儿童和青少年非肌肉骨骼疾病的整脊诊断与管理。
Chiropractic diagnosis and management of non-musculoskeletal conditions in children and adolescents.
作者信息
Ferrance Randy J, Miller Joyce
机构信息
Hospitalist and Medical Director of Hospital-Based Quality, Riverside Tappahannock Hospital, Tappahannock, VA, USA.
出版信息
Chiropr Osteopat. 2010 Jun 2;18:14. doi: 10.1186/1746-1340-18-14.
BACKGROUND
A great deal has been published in the chiropractic literature regarding the response, or lack thereof, of various common pediatric conditions to chiropractic care. The majority of that literature is of low scientific value (that is, case reports or case series). The purpose of this review is to summarize the literature from the point of view of clinicians, rather than researchers, and to discuss some additional detail of the conditions themselves.
METHODS
Databases searched were PubMed, Mantis, Index to Chiropractic Literature, and CINAHL. Keywords were chiropractic paired with colic, crying infant, nocturnal enuresis, asthma, otitis media and attention deficit hyperactivity disorder.
RESULTS
Most of the published literature centers around case reports or series. The more scientifically rigorous studies show conflicting results for colic and the crying infant, and there is little data to suggest improvement of otitis media, asthma, nocturnal enuresis or attention deficit hyperactivity disorder.
DISCUSSION
The efficacy of chiropractic care in the treatment of non-musculoskeletal disorders has yet to be definitely proven or disproven, with the burden of proof still resting upon the chiropractic profession.
背景
整脊文献中已发表了大量关于各种常见儿科疾病对整脊治疗的反应（或无反应）的内容。该文献中的大部分科学价值较低（即病例报告或病例系列）。本综述的目的是从临床医生而非研究人员的角度总结文献，并讨论这些疾病本身的一些更多细节。
方法
检索的数据库有PubMed、Mantis、整脊文献索引和护理学与健康领域数据库。关键词是整脊疗法与绞痛、哭闹婴儿、夜间遗尿、哮喘、中耳炎和注意力缺陷多动障碍。
结果
大多数已发表的文献围绕病例报告或系列展开。科学性更强的研究对绞痛和哭闹婴儿的结果相互矛盾，几乎没有数据表明整脊疗法能改善中耳炎、哮喘、夜间遗尿或注意力缺陷多动障碍。
讨论
整脊疗法在治疗非肌肉骨骼疾病方面的疗效尚未得到明确证实或证伪，举证责任仍在整脊行业。
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