The Anglo-European College of Chiropractic (AECC) has been promoting pediatric chiropractic for some time, and I have posted about the subject before (see, for instance, here). Now the AECC has gone one decisive step further. On the website, the AECC announced an MSc ‘Musculoskeletal Paediatric Health‘:
The MSc Musculoskeletal Paediatric Health degree is designed to develop your knowledge and skills in the safe and competent care of children of all ages. Our part-time, distance-based course blends live online classes with ready to use resources through our virtual learning environment. In addition, you will have the opportunity to observe in the AECC University College clinical services at our Bournemouth campus. The course covers topics in paediatric musculoskeletal practice with specific units on paediatric development, paediatric musculoskeletal examination, paediatric musculoskeletal interventions, and paediatric musculoskeletal management. You will address issues such as risk factors and public health, including breastfeeding, supine sleep in infancy, physical activity in children and conditions affecting the musculoskeletal health of children from birth. The paediatric specific topics are completed by other optional units such as professional development, evidence-based practice, and leadership and inter-professional collaboration. In the dissertation unit you will conduct a study relevant to musculoskeletal paediatric health.
Your learning will happen through a mix of live and recorded lectures, access to online reading materials, and access to the literature through our learning services. You will also engage with the contents taught through guided activities with your peers and staff. Clinical paediatric experience is recommended to fully engage with the course. For students with limited access to a suitable clinical environment to support their studies, or for student who wants to add to their clinical experience, we are able to offer a limited number of opportunities to observe and work alongside our clinical educators within the AECC University College clinical services. Assessments are tailor made to each unit and may include a variety of methods such as critical reviews, reflective accounts, portfolios and in the last year a research dissertation.
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The AECC emphasizes its commitment to being a leading higher education institution in healthcare disciplines, nationally and internationally recognised for quality and excellence. Therefore, it seems only fair to have another look at the science behind pediatric chiropractic. Specifically, is there any good science to show that would justify a Master of Science in ‘Musculoskeletal Paediatric Health’?
So, let’s have a look and see whether there are any good review articles supporting such a degree. Here is what I found with several Medline searches (date of the review on chiropractic for any pediatric conditions, followed by its conclusion + link [so that the reader can look up the evidence]):
2008
I am unable to find convincing evidence for any of the above-named conditions.
2009
Previous research has shown that professional chiropractic organisations ‘make claims for the clinical art of chiropractic that are not currently available scientific evidence…’. The claim to effectively treat otitis seems to
be one of them. It is time now, I think, that chiropractors either produce the evidence or abandon the claim.
2009
The … evidence is neither complete nor, in my view, “substantial.”
2010
2018
What seems to emerge is rather disappointing:
- There are no really new reviews.
- Most of the existing reviews are not on musculoskeletal conditions.
- All of the reviews cast considerable doubt on the notion that chiropractors should go anywhere near children.
But perhaps I was too ambitious. Perhaps there are some new rigorous clinical trials of chiropractic for musculoskeletal conditions. A few further searches found this (again year and conclusion):
2019
2018
I might have missed one or two trials because I only conducted rather ‘rough and ready’ searches, but even if I did: would this amount to convincing evidence? Would it be good science?
No! and No!
So, why does the AECC offer a Master of Science in ‘Musculoskeletal Paediatric Health’?
Search me!
…
…
It wouldn’t have something to do with the notion that it is good for business?
Or perhaps they just want to give science a bad name?
So, what is the specific topic here? I could comment on several aspects but I don’t want to appear diversionary.
Is this the primary question to respond to? Or is it rhetorical?
“So, why does the AECC offer a Master of Science in ‘Musculoskeletal Paediatric Health’?“
DC, are you posing this question rhetorically or is this one of your usual diversionary tactics?
I ask because the topic of the post seems pretty clear to me:
is there any good science here? Or is just because it’s chiropractors?
https://www.ucl.ac.uk/prospective-students/graduate/taught-degrees/advanced-physiotherapy-paediatrics-msc
I would need to look closer but I didn’t even see syllabi so I am not sure how one can question the program without specifics. Unless it’s just because it’s chiropractors.
What is the evidence for addressing MSK issues in pediatrics? Or is just that chiropractors shouldn’t touch them?
DC,
Based on your last comment, I say you are sticking to your usual diversionary tactics and supplying more evidence in support of EE’s post from yesterday: https://edzardernst.com/2022/04/comments-by-a-chiropractor-insights-into-quasi-religious-zeal/
No one? OK, here is an interesting finding:
“The most effective combination was that of therapeutic physical conditioning and manual therapy, with an estimated effect of 1.055.”
https://bmcmusculoskeletdisord.biomedcentral.com/articles/10.1186/1471-2474-14-55
And this:
“Physical therapy (particularly physical activity) and psychotherapy (particularly cognitive behavioral therapy) are recommended for treating pediatric non-specific back pain. Intensive interdisciplinary treatment programs should be provided for chronic and severe pain. Drug therapy should not be applied in children and adolescents.”
https://www.mdpi.com/2227-9067/9/3/417/htm
Amongst the many issues here, this is a distance learning course. How on earth can any healthcare professional expect to gain expertise in a specific patient group, in this case paediatrics, without ever seeing a patient?! If a student wants to just observe in the AECC chiropractic clinic they have to make special arrangements and pay extra. Incredible!
indeed!
I am amazed with lack of direct hands-on training with children. Just seems this class should be in the classroom, not via zoom.
Could you imagine a medical doctor getting advanced training virtually, where hands are needed to fix the problem.
Then again, my supervisor has a masters degree, he never graduated nor attended an under-graduate school with accreditation.
Can you tell us what this virtual class costs, very curious?
I am writing this as a truce, I have been an asshole and will stay on topic. My last two comments were legit. Jim
On a second note, me being an asshole brought attention to your blog.