Document Type

Journal Article

Publication Title

Journal of Integrative and Complementary Medicine

PubMed ID

37902954

Publisher

Mary Ann Liebert, Inc. Publishers

School

School of Arts and Humanities

RAS ID

64567

Funders

Aus-ACA / the American Chiropractic Association (Council on Chiropratic Pediatrics) / Clinical Compass / Australasian Institute of Chiropractic Education (AICE) / ICA / Texas Chiropractic College / NCMIC Foundation

Comments

Keating, G., Hawk, C., Amorin-Woods, L., Amorin-Woods, D., Vallone, S., Farabaugh, R., . . . Thompson, R. (2023). Clinical practice guideline for best practice management of pediatric patients by chiropractors: Results of a Delphi consensus process. Journal of Integrative and Complementary Medicine. Advance online publication. https://doi.org/10.1089/jicm.2023.0010

Abstract

Objective: To build upon existing recommendations on best practices for chiropractic management of children by conducting a formal consensus process and best evidence synthesis. Design: Best practice guide based on recommendations from current best available evidence and formal consensus of a panel of experienced practitioners, consumers, and experts for chiropractic management of pediatric patients. Methods: Synthesis of results of a literature search to inform the development of recommendations from a multidisciplinary steering committee, including experts in pediatrics, followed by a formal Delphi panel consensus process. Results: The consensus process was conducted June to August 2022. All 60 panelists completed the process and reached at least 80% consensus on all recommendations after three Delphi rounds. Recommendations for best practices for chiropractic care for children addressed these aspects of the clinical encounter: patient communication, including informed consent; appropriate clinical history, including health habits; appropriate physical examination procedures; red flags/contraindications to chiropractic care and/or spinal manipulation; aspects of chiropractic management of pediatric patients, including infants; modifications of spinal manipulation and other manual procedures for pediatric patients; appropriate referral and comanagement; and appropriate health promotion and disease prevention practices. Conclusion: This set of recommendations represents a general framework for an evidence-informed and reasonable approach to the management of pediatric patients by chiropractors.

DOI

10.1089/jicm.2023.0010

Creative Commons License

Creative Commons Attribution 4.0 License
This work is licensed under a Creative Commons Attribution 4.0 License.

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