ABC’s Of Pediatric Adjusting. Modifications for the Pediatric Patient. Stephanie C. O’Neill , DC, DICCP. “Wellness Care”. Fysh recommends spinal check-ups for school-aged children, at least every 3 months for pre-school children, at least every 2 months
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Modifications for the Pediatric Patient
Stephanie C. O’Neill, DC, DICCP
The Child Patient: A Matrix for Chiropractic Care
(Vol. 6, No. 3)
McMullen M. Assessing Upper Cervical Subluxations in Infants Under Six Months- Utilizing the Reverse Fencer Response. ICA International Review of Chiropractic. March/April;1990,39-41.
Before you suspend a child by their legs you must rule out hip instability.
Congenital Hip Dysplasia
Heel swing (cont‘d):
Child arches backwards (opisthotonis)
What do you do?
“a negative response (heel swing) indicates a subluxation complex between the atlas-axis or atlas-occ. on that side“
side of atlas laterality...
Remember to take into consideration the way the child was being held, sitting in the sun in the car seat, etc.
More likely, it tells us there is an imbalance
_ _ _ _ _ _
S A C R U M
Normal evolution from bowlegs to knock-knees to normal valgus
2 years 3 years 5 years
Just because it sticks out doesn‘t mean it‘s subluxated!
If it deviates...
(table, dad’s lap, your lap…)
Want to be in control of their world
Give them choices between 2 acceptible options
“Do you want to lay on your front or on your back?“
“Do you want to get adjusted?“
11 months old 3 years old 5 years old
Taylor & Resnick
Some say that…
“Spinal adjusting in the pediatric spine should be performed at a point somewhat before the end of the passive range is reached.”
Joints of Lushka/Uncovertebral Joints
(are complete at age 18)
Chiropractic Care for the Pediatric Patient, Fysh
Reduce depth of thrust
C-spine: lat bend and minimum rotation (30 degrees)
Sometimes, pre-stress can effect a correction...
Pad of the finger-tip or thumb tip
*If significantly fixed, infant may become irritable even with light palpation
*Not uncommon for a young baby to cry 15-20 seconds
(stimulate Moro response)
C1/C2 40 degrees
C2/C3 3 degrees
C7/T1 2 degrees
If the child will not lie quietly in the prone position (lifting head, extending trunk)…
*Side Posture: infants >12 months