PEDIATRICS FOR THE DOCTOR OF CHIROPRACTIC
History, Examination and Spinal Adjusting Techniques for the Young Pediatric Patient
Speaker: Elise G. Hewitt, DC, DICCP, FICC
Dates: March 7th & 8th, 2020
Saturday: 8am-5pm (lunch break from 12-1pm)
Location: Cambria Suites, Polaris, 9100 Lyra Drive, Columbus, OH 43240
Cost: Member: $290
Membership Plus: Free
After taking this seminar, doctors of chiropractic will feel comfortable examining,
diagnosing and adjusting babies and young children. The class will begin with background
information regarding when and why children may need to be adjusted, and what the
literature says about both the safety and effectiveness of spinal adjusting in children.
Dr. Hewitt will teach doctors of chiropractic the subtleties of taking a complete history and
performing a physical examination, with particular emphasis on young children. Included
will be a thorough discussion of the neurological evaluation of newborns and infants,
including assessment of cranial nerves, deep tendon reflexes, tone, and primitive reflexes.
Video clips will be used to aid in demonstration of these techniques. Dr. Hewitt will also
discuss red flags in the history and examination, as well as indications for imaging.
The technique portion of the class will explain what’s unique about the pediatric spine and
how to modify technique for the pediatric patient. Using video clips of actual treatment
sessions, Dr. Hewitt will demonstrate manual techniques for full-spine adjusting of infants
and young children, region-by-region, providing technique modifications for different age
groups. Hands-on instruction will be included as Dr. Hewitt circulates throughout the
room, refining technique application as attendees practice what they are learning.
Throughout her presentation, Dr. Hewitt will pepper her instruction with clinical pearls
from her 31 years of experience in pediatric practice.
Attendees will be able to…
1. Summarize the evidence regarding safety of pediatric spinal manipulation.
2. Describe the differences between the pediatric spine and the adult spine.
3. Discuss the etiology of joint dysfunction in children.
4. Describe unique aspects of history-taking for young children
5. Perform examination techniques unique to the pediatric patient
6. Recognize red flags in the pediatric history and examination
7. Demonstrate modifications made when adjusting a child.
8. Be comfortable and effective when adjusting pediatric patients.
• State of research regarding the safety of manual therapies in children
• How joint dysfunction affects a child’s health
• Partnering with pediatricians
• Etiology of joint restrictions in children
• Components of a thorough history for the young pediatric patient
• Unique components of the physical examination of the young pediatric patient
• Neurologic examination of the newborn, including cranial nerves, deep tendon
reflexes, tone, and primitive reflexes
• Indications for obtaining x-ray or other imaging of the pediatric patient
• Red flags in the history and examination of children
• Child-proofing the chiropractic office
Hours Six, Seven and Eight
• Unique anatomical and physiological aspects of the pediatric spine
• Adjusting technique modifications for the pediatric patient
• Common technique mistakes when adjusting children
Hour Nine and Ten
Specific diversified adjusting techniques for newborn/infant, toddler/pre-school, and
grade school/adolescent age groups. Instruction will include demonstration on a model
of an infant as well as video footage of actual patient sessions. Examination and
treatment techniques will be subdivided into the following regions: