Chiropractic spinal manipulation for infant colic: a systematic review of randomised clinical trials

@article{Ernst2009ChiropracticSM,
  title={Chiropractic spinal manipulation for infant colic: a systematic review of randomised clinical trials},
  author={Edzard Ernst},
  journal={International Journal of Clinical Practice},
  year={2009},
  volume={63}
}
  • E. Ernst
  • Published 1 September 2009
  • Medicine
  • International Journal of Clinical Practice
Some chiropractors claim that spinal manipulation is an effective treatment for infant colic. This systematic review was aimed at evaluating the evidence for this claim. Four databases were searched and three randomised clinical trials met all the inclusion criteria. The totality of this evidence fails to demonstrate the effectiveness of this treatment. It is concluded that the above claim is not based on convincing data from rigorous clinical trials. 
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Manipulative therapies for infantile colic.
TLDR
Manipulative therapies had a significant effect on infant colic - reducing average crying time by one hour and 12 minutes per day, suggesting that a greater proportion of parents of infants receiving a manipulative therapy reported clinically significant improvements than did parents of those receiving no treatment.
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TLDR
The aim of this review was to evaluate the methodological quality of randomized controlled trials of spinal manipulation and mobilization in tension-type headache, migraine, and cervicogenic headache.
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TLDR
Applying of pediatric chiropractic was broad, and it was effectively cure for pediatric diseases.
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References

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TLDR
Chiropractic spinal manipulation is no more effective than placebo in the treatment of infantile colic, emphasising the need for placebo controlled and blinded studies when investigating alternative methods to treat unpredictable conditions.
Infantile colic treated by chiropractors: a prospective study of 316 cases.
A prospective, uncontrolled study of 316 infants suffering from infantile colic and selected according to well-defined criteria shows a satisfactory result of spinal manipulative therapy in 94% of
Comparison of the short-term effects of chiropractic spinal manipulation and occipito-sacral decompression in the treatment of infant colic: A single-blinded, randomised, comparison trial
TLDR
Both treatments appear to offer significant benefits to infants with colic, and the treatment approaches as a cause of the observed benefits in this study must be appropriately interpreted.
Chiropractic management of infantile colic
TLDR
These cases suggest a possible association between birth trauma; the development of cranial and spinal segmental dysfunction and consequential manifestation of symptoms of infantile colic and demonstrate chiropractic treatment successfully restoring correct spinal and cranial motion, with an associated resolution of symptoms.
The short-term effect of spinal manipulation in the treatment of infantile colic: a randomized controlled clinical trial with a blinded observer.
TLDR
Spinal manipulation is effective in relieving infantile colic and the manipulation group did significantly better that the dimethicone group from trial day 5 onward.
Adverse effects of spinal manipulative therapy in children younger than 3 years: a retrospective study in a chiropractic teaching clinic.
TLDR
This study shows that for the population studied, chiropractic manipulation produced very few adverse effects and was a safe form of therapy in the treatment of patients in this age group.
Adverse effects of spinal manipulation: a systematic review.
  • E. Ernst
  • Medicine
    Journal of the Royal Society of Medicine
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TLDR
Spinal manipulation, particularly when performed on the upper spine, is frequently associated with mild to moderate adverse effects and can also result in serious complications such as vertebral artery dissection followed by stroke.
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TLDR
The current concepts for management options of infantile colic are reviewed in a systematic review of current treatment guidelines.
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TLDR
Occurrence rates of infantile colic vary greatly according to methodological quality, and a considerable number of parents reporting prolonged crying do not seek or need professional help.
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TLDR
It is probable that infants with colic require a graded strategy, and the medical hypotheses include food hypersensitivity or allergy, immaturity of gut function and dysmotility and the behavioural hypotheses include inadequate maternal–infant interaction, anxiety in the mother and difficult infant temperament.
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