD,
Jennifer Kruger, BSc (Nursing), MSc, PhD

Director of Research,
Centre for Chiropractic Research,
New Zealand College of Chiropractic

OBJECTIVE: The aim of this study was to investigate whether a single session of spinal manipulation of pregnant women can alter pelvic floor muscle function as measured using ultrasonographic imaging.

METHODS: In this preliminary, prospective, comparative study, transperineal ultrasonographic imaging was used to assess pelvic floor anatomy and function in 11 primigravid women in their second trimester recruited via notice boards at obstetric caregivers, pregnancy keep-fit classes, and word of mouth and 15 nulliparous women recruited from a convenience sample of female students at the New Zealand College of Chiropractic. Following bladder voiding, 3-/4-dimensional transperineal ultrasonography was performed on all participants in the supine position. Levator hiatal area measurements at rest, on maximal pelvic floor contraction, and during maximum Valsalva maneuver were collected before and after either spinal manipulation or a control intervention.

RESULTS: Levator hiatal area at rest increased significantly (P < .05) after spinal manipulation in the pregnant women, with no change postmanipulation in the nonpregnant women at rest or in any of the other measured parameters.

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Musculoskeletal Pain in Children and Adolescents

By Frank M. Painter|May 10, 2016|Pediatrics|

Musculoskeletal Pain in Children and Adolescents

The Chiro.Org Blog

SOURCE: Braz J Phys Ther. 2016 (Feb 16) [Epub]

Steve J. Kamper, Nicholas Henschke, Lise Hestbaek,
Kate M. Dunn, Christopher M. Williams

The George Institute,
University of Sydney, Australia.

Introduction Musculoskeletal (MSK) pain in children and adolescents is responsible for substantial personal impacts and societal costs, but it has not been intensively or systematically researched. This means our understanding of these conditions is limited, and healthcare professionals have little empirical evidence to underpin their clinical practice. In this article we summarise the state of the evidence concerning MSK pain in children and adolescents, and offer suggestions for future research.

Results Rates of self-reported MSK pain in adolescents are similar to those in adult populations and they are typically higher in teenage girls than boys. Epidemiological research has identified conditions such as back and neck pain as major causes of disability in adolescents, and in up to a quarter of cases there are impacts on school or physical activities. A range of physical, psychological and social factors have been shown to be associated with MSK pain report, but the strength and direction of these relationships are unclear. There are few validated instruments available to quantify the nature and severity of MSK pain in children, but some show promise. Several national surveys have shown that adolescents with MSK pain commonly seek care and use medications for their condition. Some studies have revealed a link between MSK pain in adolescents and chronic pain in adults.

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Safety of Chiropractic Manual Therapy for Children

By Frank M. Painter|February 7, 2016|Pediatrics|

Safety of Chiropractic Manual Therapy for Children: How Are We Doing?

The Chiro.Org Blog

J Clin Chiro Peds 2009 (Dec); 10 (2): 655–660 ~ FULL TEXT

Joyce Miller, BSc, DC, DABCO, PhD

Anglo European College of Chiropractic, Lead Tutor, MSc
Advanced Practice Chiropractic Pediatrics,
Bournemouth University.

Objectives: To assess the risk of adverse effects of chiropractic spinal manipulation in the pediatric population and to promote a culture of safety along with full reporting of adverse events in the chiropractic profession

Methods: Narrative review of all published reports of adverse effects of chiropractic pediatric spinal manipulation

Results: Adverse effects from chiropractic spinal manipulation are rare with 2 moderate and 4 severe events reported during a 59 year period with up to 30 million treatments estimated per year. Current reports show a very low rate (<1% in 8,290 treatments) of mild transient side effects lasting less than 24 hours.

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Pediatrics

Neck Pain In Children

Neck Pain In Children: A Retrospective Case Series

Is There a Difference in Head Posture and Cervical Spine Movement in Children With and Without Pediatric Headache?

Is There a Difference in Head Posture and Cervical Spine Movement in Children With and Without Pediatric Headache?

Children and Adolescents Presenting to Chiropractors in Norway

Children and Adolescents Presenting to Chiropractors in Norway: National Health Insurance Data and a Detailed Survey

Effect of Spinal Manipulation on Pelvic Floor Functional Changes in Pregnant and Nonpregnant Women

Effect of Spinal Manipulation on Pelvic Floor Functional Changes in Pregnant and Nonpregnant Women: A Preliminary Study

Musculoskeletal Pain in Children and Adolescents

Musculoskeletal Pain in Children and Adolescents

Safety of Chiropractic Manual Therapy for Children

Safety of Chiropractic Manual Therapy for Children: How Are We Doing?

Effect of Spinal Manipulation on Pelvic Floor Functional Changes in Pregnant and Nonpregnant Women:
A Preliminary Study