Re: Chiropractic for otitis?
Sir,
Many professional organisations of chiropractic such as the British Chiropractic Association (1), the Chiropractic Association of Ireland (2) or the American Chiropractic Association (3) state or imply that chiropractic is an effective treatment for ear infections. A recent survey furthermore demonstrates that 54% of UK chiropractors subscribe to this idea (4). So is there any evidence that it is true?
In an attempt to find all clinical trials on the subject, I conducted electronic literature searches in the following databases: Medline, Embase, Cinhal and AMED (September 2008). No language or time restrictions were imposed. To get included, an article needed to refer to a controlled clinical trial of chiropractic for ear infection (otitis). Case reports, case series and uncontrolled or feasibility studies were excluded.
These searches generated 35 hits. After removing duplicates, 27 articles were read. None of them met the inclusion criteria. Previous research has shown that professional chiropractic organisations ‘make claims for the clinical art of chiropractic that are not currently available scientific evidence…’ (5). The claim to effectively treat otitis seems to be one of them. It is time now, I think, that chiropractors either produce the evidence or abandon the claim.
E. Ernst
Complementary Medicine,
Peninsula Medical School,
25 Victoria Park Road,
Exeter EX2 4NT
UK
References
1. British Chiropractic association, 2009.
http://www.chiropractic-uk.co.uk (accessed January 2009).
2. Chiropractic Association of Ireland, 2008.
http://www.chiropractic.ie (accessed January 2009).
3. American Chiropractic Association, 2009,
http://www.amerchiro.org (accessed January 2009).
4. Pollentier A, Langworthy JM. The scope of chiropractic practice: a survey of chiropractors in the UK.
Clin Chiropractic 2007; 10: 147-55.
5. Grod JP, Sikorski D, Keating JC. Unsubstantiated claims in patient brochures from the largest State, Provincial, and National Chiropractic Associations and Research Agencies.
J Man Phys Ther 2001; 24: 514-9.
Chiropractic for otitis?
Int J Clin Pract, September 2009;63(9):1392-1393