Clinical practice guideline for best practice management of pediatric patients by chiropractors: Results of a Delphi consensus process

Keating, G, Hawk, C, Amorin-Woods, L., Amorin-Woods, D, Vallone, S, Farabaugh, R, Todd, A, Ferrance, R, Young, J, O'Neill Bhogal, S, Sexton, H, Alevaki, H, Miller, Joyce, Parkin-Smith, G, Schielke, A, Robinson, A and Thompson, R (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. pp. 216-232. ISSN 2768-3613

Text Miller, J 2024 JICM Full article.pdf - Published Version Available under License Creative Commons Attribution. Download (374kB)

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.

Item Type:	Article
Schools:	AECC School of Chiropractic
Depositing User:	Bridget Roberts
Date Deposited:	02 Oct 2025 11:22
Last Modified:	02 Oct 2025 11:22
URI:	https://hsu.repository.guildhe.ac.uk/id/eprint/564

Actions (login required)

Edit Item