Infantile Colic, Chiropractic, and Massage Therapy

Question:

> Maybe I need to go to veterinary college and change careers. Are you enjoying > it so far, Kirk?

Definitely. > Is a 4 year post-degree program ( with the same hard as hell pre-req’s as medical > school ) or like pharmacy/nursing/etc. school ( like the 4 year BSN program that > I went through )?

Currently (at OVC) the minimum requirements are 2 years of university education (fulfilling the required prerequisites) followed by the 4 year program. The new admissions criteria also require the MCAT (I didn’t have to write it, thankfully). So it roughly parallels the requirements of medical school. Approximately 2/3 of my class (of 100) had a degree before entering. I finished my B.Sc. before entering vet college and I am glad I did. It made life easier when we covered the basic medical sciences… I felt badly for people that made it in after only 2 years of university behind them… everything was new to them! — Kirk Kolas Ontario Veterinary College Class of 2002

Response:

Thanks for the response, Mr. Kolas..I appreciate it like crazy. You think I may do okay in the program if I already have a BSN in Nursing w/a almost a decade of cardiac critical care experience? I guess I am trying to ask if there are any RNs in your program? If so, do you know if they do well with the transition? Peace, Jason

Response:

> Once again, sham >manipulation would have permitted the authors to conduct a double blinded >trial with results that would have much more meaning.

First you have have to prove that the sham manupulation had no effect. This is usually assumed, wrongly. That is difficult to do and could invalidate the study. Methicone seems to be intended as a placebo, which is a waste of time. The different methods of applying the treatment invalidate the placebo, so here I agree with Kirk. A comparative study should be of two therapies as practiced. Which therapy gives the better results. When I first read the abstract of the study, I thought that methicone was a standard colic treatment in the US. Unfortunately I must agree with KIrk, this one proves little other than that the parents were happy with the treatment. Pity. Best wishes — John Bain UK TV Sound Director, magnotherapy user & distributor http://members.aol.com/JBainSI/Magnotherapy.html Surround Sound for Television

Response:

That critical analysis was incredible, Kirk… I don’t know squat compared with your critical analysis…geezus. I leaned something ( my fave thing to do )…nice job, Kirk. No..let me change that to *EXCELLENT* job. Peace, Jason Who Ain’t Afraid To Give Credit Where It’s Due

Response:

>To make matters worse, there is an unacceptable drop out rate in this already

small (n=50) study. All 25 of the manipulation group complete the 2 weeks of treatment while 9 dropped out of the dimethicone group leaving only 16 for analysis. The authors conclude that "the drop out was due to a genuine worsening of symptoms and not parents’ bias". This conclusion is drawn from the analysis of 4 of the 9 first week diaries that were completed in the drop out group (the 5 others did not complete their first week diaries before dropping out). Their conclusions demonstrate not the bias of the parents, but of the investigators!> >This is indeed "a bad study". Even a cursory critical analysis reveals its

flaws.> >Kirk Kolas >Ontario Veterinary College >Class of 2002

And the man ain’t even thru learning….I’m impressed, Mr. Kolas. Maybe I need to go to veterinary college and change careers. Are you enjoying it so far, Kirk? Is a 4 year post-degree program ( with the same hard as hell pre-req’s as medical school ) or like pharmacy/nursing/etc. school ( like the 4 year BSN program that I went through )? Regardless, when I read posts like from this "Jay A. Hafner, D.C." gentleman so void of related education in this discussion, I think I would rather deal with horses and dogs. Peace, Jason

Response:

> So by posting EXACTLY what you guys ask for, I’m touting crap. Stop bashing, > and lets start discussing.

Lets discuss the article. Here are my comments: "The short-term effect of spinal manipulation in the treatment of infantile colic: a randomized controlled clinical trial with a blinded observer" JMPT 22: 8, 517-522. The study bills itself as a "controlled clinical trial with a blinded observer". Unfortunately it is not suitably controlled or properly blinded. In order to implement a proper control, the use of sham manipulation is imperative (or at least blinding the parents to the treatment). The results reported in the study may be attributed to the extra attention paid to the parents and /or baby during consultation, parental bias in filling out the colic diaries, or any number of other factors (including the actual manipulations themselves). Thus, the results may be attributed to "chiropractic care" and all that chiropractic care entails (including influencing/decieveing parents) but not necessarily "spinal manipulation" as stated in the title of the article. The stated intention of the study is "for the purpose of studying whether any effect exists beyond placebo from spinal manipulation in the treatment of infantile colic". As a control group the authors use dimethicone and state that "several good controlled studies have shown that this is no better than placebo". They use dimethicone treatment as a "control" group. The authors seem to have forgotten that a control is meant to embody all the qualities of the experimental treatment group minus the "active ingredient", in this case manipulation. Thus, this study is not truly controlled… it is a comparison of two treatments that have no similarity whatsoever. To their credit, the authors ensured that "both treatment groups received counseling and advice on breast feeding technique, mother’s diet, air swallowing"….etc. The randomization was adequate and the inclusion criteria were explicit and appropriate. The title of the article implies that the evaluation of the infants was carried out using a blinded observer. The single blinding in this paper refers to the investigator who interpreted the colic diaries kept by the unblinded parents. In their discussion of the methodology they state: "The diary has been validated in previous studies as a reliable, objective recording of the infant’s behavior and symptoms, which is important because the parents could not be blinded". This statement is promising, however it emphasizes the primary problem with the study: it is not double blinded. By blinding the "observer" who is evaluating a straightforward diary that tabulates hours crying (the main outcome variable) they do not eliminate bias. This form of single blinding is akin to conducting a totally bias experiment and submitting the results to a blinded statistician for analysis, then calling the study "blinded". Certainly having the evaluator of the diaries blinded is a good thing, but the bias that blinding is intended to eliminate still exists. Once again, sham manipulation would have permitted the authors to conduct a double blinded trial with results that would have much more meaning. To make matters worse, there is an unacceptable drop out rate in this already small (n=50) study. All 25 of the manipulation group complete the 2 weeks of treatment while 9 dropped out of the dimethicone group leaving only 16 for analysis. The authors conclude that "the drop out was due to a genuine worsening of symptoms and not parents’ bias". This conclusion is drawn from the analysis of 4 of the 9 first week diaries that were completed in the drop out group (the 5 others did not complete their first week diaries before dropping out). Their conclusions demonstrate not the bias of the parents, but of the investigators! This is indeed "a bad study". Even a cursory critical analysis reveals its flaws. — Kirk Kolas Ontario Veterinary College Class of 2002

