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

Genevieve Keating1,2, Cheryl Hawk3,4, Lyndon Amorin-Woods5,6

  • 1Fielding Graduate University, Santa Barbara, CA, USA.

Insights

Chiropractors now have updated best practice guidelines for managing pediatric patients, developed through expert consensus and evidence synthesis. These recommendations cover communication, examination, red flags, and treatment modifications for children.

Area of Science:

  • Chiropractic Care
  • Pediatric Health
  • Evidence-Based Practice

Background:

  • Existing recommendations for pediatric chiropractic care require enhancement.
  • A formal consensus process and best evidence synthesis are needed to update best practices.

Purpose of the Study:

  • To develop a best practice guide for the chiropractic management of pediatric patients.
  • To synthesize current evidence and expert consensus for pediatric chiropractic care.

Main Methods:

  • A literature search was conducted to inform recommendations.
  • A multidisciplinary steering committee and a formal Delphi panel consensus process were utilized.
  • Sixty panelists achieved over 80% consensus on recommendations after three rounds.

Main Results:

  • Recommendations cover patient communication, history taking, and physical examination.
  • Guidelines address red flags, contraindications, and management of infants and children.
  • Specifics include modifications for spinal manipulation, referral, comanagement, and health promotion.

Conclusions:

  • The developed recommendations provide a framework for evidence-informed chiropractic care of pediatric patients.
  • This guide supports a reasonable approach to managing children in chiropractic practice.

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