Pediatric Adverse Events With Spinal Manipulation

 

With growing regularity, many manual therapists treat pediatric patients, and there is some evidence that pediatric patients may benefit from chiropractic treatment. The risk-benefit ratio of treatment procedures is paramount, as it is for patients of any age. To date, there have been very few serious events reported in the literature resulting from pediatric spinal manipulative therapy (PSMT). The current literature indicates that the probability of PSMT neurological or vertebrobasilar injury is approximately 1 in 250 million manipulations. However no trials on a large cohort of these patients have been performed to determine such negative side effects more accurately.

Ebina manipulative

This research was a retrospective analysis of 781 pediatric cases (less than 3 years of age) submitted between January 2002 and December 2004 to the Anglo-European College of Chiropractic Teaching Clinic. No exclusion requirements existed. By recording the number of treatments obtained, the type of treatment given, the results of the treatment and any negative or adverse incidents, information was extracted from each log. The treatment form has been classified as follows:

PSMT to more than one pelvis or spinal area

PSMT to the cervical, thoracic, or lumbar spine

The Pelvis PSMT t

• Technique of occipital-sacral decompression

• Treatment of upper extremity

Treatment of lower extremity

Massage and deal on soft tissues

• "other" - if a treatment is not included in either of the aforementioned categories (the most common here was instrument treatment)

Treatment results were assessed by the parent's symptom shift study (improvement, no change, or worsening). Negative side effects were interpreted from parent comments and described as any mild adverse reaction (transient and lasting Find the Kitsilano Sports Chiropractor information).