Research on Chiropractic Children

Cervical Kyphosis is a Possible Link to Attention-Deficit/Hyperactivity Disorder

Journal: J Manipulative Physiol Ther. 2004;27(8):e14
Authors: Bastecki AV, Harrison DE, Haas JW


Objective: To discuss the case of a patient who was diagnosed with attention-deficit/hyperactivity disorder (ADHD) by a general practitioner and was treated with chiropractic care.

Clinical features: A 5-year-old patient was diagnosed with ADHD and treated by a pediatrician unsuccessfully with methylphenidate (Ritalin), Adderall, and Haldol for 3 years. The patient received 35 chiropractic treatments during the course of 8 weeks. A change from a 12 degrees C2-7 kyphosis to a 32 degrees C2-7 lordosis was observed after treatment. During chiropractic care, the child’s facial tics resolved and his behavior vastly improved. After 27 chiropractic visits, the child’s pediatrician stated that the child no longer exhibited symptoms of ADHD. The changes in structure and function may be related to the correction of cervical kyphosis.

Conclusion: The patient experienced significant reduction in symptoms. Additionally, the medical doctor concluded that the reduction in symptoms was significant enough to discontinue the medication. There may be a possible connection that correction of cervical kyphosis in patients with ADHD may produce a desirable clinical outcome.

Chiropractic Care of Children

Journal: Arch Pediatr Adolesc Med. 2000;154:401-407
Authors: Lee AC, Li DH, Kemper KJ


Objective:  To describe the practice characteristics and pediatric care of chiropractors.

Study Design:  Cross-sectional, descriptive survey.

Setting:  Chiropractic practices in the Boston, Mass, metropolitan area.

Participants:  One hundred fifty licensed chiropractors.

Main Outcome Measures:  Demographics, practice characteristics, and fee structure. Practitioners were also asked about their approach to childhood immunizations and a clinical scenario. Data were analyzed using simple descriptive statistics.

Results:  Ninety (60%) chiropractors responded. All were white and 65% were men. Respondents had on average 122 patient visits weekly, of which 13 (11%) were from children and adolescents. Typical visit frequency ranged from 1 to 3 times weekly. Average visit fees were $82 and $38 (initial and follow-up) and 49% of the fees were covered by insurance. Seventy percent of the respondents recommended herbs and dietary supplements. For pediatric care, 30% reported actively recommending childhood immunizations; presented with a hypothetical 2-week-old neonate with a fever, 17% would treat the patient themselves rather than immediately refer the patient to a doctor of medicine, doctor of osteopathy, or an emergency facility.

Conclusions:  Children and adolescents constitute a substantial number of patients in chiropractics. An estimated 420,000 pediatric chiropractic visits were made in the Boston metropolitan area in 1998, costing approximately $14 million. Pediatric chiropractic care is often inconsistent with recommended medical guidelines. National studies are needed to assess the safety, efficacy, and cost of chiropractic care for children.