improvement in presenting symp- toms, 14 per cent reporting no change • No parent reported worsening in presenting symptoms, however there were seven cases in which parents reported adverse reactions (roughly one per cent) – upon further exami- nation, three of these seven were not actually adverse reactions and were attributed by the parents to other things aside from the treatment • All of the adverse reactions were mild in nature, requiring no medical care – six of the seven involved in- creased crying, and did not interfere with normal daily function • There were no serious compli- cations Although the design of this study does not provide insight into the effectiveness of chiropractic care for pediatric patients, it does suggest that adverse events asso- ciated with chiropractic care for patients younger than three are rare. This is a positive step forward for the literature in this patient population, who are difficult to study as they are unable to describe adverse reactions themselves. This study examined a large number of patients, but its results should be in- terpreted while considering with the fol- lowing limitations: • Three of the seven patients who had mild reactions were lost to long-term follow-up • Parental reporting has inherent limi- tations – for example, if they are satisfi ed with the clinical encounter, they may not report adverse reac- tions even if they occurred • Patient fi les may be incomplete in terms of reporting adverse reactions In adults, a common side effect of manual therapy is temporary soreness, so it is within reason that after PSMT, children may experience the same reac- tion. Practitioners must ensure that par- ents understand that increased crying time may be a normal, albeit rare, tem- porary reaction that can be expected to subside within 24 hours. • ADDITIONAL REFERENCES: 1. Hayden JA, Mior SA, Verhoef MJ. Evaluation of chiropractic manage- ment of pediatric patients with low back pain: a prospective cohort study. JMPT 2003; 26: 1-8. 2. Wiberg JMM, Nordsteen J, Nilsson N. The short-term effect of spinal manipulation in the treatment of infantile colic: A randomized con- trolled clinical trial with a blinded observer. JMPT 1999; 22: 517-522. 3. Hughes S, Bolton J. Is chiropractic an effective treatment in infantile colic? Arch Dis Child 2002; 86: 382-384. READ THESE STORIES AND MORE AT WWW.CANADIANCHIROPRACTOR.CA NEWS HIGHLIGHTS • Canadian Chiropractic Association Convention – 2010 October 23, 2008 - Toronto - The Canadian Chiropractic Convention (CCA) 2010 is scheduled to take place November 11 -13, 2010 at the Sheraton Centre in Toronto, Ontario. • ACAC Ignites Certainty at 2008 Conference October 26, 2008 - Banff, Alberta – The Alberta College and Association of Chiropractors (ACAC) has wrapped up their 2008 conference at the Rimrock Hotel in Banff, Alberta. • WHO Beijing Declaration Supports Chiropractic Nov. 21, Toronto, ON - Strong new policy support for the continued growth and acceptance of chiropractic and other branches of natural medicine in national health systems was given by the World Health Organization (WHO) and its member nations in Beijing this month. READ FULL STORIES ONLINE WEB EXCLUSIVE A Canadian Chiropractic Master Interview with Dr. Mike Reid By Roger Turner, DC he key is to have a principle behind what you do – to have purpose, passion and a strong mindset,” says Dr. Mike Reid, CEO and Head Coach of Chiropractic Masters. “You’ve got to have a can do and will do attitude. You have to be willing to work hard, especially at meet- ing and greeting people. That’s the foundation to building a practice.” T www.canadianchiropractor.ca BLOG Visit www.canadianchiropractor.ca and participate in our latest blog topic: As 2008 comes to a close, what message, vision or lesson would you like to share with your colleagues? DIGITAL MAGAZINE E To sign up for a free trial of Canadian Chiropractor magazine, digital version, please go to www.canadianchiropractor.ca. E-NEWSLETTER To sign up for our bimonthly e-newsletter, visit www.canadian chiropractor.ca. It’s free! CANADIAN CHIROPRACTOR | DECEMBER 2008 • 15
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