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Báo cáo y học: "The evidence base for chiropractic treatment of musculoskeletal conditions in children and adolescents: The emperor's new suit"

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Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: The evidence base for chiropractic treatment of musculoskeletal conditions in children and adolescents: The emperor's new suit? | Hestbaek and Stochkendahl Chiropractic Osteopathy 2010 18 15 http www.chiroandosteo.eom content 18 1 15 CHIROPRACTIC OSTEOPATHY REVIEW Open Access The evidence base for chiropractic treatment of musculoskeletal conditions in children and adolescents The emperor s new suit Lise Hestbaek and Mette Jensen Stochkendahl Abstract Five to ten percent of chiropractic patients are children and adolescents. Most of these consult because of spinal pain or other musculoskeletal complaints. These musculoskeletal disorders in early life not only affect the quality of children s lives but also seem to have an impact on adult musculoskeletal health. Thus this is an important part of the chiropractors scope of practice and the objective of this review is to assess the evidence base for manual treatment of musculoskeletal disorders in children and adolescents. Randomized quasi-randomized and non-randomized clinical studies were included if they investigated the effect of manual therapy on musculoskeletal disorders in children and or adolescents. The MEDLINE and MANTIS databases were searched and studies published in English Danish Swedish or Norwegian were included. Only three studies were identified that in some way attempted to look at the effectiveness of manual therapy for children or adolescents with spinal problems and none of these was a randomized controlled clinical trial. As for the rest of the musculoskeletal system only one study of temporomandibular disorder was identified. With this review we have detected a paradox within the chiropractic profession Although the major reason for pediatric patients to attend a chiropractor is spinal pain no adequate studies have been performed in this area. It is time for the chiropractic profession to take responsibility and systematically investigate the efficiency of joint manipulation of problems relating to the developing musculoskeletal system. Background All over the world chiropractors treat a large variety of conditions in .

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