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Clinical Practice Guideline for Best Practice Management of Pediatric Patients by Chiropractors: Results of a Delphi Consensus Process

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Structural and chiropractic

J Integr Complement Med. 2024 Mar;30(3):216-232. doi: 10.1089/jicm.2023.0010. Epub 2023 Oct 30.

Authors:

Genevieve Keating, Cheryl Hawk, Lyndon Amorin-Woods, Deisy Amorin-Woods, Sharon Vallone, Ronald Farabaugh, Angela Todd, Randy Ferrance, Jessie Young, Stephanie O'Neill Bhogal, Helen Sexton, Helen Alevaki, Joyce Miller, Gregory Parkin-Smith, Alec Schielke, Andrew Robinson, Robyn Thompson

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. Keywords: adolescent; child; chiropractic; infant; manipulation; mobilization; pediatrics; spinal; spine.

Publication Date: 

2024 Mar

OEID: 

7144

Keating, G., Hawk, C., Amorin-woods, L., Amorin-woods, D., Vallone, S., Farabaugh, R., Todd, A., Ferrance, R., Young, J., Bhogal, OS., Sexton, H., Alevaki, H., Miller, J., Parkin-smith, G., Schielke, A., Robinson, A., Thompson, R. (2024) 'Clinical Practice Guideline for Best Practice Management of Pediatric Patients by Chiropractors: Results of a Delphi Consensus Process', J Integr Complement Med. 2024 Mar;30(3):216-232. doi: 10.1089/jicm.2023.0010. Epub 2023 Oct 30.

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