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2.
Bioethics ; 30(2): 63-8, 2016 Feb.
Article in English | MEDLINE | ID: mdl-26806448

ABSTRACT

Chiropractors commonly treat children for a variety of ailments by manipulating the spine to correct a 'vertebral subluxation' or a 'vertebral subluxation complex' alleged to be a cause of disease. Such treatment might begin soon after a child is born. Both major American chiropractic associations - the International Chiropractic Association and the American Chiropractic Association - support chiropractic care for children, which includes subluxation correction as a treatment or preventive measure. I do not know of any credible evidence to support chiropractic subluxation theory. Any attempt to manipulate the immature, cartilaginous spine of a neonate or a small child to correct a putative chiropractic subluxation should be regarded as dangerous and unnecessary. Referral of a child to a chiropractor for such treatment should not be considered lest a bad outcome harms the child or leads to a charge of negligence or malpractice.


Subject(s)
Chiropractic , Manipulation, Chiropractic , Pediatrics , Referral and Consultation , Spinal Diseases/therapy , Child , Chiropractic/ethics , Chiropractic/standards , Chiropractic/trends , Evidence-Based Medicine , Humans , Manipulation, Chiropractic/adverse effects , Manipulation, Chiropractic/ethics , Pediatrics/ethics , Pediatrics/standards , Pediatrics/trends , Risk , United States
3.
Pediatrics ; 128 Suppl 4: S200-5, 2011 Nov.
Article in English | MEDLINE | ID: mdl-22045864

ABSTRACT

In this article we explain (1) the standard of care that health care providers must meet and (2) how these principles apply to complementary and alternative medicine practitioners. The scenario describes a 14-year-old boy who is experiencing back pain and whose chiropractor performed spinal manipulation but did not recognize or take steps to rule out serious underlying disease-in this case, testicular cancer--either initially or when the patient's condition continued to deteriorate despite treatment. We use chiropractic care for a patient with a sore back as an example, because back pain is such a common problem and chiropracty is a common treatment chosen by both adult and pediatric patients. The scenario illustrates the responsibilities that complementary and alternative medicine practitioners owe patients/parents, the potential for liability when deficient care harms patients, and the importance of ample formal pediatric training for practitioners who treat pediatric patients.


Subject(s)
Complementary Therapies/standards , Liability, Legal , Standard of Care , Adolescent , Back Pain/complications , Back Pain/etiology , Canada , Child , Chiropractic/ethics , Chiropractic/legislation & jurisprudence , Complementary Therapies/education , Complementary Therapies/ethics , Complementary Therapies/legislation & jurisprudence , Government Regulation , Humans , Informed Consent , Male , Manipulation, Chiropractic/ethics , Patient Safety , Pediatrics , Standard of Care/ethics , Standard of Care/legislation & jurisprudence , Testicular Neoplasms/complications , Testicular Neoplasms/diagnosis , United States
4.
Conn Med ; 68(6): 409, 2004.
Article in English | MEDLINE | ID: mdl-15266892
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