Response:

> Crap detectors detect crap, but fail to glean what is useful.

And some chiropractors tout crap. That is exactly what you are doing by posting the studies, which I am willing to bet you haven’t even read. You should take a course in critical evaluation of research papers. You might learn a thing or two… maybe even how to determine what is "useful" from studies published in the literature. > One more thing: I cured a baby of colic with two fingers..instantly.. not > ‘weeks later.’ There’s a case study for you.

There’s nothing like a "health professional" claiming cures for self limiting conditions! Oh sorry, this was an instant cure. Congratulations. — Kirk Kolas Ontario Veterinary College Class of 2002

Response:

So by posting EXACTLY what you guys ask for, I’m touting crap. Stop bashing, and lets start discussing. Thanks! Jay Hafner Chiropractor > That is exactly what you are doing by posting the – Hide quoted text — Show quoted text -> studies, which I am willing to bet you haven’t even read. You should take a course in

Response:

Your answer this time makes no more sense than the first one. What would being an alternative health care provider have to do with putting words into other people’s mouths? "….except for musculoskeletal conditions"? And that would be about _____? Michele – Hide quoted text — Show quoted text -> Afterall, I am an alternative provider (except for musculoskeletal conditions > Jay H > Nobody really knows what causes colic & why it goes away. Including you. > Real colic goes away on its own, with or without intervention. > Massaging the baby makes the parents feel better & helps them to bond with a > child who (through no fault of his/her own) may be hard to be around. > Do you always read bizarre things into what others say? > Michele > > Yes, because babies deserve to suffer right? > > Jay H > > > Yeah, it’ll go away eventually by itself (if it’s colic), but massaging > the > > > baby at least gives the parents something to do until then. > > > Michele > > > > Here’s a new bit of medical research information regarding Infantile > > > Colic, > > > > Chiropractic, and Massage and how these therapies help kids (and > parents > > > > > > > J Manipulative Physiol Ther 1999 Oct;22(8):517-22 > > > > The short-term effect of spinal manipulation in the treatment of > > > infantile > > > > colic: a randomized controlled clinical trial > > > > with a blinded observer. > > > > Wiberg JM, Nordsteen J, Nilsson N > > > > Center for Biomechanics, Odense University, > Denmark. > > > > OBJECTIVE: To determine whether there is a > short-term > > > effect > > > > of spinal manipulation in the treatment of infantile colic. DESIGN: A > > > randomized > > > > controlled > > > > trial. SETTING: A private chiropractic practice > and > > > the > > > > National Health Service’s health visitor nurses in the suburb Ballerup > > > > (Copenhagen, Denmark). > > > > SUBJECTS: Infants seen by the health visitor > nurses, > > > who > > > > fulfilled the diagnostic criteria for infantile colic. INTERVENTION: > One > > > group > > > > received spinal > > > > manipulation for 2 weeks, the other was treated > with > > > the > > > > drug dimethicone for 2 weeks. OUTCOME MEASURE: Changes in daily hours > of > > > crying > > > > as > > > > registered in a colic diary. RESULTS: By trial > days 4 > > > to 7, > > > > hours of crying were reduced by 1 hour in the dimethicone group > compared > > > with > > > > 2.4 hours in the > > > > manipulation group (P = .04). On days 8 through > 11, > > > crying > > > > was reduced by 1 hour for the dimethicone group, whereas crying in the > > > > manipulation group was > > > > reduced by 2.7 hours (P = .004). From trial day 5 > o > > > > Pediatrics 2000 Jun;105(6):E84 > > > > Infant massage compared with crib vibrator in the > > > treatment > > > > of colicky infants. > > > > Huhtala V, Lehtonen L, Heinonen R, Korvenranta H > > > > Department of Pediatrics, Turku University > Hospital, > > > Turku, > > > > OBJECTIVE: To evaluate the effectiveness of infant > > > massage > > > > compared with that of a crib vibrator in the treatment of infantile > colic. > > > > METHODS: Infants <7 > > > > weeks of age and perceived as colicky by their > parents > > > were > > > > randomly assigned to an infant massage group (n = 28) or a crib > vibrator > > > group > > > > (n = 30). Three > > > > daily intervention periods were recommended in > both > > > groups. > > > > Parents recorded infant crying and given interventions in a structured > cry > > > diary > > > > that was kept for 1 > > > > week before (baseline) and for 3 weeks during the > > > > intervention. Parents were interviewed after the first and third weeks > of > > > > intervention to obtain their > > > > evaluation of the effectiveness of the given > massage > > > or crib > > > > vibration. RESULTS: At baseline, the mean amount of total crying was > 3.6 > > > > (standard deviation: 1.4) > > > > hours/day in the massage group infants and 4.2 > (2.0) > > > > hours/day in the vibrator group infants. The mean amount of colicky > crying > > > was > > > > 2.1 (standard deviation: > > > > 1.1) hours/day and 2.9 (1.5) hours/day, > respectively. > > > The > > > > mean number of daily intervention periods was 2.2 in both groups. Over > the > > > > 4-week study, the amount > > > > of total and colicky crying decreased > significantly in > > > both > > > > intervention groups. The reduction in crying was similar in the study > > > groups: > > > > total crying decreased by > > > > a mean 48% in the massage group and by 47% in the > > > vibrator > > > > group, and colicky crying decreased by 64% and 52%, respectively. The > > > amount of > > > > other crying > > > > (total crying minus colicky crying) remained > stable in > > > both > > > > groups over the intervention. Ninety-three percent of the parents in > both > > > groups > > > > reported that colic > > > > symptoms decreased over the 3-week intervention, > and > > > 61% of > > > > the parents in the massage group and 63% of the parents in the crib > > > vibrator > > > > group perceived > > > > the 3-week intervention as colic reducing. > > > CONCLUSIONS: > > > > Infant massage was comparable to the use of a crib vibrator in > reducing > > > crying > > > > in colicky infants. > > > > We suggest that the decrease of total and colicky > > > crying in > > > > the present study reflects more the natural course of early infant > crying > > > and > > > > colic than a specific > > > > effect of the interventions. > > > > — > > > > Jay A. Hafner, DC, CCEP > > > > Clinic director of Colorado Spine and Rehabilitation-Denver > > > > http://www.chiroweb.com/ > > > > RPGA Living Greyhawk Triad Member, County of Urnst, CO/WY/NM/MT > > > > http://www.cyface.com/countyofurnst/ (Living Greyhawk Web Page for > County > > > of > > > > Urnst) > > > > Http://www.egroup.com/group/lgwriters (LIVING GREYHAWK WRITERS > DISCUSSION) > > > > http://www.wizards.com/rpga/LG/writers_guidelines.asp > > — > > Jay A. Hafner, DC, CCEP > > Clinic director of Colorado Spine and Rehabilitation-Denver > > http://www.chiroweb.com/ > > RPGA Living Greyhawk Triad Member, County of Urnst, CO/WY/NM/MT > > http://www.cyface.com/countyofurnst/ (Living Greyhawk Web Page for County > of > > Urnst) > > Http://www.egroup.com/group/lgwriters (LIVING GREYHAWK WRITERS DISCUSSION) > > http://www.wizards.com/rpga/LG/writers_guidelines.asp > — > Jay A. Hafner, DC, CCEP > Clinic director of Colorado Spine and Rehabilitation-Denver > http://www.chiroweb.com/ > RPGA Living Greyhawk Triad Member, County of Urnst, CO/WY/NM/MT > http://www.cyface.com/countyofurnst/ (Living Greyhawk Web Page for County of > Urnst) > Http://www.egroup.com/group/lgwriters (LIVING GREYHAWK WRITERS DISCUSSION) > http://www.wizards.com/rpga/LG/writers_guidelines.asp

