Hands on Health - Family Chiropractor

Your local Camberley Chiropractor - providing High Quality Personal Care since 1996


01276 501777  

Chiropractic management of a 5-year-old boy with sleep disturbance and challenging behaviour: an evidence-based case report

Lara Cawthra BSc, MChiro, MCSc.(Paeds), FRCC (Paeds)

Correspondance address: Hands on Health – Family Chiropractic, 23 Kingsley Ave, Camberley, SURREY, England, GU15 2NA. Email: lara.cawthra@ntlworld.com

Abstract
Children with sleep problems are reported to have more behavioural problems. Common interventions to address this include behavioural routines to improve sleep and pharmacological approaches although a search of existing literature revealed a marked lack of evidence. This case report describes the chiropractic management of sleep difficulties and challenging behaviour in a 5-year-old boy. The clinical presentation, assessment, and chiropractic management of the case is described. The outcome was a marked reduction in sleeping difficulty and a concurrent improvement in behaviour. This case study highlights the need for further study in the area of sleep disorders and associated behavioural issues in young children.
Read the full case report as featured in Articulate here 

 

move

Chiropractic and breastfeeding dysfunction: A literature review

By Lauren M. Fry, BAppSc (CompMed-Chiro), MClinChiro
Lauren M. Fry, BAppSc(CompMed-Chiro), MClinChiro, private practice, Elwood, Victoria, Australia
Contact: laurenfry85@gmail.com

Abstract: Objective: Breastfeeding an infant has many long and short-term health benefits. Chiropractic care, as part of a multidisciplinary team, has the potential to assist with biomechanical causes of breastfeeding dysfunction. The purpose of this study was to review the literature and explore what evidence there is to support this theory.

Methods: Database searches were performed (PubMed, MEDLINE, Cumulative Index to Nursing and Allied Health and Index to Chiropractic Literature) and hand searches to identify relevant studies. Inclusion criteria were: written in the English language in a peer-reviewed journal, involving infant human participants and a focus on chiropractic treatment for breastfeeding (dysfunction). 

Results: Ten articles were reviewed; 5 case studies, 3 case series, 1 clinical trial and 1 narrative.

​Conclusions: Limited evidence exists to support chiropractic treatment for infants with breastfeeding dysfunction. Of the 6 case studies, 3 case series and 1 clinical trial found in this report there was a trend towards resolution of breastfeeding issues with chiropractic treatment of biomechanical imbalances. More meticulous, higher evidence studies are needed to provide further evidence of this.

Read more >>
X
move

Spinal Manipulative Therapy deemed safe and effective for lumbar and pelvic pain on pregnancy in British Medical Journal

 
 Musculoskeletal symptoms and orthopaedic complications in pregnancy: pathophysiology, diagnostic approaches and modern management

Bhardwaj A, Nagandla K. Postgrad Med J. 2014 Aug;90(1066):450-60. doi: 10.1136/postgradmedj-2013-132377. Epub 2014 Jun 5

Musculoskeletal symptoms and orthopaedic complications in pregnancy: pathophysiology, diagnostic approaches and modern management

Bhardwaj A, Nagandla K. Postgrad Med J. 2014 Aug;90(1066):450-60. doi: 10.1136/postgradmedj-2013-132377. Epub 2014 Jun 5

Abstract

Low back pain is a common musculoskeletal symptom in pregnancy that can present as lumbar pain or pelvic girdle pain, with significant physical and psychosocial implications. Pelvic girdle pain is more prevalent and results in greater disability than lumbar pain. It is possible to distinguish between these two conditions from a detailed history based on the site of the pain, its intensity, disability and pain provocation tests. Management of low back pain in pregnancy is conservative, with physical exercise for lumbar pain and minimising activities that exacerbate pain, analgesics and bed rest for pelvic girdle pain, as well as avoiding abduction beyond the pain-free zone in labour. There is evidence that stabilising exercises in patients with pelvic girdle pain postpartum have a beneficial effect. Other treatment modalities that have been shown to be safe and effective include pelvic belts, transcutaneous electrical nerve stimulation, spinal manipulative therapy, acupuncture and complementary therapy with yoga. Other orthopaedic complications in pregnancy such as carpal tunnel syndrome, pubic symphysis rupture, transient osteoporosis and osteonecrosis are usually self-limiting with a satisfactory outcome. However, a lack of awareness and failure to recognise these complications can result in long-term morbidity. Knowledge of the preoperative diagnostic investigations, surgical approaches and intraoperative positioning of the mother to avoid gravid uterus compression is vital in orthopaedic emergencies such as lumbar disc herniation, cauda equina syndrome, fractures and acute compartment syndrome of the lower limb to ensure a safe maternal and fetal outcome and to prevent serious disability. Pregnancy is not contraindicated in women with pre-existing orthopaedic complications such as kyphoscoliosis and total hip arthroplasty as there is no evidence to suggest increased maternal or fetal risks.

Read more here  >>
X
move

Improvement in Quality of Life for Six Pregnant Patients Undergoing Chiropractic Care: The Promise of PROMIS

Joel Alcantara, D.C.1 & Jeanne Ohm, D.C.2

Abstract Introduction: The use of health-related quality of life (HRQoL) measures in chiropractic pregnant patients remains virtually non-existent. In this paper pregnant patients are characterized showcasing the use of the NIH PROMIS program to determine baseline HRQoL measures. Methods: In addition to describing sociodemographic and clinical data, patient-centered outcomes measures utilizing the PROMIS-29 Profile V1.0 are demonstrated.

Results: Six pregnant patients (average age=33.33 years) with average parity at 0.33 and mean gestation of 20 weeks are described. Their primary caregivers were obstetrician/gynecologists, nurse-midwives and midwives. All were aware of concurrent chiropractic care. The patients presented with NMS complaints and for wellness care. The PROMIS scoring demonstrated the dynamic nature of the HRQoL domains in pregnant patients with improvements (i.e., fear/anxiety, pain interference and satisfaction with social roles) and decrements (i.e., physical functioning and sleep disturbance) in HRQoL domains.

Discussion: Evidence-informed practice expects that some aspect of chiropractic patients’ HRQoL measures will have demonstrable improvements. The use of PROMIS within a chiropractic Practice Based Research Network (PBRN) offers promise in this regard.

 Conclusion: Pregnant patients attending chiropractic care within a PBRN are characterized using PROMIS HRQoL measures. The use of valid outcome measures to demonstrate chiropractic effectiveness should be further implemented in research and practice.  

Read more >>
X