Evidence map›Paper›PMID 38770250›Full record

ArticleFrontiers in psychology2024

The effects of chiropractic adjustment on inattention, hyperactivity, and impulsivity in children with attention deficit hyperactivity disorder: a pilot RCT.

Imran Amjad, Imran Khan Niazi, Nitika Kumari, Jens Duehr, Gulyana Shehzad, Usman Rashid, Jenna Duehr, Robert J Trager, Kelly Holt, Heidi Haavik

Abstract read
In one paragraph

Article in Frontiers in psychology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Imran AmjadCentre for Chiropractic Research, New Zealand College of Chiropractic, Auckland, New Zealand.
Imran Khan NiaziCentre for Chiropractic Research, New Zealand College of Chiropractic, Auckland, New Zealand.
Nitika KumariCentre for Chiropractic Research, New Zealand College of Chiropractic, Auckland, New Zealand.
Jens DuehrCentre for Chiropractic Research, New Zealand College of Chiropractic, Auckland, New Zealand.
Gulyana ShehzadNational Intitute of Psychology, Quid e Azam University, Islamabad, Pakistan.
Usman RashidCentre for Chiropractic Research, New Zealand College of Chiropractic, Auckland, New Zealand.
Jenna DuehrCentre for Chiropractic Research, New Zealand College of Chiropractic, Auckland, New Zealand.
Robert J TragerConnor Whole Health, University Hospitals Cleveland Medical Center, Cleveland, OH, United States.
Kelly HoltCentre for Chiropractic Research, New Zealand College of Chiropractic, Auckland, New Zealand.
Heidi HaavikCentre for Chiropractic Research, New Zealand College of Chiropractic, Auckland, New Zealand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Attention deficit hyperactivity disorder (ADHD) is a neurobiological disorder characterized by inattention, hyperactivity, and impulsivity. We hypothesized that chiropractic adjustments could improve these symptoms by enhancing prefrontal cortex function. This pilot study aimed to explore the feasibility and efficacy of 4 weeks of chiropractic adjustment on inattention, hyperactivity, and impulsivity in children with ADHD. Methods: 67 children with ADHD were randomly allocated to receive either chiropractic adjustments plus usual care (Chiro+UC) or sham chiropractic plus usual care (Sham+UC). The Vanderbilt ADHD Diagnostic Teacher Rating Scale (VADTRS), Swanson, Nolan and Pelham Teacher and Parents Rating Scale (SNAP-IV), and ADHD Rating Scale-IV were used to assess outcomes at baseline, 4 weeks, and 8 weeks. Feasibility measures such as recruitment, retention, blinding, safety, and adherence were recorded. Linear mixed regression models were used for data analysis. Results: 56 participants (mean age ± SD: 10.70 ± 3.93 years) were included in the analysis. Both the Chiro+UC and Sham+UC groups showed significant improvements in total and subscale ADHD scores at 4 weeks and 8 weeks. However, there were no significant differences between the two groups. Conclusion: This pilot study demonstrated that it was feasible to examine the effects of chiropractic adjustment when added to usual care on ADHD outcomes in children. While both groups showed improvements, the lack of significant between-group differences requires caution in interpretation due to the small sample size. Further research with larger samples and longer follow-up periods is needed to conclusively evaluate the effects of chiropractic adjustments on ADHD in children.

Indexed as

ADHD (attention deficit and hyperactivity disorder)ADHD Rating Scale-IVchiropractic adjustmentNolan and Pelham Teacher and Parents Rating Scalepilot RCTSwansonVanderbilt ADHD Diagnostic Teacher Rating Scale

Identifiers

PMID38770250
PMCPMC11104450

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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.