Safety is one of the most common concerns about pediatric chiropractic care. The safety profile for chiropractic in children appears to be similar to that in adults. Most side effects are mild and self-limiting such as muscle soreness. There are some case reports of extremely rare adverse events, but usually, the adverse event is related to underlying pathology that was not properly diagnosed or providers that have not modified their techniques.
- Gleberzon et all. The use of spinal manipulative therapy for pediatric health conditions: a systematic review of the literature. J Can Chiropr Assoc. 2012 Jun;56(2):128-41.
- Marchand AM Chiropractic care of children from birth to adolescence and classification of reported conditions: an internet cross-sectional survey of 956 European chiropractors. J Manipulative Physiol Ther. 2012 Jun;35(5):372-80. doi: 10.1016/j.jmpt.2012.04.008. Epub 2012 May 22.
- Cassidy D, Boyle E et al. Risk of vertebrobasilar stroke and chiropractic care: results of a population-based case-control and case-crossover study. Spine. 2008;33(4S)Neck Pain Task Force:S176-183.
- Kosloff TM, Elton D, et al. Chiropractic care and the risk of vertebrobasilar stroke: results of a case-control study in U.S. commercial and Medicare Advantage populations. Chiropr Man Ther. 2015;23:19.
- Thiel HW, Bolton JE et al. Safety of chiropractic manipulation of the cervical spine: a prospective national study. Spine 2007;32(21):2375-2378.
- Piper SL, Howarth SJ, Triano J, Herzog W. Quantifying strain in the vertebral artery with simultaneous motion analysis of the head and neck: A preliminary investigation. Clinical Biomechanics 2014;29:1099–1107.
- Hayes NM, Bezilla TA. Incidence of iatrogenesis associated with osteopathic manipulative treatment of pediatric patients. J Am Osteopath Assoc 2006;106:606-608.
- Vohra S, Johnston BC, Cramer K, Humphreys K. Adverse events associated with pediatric spinal manipulation: a systematic review. Pediatrics. 2007;119:275-283.
- Miller JE, Benfield K. Adverse effects of spinal manipulation therapy in children younger than 3 years: a retrospective study in a chiropractic teaching clinic. J Manipulative Physiol Ther 2008;31(6):419-422.
- Doyle, M.F. Is chiropractic paediatric care safe? A best evidence topic. Clinical Chiropractic 2011;volume 14, issue 3, pp. 97 – 105.
- Jevne J, Hartvigsen J and Christensen HW. Compensation claims for chiropractic in Denmark and Norway 2004–2012. Chiropractic & Manual Therapies 2014 22:37.
- Todd AJ et al. Adverse events due to chiropractic and other manual therapies for infants and children: A review of the literature. J Manipulative Physiol Ther 2015;38(9):699-712.
- Black LI, Clarke TC, Barnes PM, et al. Use of complementary health approaches among children aged 4–17 years in the United States: National Health Interview Survey, 2007–2012. National Health Statistics Reports; no 78. Hyattsville, MD: National Center for Health Statistics 2015.
- Carnes D, Mars TS, et al: Adverse events and manual therapy: A systematic review. Manual Therapy 2010;15(4):355-363.