Chiropractic Care for Infants & Children 
Dr. Kevin Pallis 

Making VSC Detection, Removal and Prevention a Clinical, Scientific Reality in your office
The objective of this seminar is to give all DC’s in attendance the clinical and scientific certainty to remove, evaluate and prevent VSC in children and adults of all ages.  Far too many DCs as clinicians restrict their practices unnecessarily to the traditional adult patient when clinical evidence suggests otherwise.

The New Renaissance has been teaching these ‘controversial’ concepts for decades.  Dr. Joe Flesia and Dr. Guy Riekeman (President of Life U) started this journey in our profession.  Please note that most of the research articles used, have, by intent, remained as they were.  VSC and its sequelae are not new concepts.  We have references dating back as far as 1874.  We encourage all participants who are interested/so inclined to perform their own updated literature search to come up with more ‘current’ articles that simply corroborate what was presented previously, but not accepted (for obvious reasons of liability, litigation, paradigm blindness, etc) by the mainstream.

Five Components of Vertebral Subluxation Complex and How it Relates to Children   (1 hours)
The scientific validity on a component basis gives DCs the clinical certainty of evaluating, removing and preventing VSC in children.  It’s different than adults, otherwise all DCs would have children as patients. We are currently the only doctors that discriminate due to age.  The average new patient is 46 years old. Without this scientific basis, the clinician will struggle with setting clinical parameters and recommendations, as well as evaluating progress for all age levels.  Relying on pain is not only inaccurate, its strictly dial up.  

Science behind Vertebral Subluxation Complex     (1 hours)
Historical as well as a contemporary review and synopsis of peer reviewed articles discussing VSC and the components of VSC.  Part of the cultural blind spot (paradigm blindness) of this subject is the absence of pain or symptoms in many clinical and sub-clinical episodes.  Understanding the science will build belief and certainty in the scientific reality of structural and neurological (functional) impairment of the spine.  Historical articles are included to demonstrate the resistance of this concept from becoming mainstream public awareness.  

The Birth Process: a Cause of Vertebral Subluxation Complex in Children  (1 hour)
Is this real or fiction?  This is a cultural blind spot that brings up lots of opinions, emotions and resistance both individually and as a profession.  Its time to separate fact from fiction.  Video (Dr. Jeanne Ohm ICPA president) as well as articles supporting the scientific validity of Traumatic Birth Syndrome.  The legal profession has picked up on TBS with cases such as Cerebral Palsy, Erbs Palsy, etc.  The evidence and verdicts are well documented in the legal arena, however, not mainstream awareness.   

How to Evaluate for Each Component When it Comes to the Pediatric Patient (2 hours)
DCs must get comfortable and accurate when it comes to evaluating pediatric spines. When is it clinically necessary to x-ray an infant or child?  Measurement and tolerances are necessarily much more precise with kids.  Without understanding the parameters of infant and child assessment, most clinicians will defer or refer out.  So many DCs either don’t possess the skill and ability to do this or just don’t see the need. Regrettably, many children are denied access to Chiropractic care because of this inability.  So many children who could be helped through Chiropractic sadly fall through the cracks.        

Introduction of Pediatric Procedure   (1 hours)
One of the most ‘overlooked’ clinical procedures is taking an accurate case history.  The case history is usually given by the mother (or father) and they can tell you things that you can’t assess during the exam process.  This compliments and integrates the exam process.  Too many clinicians ‘downplay’ the case history and want to get right to the exam.  Other procedures will be introduced and explained to assist the clinician in establishing a bridge of understanding/knowledge between the parent and the doctor. Remember, the infant is unable to assist you in locating VSC in most cases.  

Synopsis of adjusting the infant and child    (1 hours)
Now that you’re aware of the clinical ramifications of infants and children with VSC, how do you remove it? Demonstration and role playing will include setting up and ‘adjusting’ an infant sized doll.  Doing this so many times at seminars throughout the country, I've noticed this is the part that really helps doctors who are inexperienced or never have adjusted children, shine.   

Treatment Recommendations for the Pediatric Patient   (1 hour)
They are not the same as adults.  Scientific reality vs. dogma.  If you’re basing your recommendations based on symptoms only, or insurance guidelines, you are not using scientific parameters.  In the adult, according to research, it takes 12-16 weeks to recover from a slight diarthrodial sprain.  This is merely to get back to ‘pre-injury’ status.  Far too many clinicians fail to deliver clinical results, not because of their lack of skill or ability, but the brevity of their recommendations.  

 References

1.     “Spinal Injury Related to the Syndrome of sudden Death (Crib Deat) in Infant”,
        Abraham Towbin, M.D., Department of Pathology, Boston University School Medicine, Mallory                   Institute of Pathology, Boston, Massachusetts, The American Journal of Clinical Pathology, Vol. 49,           No. 4, 1968, Williams & Wilkins Company.

 2.     “Spinal Injury”, 2^nd Ed. “Birth Injury”, David Yashon, M.D., FACS, FRCS(C), Professor of                  Neurosurgery, Ohio State University, 18, 347-352, Appleton-Century-Crofts.

 3.     “Blocked Atlantal Nerve Syndrome in Babies and Infants”, G. Gutmann, Manuelle Medizin,              25:5-10, 1987

 4.     “Experimental Models of Osteoarthritis: The Role of Immobilization”, T. Videman, Clinical              Biomechanics, 2:223-229, 1987, and The Various Papers by Videman there referenced.

 5.     “Birth Injury to the Cervical Spine and Spinal Cord”, Dept of Pathology, University of                        Manchester, Manchester; U.K. ACTA Neurochirurgica, Suppl. 32,87-90, 1983, Published by                      Springer Verlag, 1983

 6.     “Long Term Prognosis for the Infant with Severe Trauma”, symposium on operative                        obstetrics, clinics in perinatology, DONN,MD; FAIX,MD; Vol 10, No 2, June 1983

7.     “Immediate Management of the Traumatized Infant”, symposium on operative obstetrics,                 clinics in perinatology, FAIX,MD; DONN,MD; Vol 10, No 2, June 1983

 8.     “Pediatric Spinal Trauma: Vertebral Column and Spinal Cord Injuries in Children”,                        Dickman, Rekate, Sonntag, Zabramski; Division of Neurological Surgery, Barrow Neurological                  Institute, Phoenix, AZ; Pediatric Neuroscience 1989; 15:237-256

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