- Shopping Bag ( 0 items )
Doody's Review ServiceReviewer: Dana J Lawrence, DC, MMedEd, MA (Palmer College of Chiropractic)
Description: This comprehensive overview of the growing field of chiropractic management of pediatric patients covers history and wellness, fundamentals, pregnancy, neurology, orthopedics, primary care, adolescent health, and specialized practices and techniques. An update of a book long used in chiropractic education, it adds a significant amount of new material.
Purpose: The authors who first produced this book close to 14 years ago decided to take on a new revision, allowing them to invite many of the leaders in chiropractic pediatrics to contribute and to add a significant amount of new material, including information on family practice and special needs children. This is indeed a worthy objective. Over the past decade, the growth of the chiropractic pediatric field has been explosive, with several advanced training programs now in place. At the same time, there is now more research available, so a revision is necessary. The editors and authors have done a fine job updating this book with new information.
Audience: Clearly, this book is directed at two audiences: chiropractic students and practicing chiropractors. It will find significant use in chiropractic education, where there is really only one competitor, and it will find a welcome audience among those chiropractors preferring a more subluxation-based approach to management. This also may be of interest to other manual practitioners, notably in the osteopathic profession. Both Dr. Plaugher and Dr. Anrig are well known for their involvement in pediatric chiropractic, as are many of the chapter authors.
Features: Each of the book's sections addresses a specific component of pediatric practice. Initially, the book provides an overview of the history of chiropractic pediatrics and a wellness context for material that is discussed later on. It then moves to a more specifically chiropractic orientation, looking at identification of spinal subluxation and the use of diagnostic imaging as an aid in diagnosis. Here, appropriate cautions are outlined that can guide the important question of when to use radiology and when not to. I should note that much of this information is clinical in nature, but may not include discussion of specificity and sensitivity of radiology related to assessing skeletal biomechanics. The book then covers spinal examination and various kinds of adjusting. It is based more on a Gonstead approach, though the Gonstead spinal listings are also placed into a Cartesian system for others to use. (A later chapter emphasizes Logan Basic technique). Pregnancy gets a comprehensive look, as does prenatal and perinatal care. The book moves on to anatomy and neurology of the developing child, to neurological examination, and then to management of neurological and visceral disorders. The emphasis here is more on an approach to primary care and family practice. There is new material on sensory processing disorders, neurodevelopmental disorders and the challenged child, and motor disorders. The book would benefit from building in more evidence-based information, such as, for example, reporting on likelihood ratios for neurological or orthopedic tests where that information is available.
Assessment: This edition is a significant change from the original, which was widely used in the chiropractic profession. Given the extensive growth related to pediatric chiropractic, it is long past due. It compares quite favorably to its sole competitor, Chiropractic Pediatrics: A Clinical Handbook, 2nd edition, Davies and Fallon (Elsevier, 2010) (disclosure: I wrote the foreword for Dr. Davies' book). It will be eagerly anticipated by those who teach this discipline and should be embraced across the profession. It takes a more conservative approach than does the Davies book, but it fairly presents the material and the new sections are well considered and comprehensive.