Response:

>So that makes you hostile towards me?

Not hostile, just don’t believe you, and think you are vain to post such a claim. Jason

Response:

Yes, it was vain. I can’t take it back though… Jay H >So that makes you hostile towards me? > Not hostile, just don’t believe you, and think you are vain to post such a > claim. > Jason

– Jay A. Hafner, DC, CCEP Clinic director of Colorado Spine and Rehabilitation-Denver http://www.chiroweb.com/ RPGA Living Greyhawk Triad Member, County of Urnst, CO/WY/NM/MT http://www.cyface.com/countyofurnst/ (Living Greyhawk Web Page for County of Urnst) Http://www.egroup.com/group/lgwriters (LIVING GREYHAWK WRITERS DISCUSSION) http://www.wizards.com/rpga/LG/writers_guidelines.asp

Response:

So that makes you hostile towards me? > Because I don’t believe you cured a baby of "colic" with "one touch." > Jason

Response:

>Thank you. >Jay H

You are not welcome. Jason

Response:

The scary part..chiropractors are working with pediatricians all across America-just like I did. They’re doing this on a daily basis. Since nobody seems to understand what chiropractors do, they simply dismiss EVERYTHING we do. What do you think a chiro office looks like? Also, why question us without first questioning or discussing the medical treatment ‘alternative’ (specific example of infantile colic)? You cannot just assume that medical theory of infantile colic has no bearing on this issue. Without asking what a medical option would be..without asking what the supposed neurology or biomechanical dysfunction was thought to be..without asking me what evaluative procedures I used..you simply dismissed everything I have said. Poppycock you say! Your other posts seem pretty well thought out, but this one was simply a dismissal. Why? Jay H > Absurd. ABSURD!!!!!! > I will never believe another thing I read of yours. > Jason

– Jay A. Hafner, DC

Response:

This is the second time you have responded to the same post, Jay. >Since nobody seems to understand what chiropractors do>

I understand what chiropractors do. >What do you think a chiro office looks like? >

