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

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

doi:10.1089/jicm.2023.0010

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

Journal article

Open access

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

Genevieve Keating, Cheryl Hawk, Lyndon Amorin-Woods, Deisy Amorin-Woods, Sharon Vallone, Ronald Farabaugh, Angela Todd, Randy Ferrance, Jessie Young, Stephanie O'Neill Bhogal, …

Journal of Integrative and Complementary Medicine, Vol.30(3), pp.216-232

2023

DOI: https://doi.org/10.1089/jicm.2023.0010

PMID: 37902954

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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.

Details

Title: Clinical Practice Guideline for Best Practice Management of Pediatric Patients by Chiropractors: Results of a Delphi Consensus Process
Authors/Creators: Genevieve Keating - Fielding Graduate University
Cheryl Hawk - Compass (United States)
Lyndon Amorin-Woods - Murdoch University
Deisy Amorin-Woods - Edith Cowan University, Joondalup, Australia., Private Practice, Insight Counselling, Perth, Australia
Sharon Vallone - Private Practice, Kidspace, Tolland, CT, USA
Ronald Farabaugh - Compass Oncology
Angela Todd - St Vincent’s Private Hospital Sydney
Randy Ferrance - University of Richmond
Jessie Young - Association of Canadian Archivists
Stephanie O'Neill Bhogal - Life University, Marietta, GA, USA
Helen Sexton - Private Practice, Bendigo, Australia
Helen Alevaki - St Vincent’s Private Hospital Sydney
Joyce Miller - Health Sciences University
Gregory Parkin-Smith - Murdoch University
Alec Schielke - Palmer College of Chiropractic
Andrew Robinson - University of Tasmania
Robyn Thompson - Australian Catholic University
Publication Details: Journal of Integrative and Complementary Medicine, Vol.30(3), pp.216-232
Publisher: Mary Ann Liebert, Inc.
Identifiers: 991005631769707891
Copyright: © 2023 Genevieve Keating et al.
Murdoch Affiliation: School of Allied Health
Language: English
Resource Type: Journal article

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Collaboration types: Domestic collaboration; International collaboration
Citation topics: 1 Clinical & Life Sciences; 1.129 Back pain; 1.129.98 Low Back Pain
Web Of Science research areas: Integrative & Complementary Medicine
ESI research areas: Clinical Medicine