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Journal article
Clinical Practice Guideline for Best Practice Management of Pediatric Patients by Chiropractors: Results of a Delphi Consensus Process
Journal of Integrative and Complementary Medicine, Vol.30(3), pp.216-232
2023
PMID: 37902954
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 UniversityCheryl Hawk - CompassLyndon Amorin-Woods - Murdoch UniversityDeisy Amorin-Woods - Edith Cowan University, Joondalup, Australia., Private Practice, Insight Counselling, Perth, AustraliaSharon Vallone - Private Practice, Kidspace, Tolland, CT, USARonald Farabaugh - Compass OncologyAngela Todd - St Vincent’s Private Hospital SydneyRandy Ferrance - University of RichmondJessie Young - Association of Canadian ArchivistsStephanie O'Neill Bhogal - Life University, Marietta, GA, USAHelen Sexton - Private Practice, Bendigo, AustraliaHelen Alevaki - St Vincent’s Private Hospital SydneyJoyce Miller - Health Sciences UniversityGregory Parkin-Smith - Murdoch UniversityAlec Schielke - Palmer College of ChiropracticAndrew Robinson - University of TasmaniaRobyn 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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- Web Of Science research areas
- Integrative & Complementary Medicine
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- Clinical Medicine