Heh…what a question. > Also, why question us without first questioning or discussing the medical

treatment ‘alternative’ (specific example of infantile colic)?> Because you you claim to have "cured" a baby of colic with "one touch". >You cannot just assume that medical theory of infantile colic has no bearing

on this issue.> I *am* using medical theory…and I guarantee I know more than you do regarding critical care medical interventions. >Without asking what a medical option would be..without asking what the

supposed neurology or biomechanical dysfunction was thought to be> Do you know what the neurological or biomechanic dysfunction" is involved with "colic"? >..without asking me what evaluative procedures I used..you simply dismissed

everything I have said. Poppycock you say! Your other posts seem pretty well thought out, but this one was simply a dismissal. Why?> >Jay H

Because I don’t believe you cured a baby of "colic" with "one touch." Jason

Response:

Afterall, I am an alternative provider (except for musculoskeletal conditions Jay H – Hide quoted text — Show quoted text – > Nobody really knows what causes colic & why it goes away. Including you. > Real colic goes away on its own, with or without intervention. > Massaging the baby makes the parents feel better & helps them to bond with a > child who (through no fault of his/her own) may be hard to be around. > Do you always read bizarre things into what others say? > Michele > Yes, because babies deserve to suffer right? > Jay H > > Yeah, it’ll go away eventually by itself (if it’s colic), but massaging > the > > baby at least gives the parents something to do until then. > > Michele > > > Here’s a new bit of medical research information regarding Infantile > > Colic, > > > Chiropractic, and Massage and how these therapies help kids (and > parents > > > > > J Manipulative Physiol Ther 1999 Oct;22(8):517-22 > > > The short-term effect of spinal manipulation in the treatment of > > infantile > > > colic: a randomized controlled clinical trial > > > with a blinded observer. > > > Wiberg JM, Nordsteen J, Nilsson N > > > Center for Biomechanics, Odense University, > Denmark. > > > OBJECTIVE: To determine whether there is a > short-term > > effect > > > of spinal manipulation in the treatment of infantile colic. DESIGN: A > > randomized > > > controlled > > > trial. SETTING: A private chiropractic practice > and > > the > > > National Health Service’s health visitor nurses in the suburb Ballerup > > > (Copenhagen, Denmark). > > > SUBJECTS: Infants seen by the health visitor > nurses, > > who > > > fulfilled the diagnostic criteria for infantile colic. INTERVENTION: > One > > group > > > received spinal > > > manipulation for 2 weeks, the other was treated > with > > the > > > drug dimethicone for 2 weeks. OUTCOME MEASURE: Changes in daily hours > of > > crying > > > as > > > registered in a colic diary. RESULTS: By trial > days 4 > > to 7, > > > hours of crying were reduced by 1 hour in the dimethicone group > compared > > with > > > 2.4 hours in the > > > manipulation group (P = .04). On days 8 through > 11, > > crying > > > was reduced by 1 hour for the dimethicone group, whereas crying in the > > > manipulation group was > > > reduced by 2.7 hours (P = .004). From trial day 5 > o > > > Pediatrics 2000 Jun;105(6):E84 > > > Infant massage compared with crib vibrator in the > > treatment > > > of colicky infants. > > > Huhtala V, Lehtonen L, Heinonen R, Korvenranta H > > > Department of Pediatrics, Turku University > Hospital, > > Turku, > > > OBJECTIVE: To evaluate the effectiveness of infant > > massage > > > compared with that of a crib vibrator in the treatment of infantile > colic. > > > METHODS: Infants <7 > > > weeks of age and perceived as colicky by their > parents > > were > > > randomly assigned to an infant massage group (n = 28) or a crib > vibrator > > group > > > (n = 30). Three > > > daily intervention periods were recommended in > both > > groups. > > > Parents recorded infant crying and given interventions in a structured > cry > > diary > > > that was kept for 1 > > > week before (baseline) and for 3 weeks during the > > > intervention. Parents were interviewed after the first and third weeks > of > > > intervention to obtain their > > > evaluation of the effectiveness of the given > massage > > or crib > > > vibration. RESULTS: At baseline, the mean amount of total crying was > 3.6 > > > (standard deviation: 1.4) > > > hours/day in the massage group infants and 4.2 > (2.0) > > > hours/day in the vibrator group infants. The mean amount of colicky > crying > > was > > > 2.1 (standard deviation: > > > 1.1) hours/day and 2.9 (1.5) hours/day, > respectively. > > The > > > mean number of daily intervention periods was 2.2 in both groups. Over > the > > > 4-week study, the amount > > > of total and colicky crying decreased > significantly in > > both > > > intervention groups. The reduction in crying was similar in the study > > groups: > > > total crying decreased by > > > a mean 48% in the massage group and by 47% in the > > vibrator > > > group, and colicky crying decreased by 64% and 52%, respectively. The > > amount of > > > other crying > > > (total crying minus colicky crying) remained > stable in > > both > > > groups over the intervention. Ninety-three percent of the parents in > both > > groups > > > reported that colic > > > symptoms decreased over the 3-week intervention, > and > > 61% of > > > the parents in the massage group and 63% of the parents in the crib > > vibrator > > > group perceived > > > the 3-week intervention as colic reducing. > > CONCLUSIONS: > > > Infant massage was comparable to the use of a crib vibrator in > reducing > > crying > > > in colicky infants. > > > We suggest that the decrease of total and colicky > > crying in > > > the present study reflects more the natural course of early infant > crying > > and > > > colic than a specific > > > effect of the interventions. > > > — > > > Jay A. Hafner, DC, CCEP > > > Clinic director of Colorado Spine and Rehabilitation-Denver > > > http://www.chiroweb.com/ > > > RPGA Living Greyhawk Triad Member, County of Urnst, CO/WY/NM/MT > > > http://www.cyface.com/countyofurnst/ (Living Greyhawk Web Page for > County > > of > > > Urnst) > > > Http://www.egroup.com/group/lgwriters (LIVING GREYHAWK WRITERS > DISCUSSION) > > > http://www.wizards.com/rpga/LG/writers_guidelines.asp > — > Jay A. Hafner, DC, CCEP > Clinic director of Colorado Spine and Rehabilitation-Denver > http://www.chiroweb.com/ > RPGA Living Greyhawk Triad Member, County of Urnst, CO/WY/NM/MT > http://www.cyface.com/countyofurnst/ (Living Greyhawk Web Page for County > of > Urnst) > Http://www.egroup.com/group/lgwriters (LIVING GREYHAWK WRITERS DISCUSSION) > http://www.wizards.com/rpga/LG/writers_guidelines.asp

