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First Article
Medline ID: 90111454 Citation: Giesen JM, Center DB, Leach RA,
An evaluation of chiropractic
manipulation as a treatment of hyperactivity in children., J Manipulative Physiol Ther 12: 5, 353-63, Oct, 1989.
Address: Mississippi State University.Abstract The principle aim of this study was to determine the
effectiveness of chiropractic manipulative therapy in the treatment of children with hyperactivity. Using blinds
between investigators and a single subject research design, the investigators evaluated the effectiveness of
the treatment for reducing activity levels of hyperactive children. Data collection included independent
evaluations of behavior using a unique wrist-watch type device to mechanically measure activity while the
children completed tasks simulating school-work. Further evaluations included electrodermal tests to
measure autonomic nervous system activity. Chiropractic clinical evaluations to measure improvement in
spinal biomechanics were also completed. Placebo care was given prior to chiropractic intervention. Data
were analyzed visually and using nonparametric statistical methods. Five of seven children showed
improvement in mean behavioral scores from placebo care to treatment.
Four of seven showed improvement in arousal levels, and the improvement in the group as a whole was
highly significant (p = 0.009). Agreement between tests was also high in this study. For all seven children,
three of the four principal tests used to detect improvement were in agreement either positively or negatively
(parent ratings of activity, motion recorder scores, electrodermal measures, and X-rays of spinal distortions).
While the behavioral improvement taken alone can only be considered suggestive, the strong interest
agreement can be taken as more impressive evidence that the majority of the children in this study did, in
fact, improve under specific chiropractic care. The results of this study, then, are not conclusive, however,
they do suggest that chiropractic manipulation has the potential to become an important nondrug intervention
for children with hyperactivity. Further investigation in this area is certainly warranted. Type: JOURNAL
ARTICLE
ISSN: 0161-4754
Language: Eng
Journal Name: JOURNAL OF MANIPULATIVE AND PHYSIOLOGICAL THERAPEUTICS Medical Subject Headings
(MeSH)
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