A Critical Appraisal of the Systematic Review on Adverse Events Associated With Pediatric Spinal Manipulative Therapy: A Chiropractic Perspective
Joel Alcantara, BSc, DC Bio
Journal of Pediatric, Maternal & Family Health - Chiropractic ~ Volume 2010 ~ Issue 1 ~ Pages 22-29
The purpose of this paper is to provide a critical appraisal of the systemic review on adverse events associated with pediatric spinal manipulative therapy performed by Vohra and colleagues. This appraisal of their work will reveal some startling facts that were not addressed and/or left out. Many adverse effects were made out to be minor, moderate, or severe, when in fact they are all minor events that are easily addressed by the chiropractor. Vohra and her colleagues paint a picture that solely blames chiropractic for the adverse effects experienced in these cases. The paper by Vohra et.al. is lacking in that it does not address an appreciation of the variety of techniques in performing SMT on pediatric patients.
Key Words:Chiropractic, systemic review, pediatric, spinal manipulative therapy, adjustment