Response:

Thank you. Jay H >One more thing: I cured a baby of colic with two fingers..instantly..not > ‘weeks later.’ > > Absurd. ABSURD!!!!!! > I will never believe another thing I read of yours. > Jason

Response:

>One more thing: I cured a baby of colic with two fingers..instantly..not

‘weeks later.’ > Absurd. ABSURD!!!!!! I will never believe another thing I read of yours. Jason

Response:

Nobody really knows what causes colic & why it goes away. Including you. Real colic goes away on its own, with or without intervention. Massaging the baby makes the parents feel better & helps them to bond with a child who (through no fault of his/her own) may be hard to be around. Do you always read bizarre things into what others say? Michele – Hide quoted text — Show quoted text -> Yes, because babies deserve to suffer right? > Jay H > Yeah, it’ll go away eventually by itself (if it’s colic), but massaging the > baby at least gives the parents something to do until then. > Michele > > Here’s a new bit of medical research information regarding Infantile > Colic, > > Chiropractic, and Massage and how these therapies help kids (and parents > > > J Manipulative Physiol Ther 1999 Oct;22(8):517-22 > > The short-term effect of spinal manipulation in the treatment of > infantile > > colic: a randomized controlled clinical trial > > with a blinded observer. > > Wiberg JM, Nordsteen J, Nilsson N > > Center for Biomechanics, Odense University, Denmark. > > OBJECTIVE: To determine whether there is a short-term > effect > > of spinal manipulation in the treatment of infantile colic. DESIGN: A > randomized > > controlled > > trial. SETTING: A private chiropractic practice and > the > > National Health Service’s health visitor nurses in the suburb Ballerup > > (Copenhagen, Denmark). > > SUBJECTS: Infants seen by the health visitor nurses, > who > > fulfilled the diagnostic criteria for infantile colic. INTERVENTION: One > group > > received spinal > > manipulation for 2 weeks, the other was treated with > the > > drug dimethicone for 2 weeks. OUTCOME MEASURE: Changes in daily hours of > crying > > as > > registered in a colic diary. RESULTS: By trial days 4 > to 7, > > hours of crying were reduced by 1 hour in the dimethicone group compared > with > > 2.4 hours in the > > manipulation group (P = .04). On days 8 through 11, > crying > > was reduced by 1 hour for the dimethicone group, whereas crying in the > > manipulation group was > > reduced by 2.7 hours (P = .004). From trial day 5 o > > Pediatrics 2000 Jun;105(6):E84 > > Infant massage compared with crib vibrator in the > treatment > > of colicky infants. > > Huhtala V, Lehtonen L, Heinonen R, Korvenranta H > > Department of Pediatrics, Turku University Hospital, > Turku, > > OBJECTIVE: To evaluate the effectiveness of infant > massage > > compared with that of a crib vibrator in the treatment of infantile colic. > > METHODS: Infants <7 > > weeks of age and perceived as colicky by their parents > were > > randomly assigned to an infant massage group (n = 28) or a crib vibrator > group > > (n = 30). Three > > daily intervention periods were recommended in both > groups. > > Parents recorded infant crying and given interventions in a structured cry > diary > > that was kept for 1 > > week before (baseline) and for 3 weeks during the > > intervention. Parents were interviewed after the first and third weeks of > > intervention to obtain their > > evaluation of the effectiveness of the given massage > or crib > > vibration. RESULTS: At baseline, the mean amount of total crying was 3.6 > > (standard deviation: 1.4) > > hours/day in the massage group infants and 4.2 (2.0) > > hours/day in the vibrator group infants. The mean amount of colicky crying > was > > 2.1 (standard deviation: > > 1.1) hours/day and 2.9 (1.5) hours/day, respectively. > The > > mean number of daily intervention periods was 2.2 in both groups. Over the > > 4-week study, the amount > > of total and colicky crying decreased significantly in > both > > intervention groups. The reduction in crying was similar in the study > groups: > > total crying decreased by > > a mean 48% in the massage group and by 47% in the > vibrator > > group, and colicky crying decreased by 64% and 52%, respectively. The > amount of > > other crying > > (total crying minus colicky crying) remained stable in > both > > groups over the intervention. Ninety-three percent of the parents in both > groups > > reported that colic > > symptoms decreased over the 3-week intervention, and > 61% of > > the parents in the massage group and 63% of the parents in the crib > vibrator > > group perceived > > the 3-week intervention as colic reducing. > CONCLUSIONS: > > Infant massage was comparable to the use of a crib vibrator in reducing > crying > > in colicky infants. > > We suggest that the decrease of total and colicky > crying in > > the present study reflects more the natural course of early infant crying > and > > colic than a specific > > effect of the interventions. > > — > > Jay A. Hafner, DC, CCEP > > Clinic director of Colorado Spine and Rehabilitation-Denver > > http://www.chiroweb.com/ > > RPGA Living Greyhawk Triad Member, County of Urnst, CO/WY/NM/MT > > http://www.cyface.com/countyofurnst/ (Living Greyhawk Web Page for County > of > > Urnst) > > Http://www.egroup.com/group/lgwriters (LIVING GREYHAWK WRITERS DISCUSSION) > > http://www.wizards.com/rpga/LG/writers_guidelines.asp > — > Jay A. Hafner, DC, CCEP > Clinic director of Colorado Spine and Rehabilitation-Denver > http://www.chiroweb.com/ > RPGA Living Greyhawk Triad Member, County of Urnst, CO/WY/NM/MT > http://www.cyface.com/countyofurnst/ (Living Greyhawk Web Page for County of > Urnst) > Http://www.egroup.com/group/lgwriters (LIVING GREYHAWK WRITERS DISCUSSION) > http://www.wizards.com/rpga/LG/writers_guidelines.asp

