Joyce Miller is an enthusiastic and pragmatic paediatrics lecturer with 15 years private practice experience. Currently Senior Clinic Tutor at Anglo-European Chiropractic Clinic in England, she overseas over the busy infant and child practice in the teaching clinic and is the Lead Tutor for the Portsmouth University-AECC Master’s Degree in Paediatrics

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Presentation:

Adjusting the Adjustment: How and why to alter manipulation techniques for the paediatric patient

Doctors often take what they know about adults and shrink it to the size of an infant. However, children are completely different than adults, not only in terms of their size, but also in terms of their structural components such as cartilage, bone and muscle. For example, when viewed from anterior to posterior, the condylar angles between occiput and C1 is flat in infants, allowing for lateral movement of atlas because it is less inhibited by the occiput it becomes the case later in life. Manipulation techniques must be altered to take into account the smaller body proportions, the mismatch between body size and muscle strength, the child’s sensory priorities as well as built-in primitive reactions of the infant.