From: The safety of spinal manipulative therapy in children under 10 years: a rapid review
Author(s), Year | Source Population | Sample Characteristics | Exposure | Outcomes | Confounders | Key Findings |
---|---|---|---|---|---|---|
Saedt et al., 2018 [33] | Infants < 27 wks, referred w/ indications of upper cervical dysfunction, w/o causative concomitant pathology, potential underlying pathology, &/or red flags; Netherlands | Mean age: 11.2 wks62.3% male Reasons for seeking care: clear positional preference, restlessness and abnormal head position; n = 307 | Mild mobilization techniques focusing on atlas (C1) in relation to C0-C2. Average impulse of 11–20 N. | Harms recorded by manual therapists via questionnaire and physical exam post-exam: Mild: transient side effect lasting < 24 h Moderate: requiring medical and/or general practitioner tx Severe: requiring hospital tx, AE | N/A | Severe: 0% Moderate: 0% Mild: Vegetative responses after mobilization were reported: - Flushing: 17.8% (14.03, 22.59) - Hyper-extension: 4.3% (2.49, 7.11) - Perspiration: 3.6% (2.01, 6.30) - Gastro-esophageal reflux: 0.3% (0.06, 1.82) Short breathing pattern changes: 9.2% (6.39, 12.87) |