Evidence map›Paper›PMID 33874955›Full record

Trial reportChiropractic & manual therapies2021

The effect of chiropractic care on infantile colic: results from a single-blind randomised controlled trial.

Lise Vilstrup Holm, Dorte Ejg Jarbøl, Henrik Wulff Christensen, Jens Søndergaard, Lise Hestbæk

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Chiropractic & manual therapies, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02595515 (The Effect of Chiropractic Treatment of Infantile Colic. A Randomized, Controlled Trial), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02595515 nacompletednot on this map

The Effect of Chiropractic Treatment of Infantile Colic. A Randomized, Controlled Trial

TypeinterventionalSponsorNordic Institute of Chiropractic and Clinical BiomechanicsRan2015 to 2019Enrolled186ConditionsInfantile ColicArmsChiropractic treatment, Visit without active treatment
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Review
  7. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Lise Vilstrup HolmThe Chiropractic Knowledge Hub, University of Southern Denmark, Campusvej 55, DK-5230, Odense M, Denmark.
Dorte Ejg JarbølResearch Unit of General Practice, Department of Public Health, University of Southern Denmark, J.B. Winsløws vej 9A, DK-5000, Odense C, Denmark.
Henrik Wulff ChristensenThe Chiropractic Knowledge Hub, University of Southern Denmark, Campusvej 55, DK-5230, Odense M, Denmark.
Jens SøndergaardResearch Unit of General Practice, Department of Public Health, University of Southern Denmark, J.B. Winsløws vej 9A, DK-5000, Odense C, Denmark.
Lise HestbækThe Chiropractic Knowledge Hub, University of Southern Denmark, Campusvej 55, DK-5230, Odense M, Denmark. l.hestbaek@nikkb.dk.ORCID 0000-0002-1620-4556
University of Southern Denmark · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundChiropractic care is commonly used to treat infantile colic. However large trials with parental blinding are missing. Therefore, the purpose of this study is to evaluate the effect of chiropractic care on infantile colic.

methodThis is a multicenter, single-blind randomized controlled trial conducted in four Danish chiropractic clinics, 2015-2019. Information was distributed in the maternity wards and by maternal and child health nurses. Children aged 2-14 weeks with unexplained excessive crying were recruited through home visits and randomized (1:1) to either chiropractic care or control group. Both groups attended the chiropractic clinic twice a week for 2 weeks. The intervention group received chiropractic care, while the control group was not treated. The parents were not present in the treatment room and unaware of their child's allocation. The primary outcome was change in daily hours of crying before and after treatment. Secondary outcomes were changes in hours of sleep, hours being awake and content, gastrointestinal symptoms, colic status and satisfaction. All outcomes were based on parental diaries and a final questionnaire.

resultsOf 200 recruited children, 185 completed the trial (treatment group n = 96; control group n = 89). Duration of crying in the treatment group was reduced by 1.5 h compared with 1 h in the control group (mean difference - 0.6, 95% CI - 1.1 to - 0.1; P = 0.026), but when adjusted for baseline hours of crying, age and chiropractic clinic, the difference was not significant (P = 0.066). The proportion obtaining a clinically important reduction of 1 h of crying was 63% in the treatment group and 47% in the control group (p = 0.037), and NNT was 6.5. We found no effect on any of the secondary outcomes.

conclusionExcessive crying was reduced by half an hour in favor of the group receiving chiropractic care compared with the control group, but not at a statistically significant level after adjustments. From a clinical perspective, the mean difference between the groups was small, but there were large individual differences, which emphasizes the need to investigate if subgroups of children, e.g. those with musculoskeletal problems, benefit more than others from chiropractic care.

trial registrationClinical Trials NCT02595515 , registered 2 November 2015.

Indexed as

ColicDenmarkFemaleHumansInfantInfant, NewbornMaleManipulation, ChiropracticSingle-Blind MethodChiropracticExcessive cryingInfantile colicManipulative treatmentRandomized controlled trial

Identifiers

PMID33874955
PMCPMC8054384
OpenAlexW3153702393

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.