Response:

Crap detectors detect crap, but fail to glean what is useful. There’s a gal at the research journal club here in Colorado who does that. She’s big into traditional chinese medicine (practiced with a chiropractic license), but simply because there is one thing wrong with an article, she throws out the baby with the bath water. One more thing: I cured a baby of colic with two fingers..instantly.. not ‘weeks later.’ There’s a case study for you. I know, it’s a small sample size and it’s on the word of the mother, but what the hell does a mother know anyway Jay H – Hide quoted text — Show quoted text -> Here’s a new bit of medical research information regarding Infantile Colic, > Chiropractic, and Massage and how these therapies help kids (and parents > J Manipulative Physiol Ther 1999 Oct;22(8):517-22 > The short-term effect of spinal manipulation in the treatment of infantile > colic: a randomized controlled clinical trial with a blinded observer. > I’d be more than happy to discuss this paper with you. I have it in my files for > reference because it is so often cited by chiropractors as evidence of the efficacy > of chiropractic in children. The paper supplies no such evidence. It is a poorly > designed trial with a small sample size and a number of drop outs. Perhaps a good > paper for discussing critical analysis of the literature, but not a great paper to > cite as evidence of the efficacy of chiropractic. > When a chiropractor cites this paper you can be sure of one of two things: > (a) the individual has not read the full text of the paper > or > (b) the individual has not taken the time to critically assess the paper. > — > Kirk Kolas > Ontario Veterinary College > Class of 2002

Response:

> Here’s a new bit of medical research information regarding Infantile Colic, > Chiropractic, and Massage and how these therapies help kids (and parents > J Manipulative Physiol Ther 1999 Oct;22(8):517-22 > The short-term effect of spinal manipulation in the treatment of infantile > colic: a randomized controlled clinical trial with a blinded observer.

I’d be more than happy to discuss this paper with you. I have it in my files for reference because it is so often cited by chiropractors as evidence of the efficacy of chiropractic in children. The paper supplies no such evidence. It is a poorly designed trial with a small sample size and a number of drop outs. Perhaps a good paper for discussing critical analysis of the literature, but not a great paper to cite as evidence of the efficacy of chiropractic. When a chiropractor cites this paper you can be sure of one of two things: (a) the individual has not read the full text of the paper or (b) the individual has not taken the time to critically assess the paper. — Kirk Kolas Ontario Veterinary College Class of 2002

Response:

