Pediatrics

Updated: January 2021

Spinal Manipulative Therapy (SMT) Safety

  • A 2020 systematic review showed evidence of the safety of SMT in children under 10 years of age. The evidence showed that the most adverse events (AEs) are mild including crying and soreness. Although there is a limited amount of research on SMT in pediatric patients, there is no evidence showing severe AEs from this treatment on children under the age of 10. FREE FULL TEXT

 

Adolescent Idiopathic Scoliosis (AIS)

  • A 2020 study evaluated the correlation between spinal coronal balance and static baropodometry in children with AIS. It found that coronal balance is correlated with plantar pressure distribution with a positive correlation with the larger surface of the forefoot than rear foot and a heavier load ratio on the forefoot than the rearfoot. FREE FULL TEXT
  • A 2020 retrospective chart review of 10 Chinese children showed, after an average treatment period of 10 months, a change in curve deformities. Treatments consisted of massage, flexion-distraction and spinal manipulation. The average pretreatment Cobb angle was 29.7˚ and improved to an average of 23.4˚. Curve changes were significantly less for older adolescents with more advanced curves. FREE FULL TEXT

 

Infantile Colic

  • a 2020 systematic review of reviews and guidelines compared common interventions for colic and found reduced crying time following manual therapy and probiotic treatments. Regarding manual therapy, evidence quality was low to moderate and unclear as to the quantity or specific manual therapies. Evidence was strong for probiotic (Lactobacillus reuteri). Both treatments carried a low risk of AEs. FREE FULL TEXT
  • A 2020 systematic review evaluated the efficacy and safety of complementary and alternative therapy methods used to treat infantile colic. Two randomized and controlled trials found acupuncture therapy to be effective and one found it ineffective. A variety of aromatic oils have been used orally, by inhalation and topically. Massage was been found to effectively reduce the symptoms of infantile colic. No serious side effects were reported in these studies. ABSTRACT

 

Positional Plagiocephaly and Congenital Torticollis

  • A 2020 systematic review of systematic reviews and guidelines investigated the effectiveness and safety of manual therapy, repositioning and helmet therapy for positional plagiocephaly (PP) and manual therapy and repositioning for congenital muscular torticollis (CMT). For PP, manual therapy was more effective than repositioning including tummy time (moderate to high evidence) but not better than helmet therapy (low evidence). Helmet therapy was better than usual care or repositioning (low evidence); and repositioning better than usual care (moderate to high evidence). The results for CMT showed that manual therapy in the form of practitioner-led stretching had moderate favorable evidence for increased range of movement. Advice, guidance and parental support was recommended in all the guidance to reassure parents of the favourable trajectory and nature of these conditions over time. FREE FULL TEXT[/restrict]

A literature synthesis of Chiropractic Care in Pediatrics — an academically rigorous analysis of all the available scientific literature using internationally accepted tools to rate each article according to specific criteria indicating only what we can conclude with supportable, scientific evidence.