Download a PDF copy of the Position statement on the Interim policy on spinal manipulation for infants and young children (46.2 KB,PDF).
14 March 2019
Health Ministers have announced an independent expert review by Safer Care Victoria on spinal manipulation for infants and young children.
The Chiropractic Board of Australia (the Board) has set an Interim Policy – Spinal manipulation for infants and young children to protect the public until the outcomes of the expert review are known, and a final policy is developed on the issue. The Board advises chiropractors to not use spinal manipulation to treat children under two years of age, pending the recommendations arising from the independent expert review.
The role of the Board is to protect the public as mandated by the Health Practitioner Regulation National Law, as in force in each state and territory (the National Law).
The Board regulates the chiropractic profession by setting registration standards, codes, guidelines and policies and ensuring that only health practitioners who are suitably trained and qualified to practice in a safe, competent and ethical manner are registered.
In June 2017, the Board published a position statement on chiropractic paediatric care. In this statement, the Board stipulated an expectation that chiropractors ensure their clinical practice is consistent with current evidence and/or best-practice approaches. However, the Board acknowledges there is no current clinical guideline, or peer-reviewed publication to guide chiropractors with respect to the care of infants and young children, and the use of spinal manipulation in particular.
The Board is committed to ensuring the public has access to, and receives, safe, ethical and competent care from registered chiropractors. For this reason, a review of the current best evidence for the efficacy of spinal manipulation to treat childhood illnesses or health concerns in infants and young children, with a concurrent analysis of adverse events or harms reported as arising from spinal manipulation within this population, is a high priority. The independent expert review to be led by Safer Care Victoria will be used to inform future policy on the regulation of spinal manipulation for infants and young children for public protection.
The Interim Policy – Spinal manipulation for infants and young children is an interim policy to protect the public until the outcomes of the expert review are known, and a final policy is developed on the issue. The Board advises chiropractors to not use spinal manipulation to treat children under two years of age, pending the recommendations arising from the independent expert review.
For the purpose of this interim policy, ‘spinal manipulation’ means moving the joints of the spine beyond the child’s usual physiological range of motion using a high velocity, low amplitude thrust.
The Board expects chiropractors to comply with the interim policy, in addition to following the guidance provided in the Statement on paediatric care (2017) and the Code of conduct for chiropractors (2022).
The Board expects chiropractors to:
When chiropractors do not have the clinical skills and knowledge to appropriately assess and/or manage a paediatric patient, the Board expects them to refer the patient to another healthcare practitioner who has the appropriate skills, or to co-manage the patient with them. In all cases, the patients’ best interests must be the priority.