Yes, because babies deserve to suffer right? Jay H – Hide quoted text — Show quoted text – > Yeah, it’ll go away eventually by itself (if it’s colic), but massaging the > baby at least gives the parents something to do until then. > Michele > Here’s a new bit of medical research information regarding Infantile > Colic, > Chiropractic, and Massage and how these therapies help kids (and parents > > J Manipulative Physiol Ther 1999 Oct;22(8):517-22 > The short-term effect of spinal manipulation in the treatment of > infantile > colic: a randomized controlled clinical trial > with a blinded observer. > Wiberg JM, Nordsteen J, Nilsson N > Center for Biomechanics, Odense University, Denmark. > OBJECTIVE: To determine whether there is a short-term > effect > of spinal manipulation in the treatment of infantile colic. DESIGN: A > randomized > controlled > trial. SETTING: A private chiropractic practice and > the > National Health Service’s health visitor nurses in the suburb Ballerup > (Copenhagen, Denmark). > SUBJECTS: Infants seen by the health visitor nurses, > who > fulfilled the diagnostic criteria for infantile colic. INTERVENTION: One > group > received spinal > manipulation for 2 weeks, the other was treated with > the > drug dimethicone for 2 weeks. OUTCOME MEASURE: Changes in daily hours of > crying > as > registered in a colic diary. RESULTS: By trial days 4 > to 7, > hours of crying were reduced by 1 hour in the dimethicone group compared > with > 2.4 hours in the > manipulation group (P = .04). On days 8 through 11, > crying > was reduced by 1 hour for the dimethicone group, whereas crying in the > manipulation group was > reduced by 2.7 hours (P = .004). From trial day 5 o > Pediatrics 2000 Jun;105(6):E84 > Infant massage compared with crib vibrator in the > treatment > of colicky infants. > Huhtala V, Lehtonen L, Heinonen R, Korvenranta H > Department of Pediatrics, Turku University Hospital, > Turku, > OBJECTIVE: To evaluate the effectiveness of infant > massage > compared with that of a crib vibrator in the treatment of infantile colic. > METHODS: Infants <7 > weeks of age and perceived as colicky by their parents > were > randomly assigned to an infant massage group (n = 28) or a crib vibrator > group > (n = 30). Three > daily intervention periods were recommended in both > groups. > Parents recorded infant crying and given interventions in a structured cry > diary > that was kept for 1 > week before (baseline) and for 3 weeks during the > intervention. Parents were interviewed after the first and third weeks of > intervention to obtain their > evaluation of the effectiveness of the given massage > or crib > vibration. RESULTS: At baseline, the mean amount of total crying was 3.6 > (standard deviation: 1.4) > hours/day in the massage group infants and 4.2 (2.0) > hours/day in the vibrator group infants. The mean amount of colicky crying > was > 2.1 (standard deviation: > 1.1) hours/day and 2.9 (1.5) hours/day, respectively. > The > mean number of daily intervention periods was 2.2 in both groups. Over the > 4-week study, the amount > of total and colicky crying decreased significantly in > both > intervention groups. The reduction in crying was similar in the study > groups: > total crying decreased by > a mean 48% in the massage group and by 47% in the > vibrator > group, and colicky crying decreased by 64% and 52%, respectively. The > amount of > other crying > (total crying minus colicky crying) remained stable in > both > groups over the intervention. Ninety-three percent of the parents in both > groups > reported that colic > symptoms decreased over the 3-week intervention, and > 61% of > the parents in the massage group and 63% of the parents in the crib > vibrator > group perceived > the 3-week intervention as colic reducing. > CONCLUSIONS: > Infant massage was comparable to the use of a crib vibrator in reducing > crying > in colicky infants. > We suggest that the decrease of total and colicky > crying in > the present study reflects more the natural course of early infant crying > and > colic than a specific > effect of the interventions. > — > Jay A. Hafner, DC, CCEP > Clinic director of Colorado Spine and Rehabilitation-Denver > http://www.chiroweb.com/ > RPGA Living Greyhawk Triad Member, County of Urnst, CO/WY/NM/MT > http://www.cyface.com/countyofurnst/ (Living Greyhawk Web Page for County > of > Urnst) > Http://www.egroup.com/group/lgwriters (LIVING GREYHAWK WRITERS DISCUSSION) > http://www.wizards.com/rpga/LG/writers_guidelines.asp

Response:

>Yeah, it’ll go away eventually by itself (if it’s colic), but massaging the >baby at least gives the parents something to do until then. >Michele

Hello..plus it helps the baby thru the crisis with paternal touch. By the way, IMHO, those studies referred to have too large a standard deviation to be considered accurate or applicable to the general pediatric population, especially since there are a million variables unaccounted for in such a "blinded study". Peace, Jason

Response:

Yeah, it’ll go away eventually by itself (if it’s colic), but massaging the baby at least gives the parents something to do until then. Michele – Hide quoted text — Show quoted text -> Here’s a new bit of medical research information regarding Infantile Colic, > Chiropractic, and Massage and how these therapies help kids (and parents > J Manipulative Physiol Ther 1999 Oct;22(8):517-22 > The short-term effect of spinal manipulation in the treatment of infantile > colic: a randomized controlled clinical trial > with a blinded observer. > Wiberg JM, Nordsteen J, Nilsson N > Center for Biomechanics, Odense University, Denmark. > OBJECTIVE: To determine whether there is a short-term effect > of spinal manipulation in the treatment of infantile colic. DESIGN: A randomized > controlled > trial. SETTING: A private chiropractic practice and the > National Health Service’s health visitor nurses in the suburb Ballerup > (Copenhagen, Denmark). > SUBJECTS: Infants seen by the health visitor nurses, who > fulfilled the diagnostic criteria for infantile colic. INTERVENTION: One group > received spinal > manipulation for 2 weeks, the other was treated with the > drug dimethicone for 2 weeks. OUTCOME MEASURE: Changes in daily hours of crying > as > registered in a colic diary. RESULTS: By trial days 4 to 7, > hours of crying were reduced by 1 hour in the dimethicone group compared with > 2.4 hours in the > manipulation group (P = .04). On days 8 through 11, crying > was reduced by 1 hour for the dimethicone group, whereas crying in the > manipulation group was > reduced by 2.7 hours (P = .004). From trial day 5 o > Pediatrics 2000 Jun;105(6):E84 > Infant massage compared with crib vibrator in the treatment > of colicky infants. > Huhtala V, Lehtonen L, Heinonen R, Korvenranta H > Department of Pediatrics, Turku University Hospital, Turku, > OBJECTIVE: To evaluate the effectiveness of infant massage > compared with that of a crib vibrator in the treatment of infantile colic. > METHODS: Infants <7 > weeks of age and perceived as colicky by their parents were > randomly assigned to an infant massage group (n = 28) or a crib vibrator group > (n = 30). Three > daily intervention periods were recommended in both groups. > Parents recorded infant crying and given interventions in a structured cry diary > that was kept for 1 > week before (baseline) and for 3 weeks during the > intervention. Parents were interviewed after the first and third weeks of > intervention to obtain their > evaluation of the effectiveness of the given massage or crib > vibration. RESULTS: At baseline, the mean amount of total crying was 3.6 > (standard deviation: 1.4) > hours/day in the massage group infants and 4.2 (2.0) > hours/day in the vibrator group infants. The mean amount of colicky crying was > 2.1 (standard deviation: > 1.1) hours/day and 2.9 (1.5) hours/day, respectively. The > mean number of daily intervention periods was 2.2 in both groups. Over the > 4-week study, the amount > of total and colicky crying decreased significantly in both > intervention groups. The reduction in crying was similar in the study groups: > total crying decreased by > a mean 48% in the massage group and by 47% in the vibrator > group, and colicky crying decreased by 64% and 52%, respectively. The amount of > other crying > (total crying minus colicky crying) remained stable in both > groups over the intervention. Ninety-three percent of the parents in both groups > reported that colic > symptoms decreased over the 3-week intervention, and 61% of > the parents in the massage group and 63% of the parents in the crib vibrator > group perceived > the 3-week intervention as colic reducing. CONCLUSIONS: > Infant massage was comparable to the use of a crib vibrator in reducing crying > in colicky infants. > We suggest that the decrease of total and colicky crying in > the present study reflects more the natural course of early infant crying and > colic than a specific > effect of the interventions. > — > Jay A. Hafner, DC, CCEP > Clinic director of Colorado Spine and Rehabilitation-Denver > http://www.chiroweb.com/ > RPGA Living Greyhawk Triad Member, County of Urnst, CO/WY/NM/MT > http://www.cyface.com/countyofurnst/ (Living Greyhawk Web Page for County of > Urnst) > Http://www.egroup.com/group/lgwriters (LIVING GREYHAWK WRITERS DISCUSSION) > http://www.wizards.com/rpga/LG/writers_guidelines.asp

