Wiberg Karin R, Wiberg Jesper M M
Chiropractor, Private Practice of Chiropractic, Ballerup, Denmark.
J Manipulative Physiol Ther. 2010 Sep;33(7):536-41. doi: 10.1016/j.jmpt.2010.08.004.
The aim of this study was to investigate if the outcome of excessively crying infants treated with chiropractic manipulation (1) was associated with age and/or (2), at least partially, can be explained by age according to the natural decline in crying.
This was a retrospective evaluation of clinical records of 749 infants from a private Danish chiropractic practice. All of the infants were healthy, thriving infants born to term within the age of 0 to 3 months who fulfilled the diagnostic criteria for excessively crying infants (infantile colic), whose parents sought chiropractic treatment. The infants were treated using chiropractic management as decided by the treating doctor of chiropractic, and changes in crying based upon the parents' report were noted as improved, uncertain, or nonrecovered. Age predictor groups were cross-tabulated against the outcome variables, and difference between classification groups was tested with χ(2) tables and confidence intervals.
Slightly older age was found to be linked to excessively crying infants who experienced clinical improvement. However, no apparent link between the clinical effect of chiropractic treatment and a natural decline in crying was found for this group of infants.
The findings of this study do not support the assumption that effect of chiropractic treatment of infantile colic is a reflection of the normal cessation of this disorder.
本研究旨在调查接受脊椎按摩疗法治疗的过度哭闹婴儿的治疗结果是否(1)与年龄相关,和/或(2)根据哭闹的自然减少情况,至少部分可由年龄来解释。
这是一项对丹麦一家私人脊椎按摩诊所749名婴儿临床记录的回顾性评估。所有婴儿均为足月出生的健康、发育良好的0至3个月龄婴儿,符合过度哭闹婴儿(婴儿腹绞痛)的诊断标准,其父母寻求脊椎按摩治疗。婴儿接受了脊椎按摩治疗师决定的脊椎按摩管理,并根据父母的报告记录哭闹情况的变化,分为改善、不确定或未恢复。将年龄预测组与结果变量进行交叉制表,并使用χ(2)表和置信区间检验分类组之间的差异。
发现稍大的年龄与临床症状改善的过度哭闹婴儿有关。然而,对于这组婴儿,未发现脊椎按摩治疗的临床效果与哭闹自然减少之间存在明显联系。
本研究结果不支持脊椎按摩疗法治疗婴儿腹绞痛的效果是这种疾病正常停止的反映这一假设。