A position statement about spinal manipulation and mobilisation in a paediatric population

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Why is it important?

There are no clear guidelines on when, how it would be safe to do manipulate and mobilise in a paediatric population 1. It is not recommended to perform: • Spinal manipulation and mobilisation on infants. • Cervical and lumbar spine manipulation on children. • Spinal manipulation and mobilisation on infants, children, and adolescents for nonmusculoskeletal paediatric conditions including asthma, attention deficit hyperactivity disorder, autism spectrum disorder, breastfeeding difficulties, cerebral palsy, infantile colic, nocturnal enuresis, and otitis media. 2. It may be appropriate to treat musculoskeletal conditions including spinal mobility impairments associated with neck-back pain and neck pain with headache utilising: • Spinal mobilisation and manipulation on adolescents; • Spinal mobilisation on children; or • Thoracic manipulation on children for neck-back pain only.