THE PREVALENCE OF EXTREMITY JOINT DYSFUNCTION IN NEONATES AND INFANTS WITHIN A PAEDIATRIC CHIROPRACTIC CLINIC

Abstract

Introduction: Extremity joint dysfunctions are a commonplace occurrence within the neonate and infant population. While conditions of greater clinical significance are well documented, there is a disturbing lack of data regarding the prevalence of extremity joint dysfunctions within this population. This study aims to provide the first prevalence data on extremity joint dysfunctions in neonates and infants.Methods: Data was collected from 202 cases of neonates and infants under 12 months of age during the period 1/1/2010 to 31/12/2010 at a paediatric-only chiropractic clinic. Motion palpation findings from four chiropractors with post-registration chiropractic paediatric training were collated.Results: Of the 202 cases, 153 (75.7%) were found to have extremity joint dysfunction. The shoulder was the most frequent (71.8%), followed by the wrist (5.5%), fibula (5.0%) and elbow (2.5%).Conclusion: Extremity joint dysfunction is common and likely to be overlooked aspect of neonatal and infant examination. The high prevalence within this cohort suggests that all neonates and infants attending a chiropractor should be assessed to identify the presence of extremity joint dysfunction and receive appropriate treatment.