The Science behind the chiropractic approach

[aplikator]

Dear Dr. Michael B. Dibley D.C.

The treatment of children with ADHD is controversial. Much because of the lack of evidence, but also because of the vulnerable situation both the kids and parents are in.

We haven`t heard from any ”Neurological” chiropractors – and therefore it`s hard to discuss the rationale and science supporting the practice of treating children with ADHD and other similar complaints.
I would love to discuss the science behind the potential benefit of chiropractic adjustments, and other chiropractic approaches in regards to the treatment of these children. I have searched Pubmed and other online journals to find evidence, with varying results, but it don`t seem to be any real science supporting the chiropractic approach.

Could you describe the multimodal chiropractic treatment protocol you use in treating these children? How many sessions a week? What are the timespan? Do these kids need long life follow-ups?
How do you examine and how do you filter out children in where chiropractics isn`t suitable?

A lot of questions. I hope you have time to answer them, and by this promote the field of Chiropractics
Later on maybe we can discuss the upper cervical approach and NUCCA?


Regards Jan Kristian D. Huus, (physiotherapist studying to become a D.O)

[rolf-inge]

Hei!
Bare en lite innspill i diskusjonen.

Chiropractic manipulation in pediatric health conditions – an updated systematic review
Allan Gotlib1 and Ron Rupert2

1 Canadian Chiropractic Association, CMCC Homewood Professor, 30 St. Patrick St. Suite 600, Toronto, Ontario, M5T 3A3, Canada

2 Parker College of Chiropractic, 2500 Walnut Hill Lane, Dallas, Texas 75229, USA

author email corresponding author email

Chiropractic & Osteopathy 2008, 16:11doi:10.1186/1746-1340-16-11

The electronic version of this article is the complete one and can be found online at: http://www.chiroandosteo.com/content/16/1/11

Received: 21 July 2008
Accepted: 12 September 2008
Published: 12 September 2008

© 2008 Gotlib and Rupert; licensee BioMed Central Ltd.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract
Objective
Our purpose was to review the biomedical literature from January 2004 to June 2007 inclusive to determine the extent of new evidence related to the therapeutic application of manipulation for pediatric health conditions. This updates a previous systematic review published in 2005. No critical appraisal of the evidence is undertaken.

Data Sources
We searched both the indexed and non-indexed biomedical manual therapy literature. This included PubMed, MANTIS, CINAHL, ICL, as well as reference tracking. Other resources included the Cochrane Library, CCOHTA, PEDro, WHO ICTRP, AMED, EMBASE and AHRQ databases, as well as research conferences and symposium proceedings.

Results
The search identified 1275 citations of which 57 discrete citations met the eligibility criteria determined by three reviewers who then determined by consensus, each citation's appropriate level on the strength of evidence scale. The new evidence from the relevant time period was 1 systematic review, 1 RCT, 2 observational studies, 36 descriptive case studies and 17 conference abstracts. When this additional evidence is combined with the previous systematic review undertaken up to 2003, there are now in total, 2 systematic reviews, 10 RCT's, 3 observational studies, 177 descriptive studies, and 31 conference abstracts defining this body of knowledge.

Summary
There has been no substantive shift in this body of knowledge during the past 3 1/2 years. The health claims made by chiropractors with respect to the application of manipulation as a health care intervention for pediatric health conditions continue to be supported by only low levels of scientific evidence. Chiropractors continue to treat a wide variety of pediatric health conditions. The evidence rests primarily with clinical experience, descriptive case studies and very few observational and experimental studies. The health interests of pediatric patients would be advanced if more rigorous scientific inquiry was undertaken to examine the value of manipulative therapy in the treatment of pediatric conditions.

Det er tross alt noen fornuftige kiropraktorer der ute som tydligvis ser sine begrensninger og prøver å formidle dette videre!

RIN

[atlekiro]

Et lite innspill i annen retning: Journal of Manipulative and Physiological Therapeutics (JMPT; Elsevier) volume 32, number 8, october 2009 var et "special issue" om barn og unge. Det inneholder en del interessante studier om kiropraktikk og barnebehandlinger. (finnes på Medline)

Atle O. Haagensen, kiropraktorstudent.