MD, PhD, FMedSci, FRSB, FRCP, FRCPEd.

The purpose of this recently published survey was to obtain the demographic profile and educational background of chiropractors with paediatric patients on a multinational scale.

A multinational online cross-sectional demographic survey was conducted over a 15-day period in July 2010. The survey was electronically administered via chiropractic associations in 17 countries, using SurveyMonkey for data acquisition, transfer, and descriptive analysis.

The response rate was 10.1%, and 1498 responses were received from 17 countries on 6 continents. Of these, 90.4% accepted paediatric cases. The average practitioner was male (61.1%) and 41.4 years old, had 13.6 years in practice, and saw 107 patient visits per week. Regarding educational background, 63.4% had a bachelor’s degree or higher in addition to their chiropractic qualification, and 18.4% had a postgraduate certificate or higher in paediatric chiropractic.

The authors from the Anglo-European College of Chiropractic (AECC), Bournemouth University, United Kingdom, drew the following conclusion: this is the first study about chiropractors who treat children from the United Arab Emirates, Peru, Japan, South Africa, and Spain. Although the response rate was low, the results of this multinational survey suggest that pediatric chiropractic care may be a common component of usual chiropractic practice on a multinational level for these respondents.

A survey with a response rate of 10%?

An investigation published 9 years after it has been conducted?

Who at the AECC is responsible for controlling the quality of the research output?

Or is this paper perhaps an attempt to get the AECC into the ‘Guinness Book of Records’ for outstanding research incompetence?

But let’s just for a minute pretend that this paper is of acceptable quality. If the finding that ~90% of chiropractors tread kids is approximately correct, one has to be very concerned indeed.

I am not aware of any good evidence that chiropractic care is effective for paediatric conditions. On the contrary, it can do quite a bit of direct harm! To this, we sadly also have to add the indirect harm many chiropractors cause, for instance, by advising parents against vaccinating their kids.

This clearly begs the question: is it not time to stop these charlatans?

What do you think?

6 Responses to Chiropractors treating children – is it not time to stop these charlatans?

  • Yes but I’d not single out chiropractic. I’ve long argued that quacks should not be permitted to treat children. Consent issues are a problem for one thing. Having looked at regulation in various different countries, I think a strong case can be made for legislative changes to protect children and other vulnerable groups from the potential harms of quackery. See https://ukhomeopathyregulation.blogspot.com/2018/11/possible-amendments-to-uk-legislation.html

    In UK law, there is no defined scope of practice for chiropractic unlike certain other regulated professions. A defined scope of practice might prevent some of the more outre activities of the the vitalists.

  • I think one has to be clear what one considers “chiropractic care” and for what conditions.

    Example…

    “To test whether different types of treatment offer dif- ferential benefits, we applied a multiple meta-regression model, whose results enabled us to confirm the initial hypothesis that there are differences in effectiveness between the treatments based on exercise, education, therapeutic physical conditioning and manual therapy, the combination of the latter two being the most prom- ising treatment.”

    https://bmcmusculoskeletdisord.biomedcentral.com/track/pdf/10.1186/1471-2474-14-55

    And if this stoppage crosses into other professions as well…or are there conditions when “chiropractic care” (manual therapy) is appropriate?

    Example…

    https://aaompt.org/aaompt_data/documents/2015sessions/Orthopedic_Manual_therapy.pdf

  • Another great and alarming post. Let’s speculate as to what the pseudo-intellectuals will argue: “Medicine and medical interventions are the real dangers to children…the placebo effects of chiroquackery reduce the risks associated with medications. And besides, I got a lifestyle to support”. Or some such rhetoric?

  • I just read your post on Chiropractic for kids.
    You header says “support it with evidence”.
    In your article, you give no evidence other than the statement, “I am not aware of any good evidence”.
    You also refer to Chiropractors as “Charlatans”.
    Name calling and lack of evidence is really not science my friend.
    You have a clear bias and an obvious need to spread your opinions around. Please don’t pass it off as documented facts.
    P.S. I can supply your with lots of evidence if you like.

    • “You header says “support it with evidence”.
      In your article, you give no evidence other than the statement, “I am not aware of any good evidence”.”
      well observed! The fact that there is no evidence is evidence, in this case.
      “You also refer to Chiropractors as “Charlatans”.
      Name calling and lack of evidence is really not science my friend.”
      1) I am not your friend
      2) a charlatan is defined as a person falsely claiming to have a special knowledge or skill. that’s exactly what chiros who treat kids do. so, it is factually correct and NOT ‘name calling’.
      PLEASE DO SUPPLY ME WITH ‘LOTS OF EVIDENCE’ and I might tell you how sound it is.

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