Index to Chiropractic Literature
Index to Chiropractic Literature
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Thursday, December 26, 2024
Index to Chiropractic LiteratureIndex to Chiropractic LiteratureIndex to Chiropractic Literature
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ID 20368
  Title The successful chiropractic care of pediatric patients with chronic constipation: A case series and selective review of the literature [case report; review]
URL http://dx.doi.org/doi:10.1016/j.clch.2008.07.001
Journal Clin Chiropr. 2008 Sep;11(3):138-147
Author(s)
Subject(s)
Peer Review Yes
Publication Type Case Report
Abstract/Notes Introduction: Chronic constipation is a common condition in the very young and the very old. So much so that approximately $800 million is spent on laxatives in the United States each year. Constipation is such a common problem in the pediatric population that it is the second most referred problem to the pediatric gastroenterologist and accounts for 25% of all visits. Given the many anecdotes and testimonials on the successful care of pediatric patients with constipation but the few documenting this in the scientific literature, we hope to contribute to evidence-based practice with this case series presentation.

Methods: We describe through a case series presentation the successful outcome of chiropractic care in pediatric patients with chronic constipation. All three patients were under 2 years of age with bowel movements ranging from once per week to every 3–4 days. Previous unsuccessful care involved dietary changes and the use of cod liver oil or mineral oil under the auspices of medical care.

Results: Following a trial of fullspine chiropractic care characterized as high velocity low amplitude thrusts and the activator technique, the patients responded to care immediately with improved bowel movements. Spanning a period of care of 3 weeks to 3 months in the three patients, there was an increase in frequency of bowel movements to once every 1–2 days. Furthermore, the bowel movements were described as soft without the accompanying straining, pain and rectal bleeding.

Conclusion: This study contributes to evidence-based practice on the chiropractic care of children with constipation.

This abstract is reproduced with the permission of the publisher; full text by subscription.
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