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

Journal article

Keating, Genevieve, Hawk, Cheryl, Amorin-Woods, Lyndon, Amorin-Woods, Deisy, Vallone, Sharon, Farabaugh, Ronald, Todd, Angela, Ferrance, Randy, Young, Jessie, Bhogal, Stephanie O'Neill, Sexton, Helen, Alevaki, Helen, Miller, Joyce, Parkin-Smith, Gregory, Schielke, Alec, Robinson, Andrew and Thompson, Robyn. (2024). Clinical Practice Guideline for Best Practice Management of Pediatric Patients by Chiropractors : Results of a Delphi Consensus Process. Journal of Integrative and Complementary Medicine. 30(3), pp. 1731-1732. https://doi.org/10.1089/jicm.2023.0010
AuthorsKeating, Genevieve, Hawk, Cheryl, Amorin-Woods, Lyndon, Amorin-Woods, Deisy, Vallone, Sharon, Farabaugh, Ronald, Todd, Angela, Ferrance, Randy, Young, Jessie, Bhogal, Stephanie O'Neill, Sexton, Helen, Alevaki, Helen, Miller, Joyce, Parkin-Smith, Gregory, Schielke, Alec, Robinson, Andrew and Thompson, Robyn
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

Keywordsadolescent; chiropractic; child; infant; spine; spinal; manipulation; mobilization; pediatrics
Year01 Jan 2024
JournalJournal of Integrative and Complementary Medicine
Journal citation30 (3), pp. 1731-1732
PublisherMary Ann Liebert Inc
ISSN2768-3605
Digital Object Identifier (DOI)https://doi.org/10.1089/jicm.2023.0010
Web address (URL)https://www.liebertpub.com/doi/10.1089/jicm.2023.0010
Open accessPublished as non-open access
Research or scholarlyResearch
Page range1731-1732
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online15 Mar 2024
Publication process dates
Deposited22 Oct 2024
Additional information

© Genevieve Keating et al., 2023

This Open Access article is distributed under the terms of the Creative Commons License [CC-BY] (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Place of publicationUnited States
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