Response:

Here’s a new bit of medical research information regarding Infantile Colic, Chiropractic, and Massage and how these therapies help kids (and parents J Manipulative Physiol Ther 1999 Oct;22(8):517-22 The short-term effect of spinal manipulation in the treatment of infantile colic: a randomized controlled clinical trial with a blinded observer. Wiberg JM, Nordsteen J, Nilsson N Center for Biomechanics, Odense University, Denmark. OBJECTIVE: To determine whether there is a short-term effect of spinal manipulation in the treatment of infantile colic. DESIGN: A randomized controlled trial. SETTING: A private chiropractic practice and the National Health Service’s health visitor nurses in the suburb Ballerup (Copenhagen, Denmark). SUBJECTS: Infants seen by the health visitor nurses, who fulfilled the diagnostic criteria for infantile colic. INTERVENTION: One group received spinal manipulation for 2 weeks, the other was treated with the drug dimethicone for 2 weeks. OUTCOME MEASURE: Changes in daily hours of crying as registered in a colic diary. RESULTS: By trial days 4 to 7, hours of crying were reduced by 1 hour in the dimethicone group compared with 2.4 hours in the manipulation group (P = .04). On days 8 through 11, crying was reduced by 1 hour for the dimethicone group, whereas crying in the manipulation group was reduced by 2.7 hours (P = .004). From trial day 5 o Pediatrics 2000 Jun;105(6):E84 Infant massage compared with crib vibrator in the treatment of colicky infants. Huhtala V, Lehtonen L, Heinonen R, Korvenranta H Department of Pediatrics, Turku University Hospital, Turku, OBJECTIVE: To evaluate the effectiveness of infant massage compared with that of a crib vibrator in the treatment of infantile colic. METHODS: Infants <7 weeks of age and perceived as colicky by their parents were randomly assigned to an infant massage group (n = 28) or a crib vibrator group (n = 30). Three daily intervention periods were recommended in both groups. Parents recorded infant crying and given interventions in a structured cry diary that was kept for 1 week before (baseline) and for 3 weeks during the intervention. Parents were interviewed after the first and third weeks of intervention to obtain their evaluation of the effectiveness of the given massage or crib vibration. RESULTS: At baseline, the mean amount of total crying was 3.6 (standard deviation: 1.4) hours/day in the massage group infants and 4.2 (2.0) hours/day in the vibrator group infants. The mean amount of colicky crying was 2.1 (standard deviation: 1.1) hours/day and 2.9 (1.5) hours/day, respectively. The mean number of daily intervention periods was 2.2 in both groups. Over the 4-week study, the amount of total and colicky crying decreased significantly in both intervention groups. The reduction in crying was similar in the study groups: total crying decreased by a mean 48% in the massage group and by 47% in the vibrator group, and colicky crying decreased by 64% and 52%, respectively. The amount of other crying (total crying minus colicky crying) remained stable in both groups over the intervention. Ninety-three percent of the parents in both groups reported that colic symptoms decreased over the 3-week intervention, and 61% of the parents in the massage group and 63% of the parents in the crib vibrator group perceived the 3-week intervention as colic reducing. CONCLUSIONS: Infant massage was comparable to the use of a crib vibrator in reducing crying in colicky infants. We suggest that the decrease of total and colicky crying in the present study reflects more the natural course of early infant crying and colic than a specific effect of the interventions. — Jay A. Hafner, DC, CCEP Clinic director of Colorado Spine and Rehabilitation-Denver http://www.chiroweb.com/ RPGA Living Greyhawk Triad Member, County of Urnst, CO/WY/NM/MT http://www.cyface.com/countyofurnst/ (Living Greyhawk Web Page for County of Urnst) Http://www.egroup.com/group/lgwriters (LIVING GREYHAWK WRITERS DISCUSSION) http://www.wizards.com/rpga/LG/writers_guidelines.asp

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