Common Manual Therapy Practices in the Netherlands for Infants With Upper Cervical Dysfunction: A Prospective Cohort Study

Saedt, Eric R.I.C.; Driehuis, Femke; Hoogeboom, Thomas J.; Woude, Bé H. van der; Bie, Rob A. de; Sanden, M.W.G. Nijhuis-van der

doi:10.1016/j.jmpt.2017.08.003

Cited by 13 publications

(36 citation statements)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the current clinical practice, many children and infants are treated with manual therapy for various musculoskeletal and non-musculoskeletal conditions [1][2][3][4]. In the Netherlands, upper cervical dysfunction (UCD) is considered the primary treatment indication in infants [5]. Persistent UCD could induce the maintenance of postural asymmetry and lead to a reduced active and passive cervical range of motion (ROM), resulting in a fixed asymmetric position of the infant's head toward lateral flexion and contralateral rotation [6][7][8].…”

Section: Introductionmentioning

confidence: 99%

“…Persistent UCD could induce the maintenance of postural asymmetry and lead to a reduced active and passive cervical range of motion (ROM), resulting in a fixed asymmetric position of the infant's head toward lateral flexion and contralateral rotation [6][7][8]. Infants with persistent positional preference and indications of UCD seem to have more signs of skull deformation, excessive crying, and restlessness [5,6,9].…”

Section: Introductionmentioning

confidence: 99%

“…These tests assess whether upper cervical passive mobility toward rotation in full flexion and lateral flexion is either normal or reduced. When at least one of these tests indicates reduced passive ROM, UCD is clinically diagnosed and, dependent on the direction of reduced mobility, treated with specific techniques [5]. To date, research has acknowledged good reliability of the FRT in adults [10][11][12][13] and children [14] while in infants only one study examined the intrarater reliability; one rater examined infants with torticollis and found high intra-rater reliability (ICC: ≥0.77) [15].…”

Section: Introductionmentioning

confidence: 99%

“…To date, research has acknowledged good reliability of the FRT in adults [10][11][12][13] and children [14] while in infants only one study examined the intrarater reliability; one rater examined infants with torticollis and found high intra-rater reliability (ICC: ≥0.77) [15]. Even though the validity and reliability of the FRT and LFT in infants are still largely unknown, manual therapists currently use these tests in their diagnostic clinical decision-making [5]. Therefore, there is a strong need to determine the reliability of the FRT and LFT in clinical practice.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Measurement of range-of-motion in infants with indications of upper cervical dysfunction using the Flexion-Rotation-Test and Lateral-Flexion-Test: a blinded inter-rater reliability study in a clinical practice setting

Driehuis

Keijsers

Sanden

et al. 2020

Journal of Manual & Manipulative Therapy

Self Cite

View full text Add to dashboard Cite

Background: In infants with indications of upper cervical dysfunction, the Flexion-Rotation-Test and Lateral-Flexion-Test are used to indicate reduced upper cervical range-of-motion (ROM). In infants, the inter-rater reliability of these tests is unknown. Objective: To assess the inter-rater reliability of subjectively and objectively measured ROM by using the Flexion-Rotation-Test and Lateral-Flexion-Test. Methods: 36 infants (<6 months) and three manual therapists participated in this crosssectional observational study. Pairs of two manual therapists independently assessed infants' upper cervical ROM using the Flexion-Rotation-Test and Lateral-Flexion-Test, blinded for each other's outcomes. Two inertial motion sensors objectively measured cervical ROM. Inter-rater reliability was determined between each pair of manual therapists. For subjective outcomes, Cohen's kappa (ĸ) and the proportion of agreement (Pra) were calculated. For objectively measured ROM, Bland Altman plots were conducted and Limits of Agreement and Intraclass Correlation Coefficients (ICC) were calculated. Results: The inter-rater reliability of the Flexion-Rotation-Test and Lateral-Flexion-Test for subjective (ĸ: 0.077-0.727; Pra: 0.46-0.86) and objective outcomes (ICC: 0.019-0.496) varied between pairs of manual therapists. Conclusion: Assessed ROM largely depends on the performance of the assessment and its interpretation by manual therapists, leading to high variation in outcomes. Therefore, the Flexion-Rotation-Test and Lateral-Flexion-Test cannot be used solely as a reliable outcome measure in clinical practice and research context.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Measurement of range-of-motion in infants with indications of upper cervical dysfunction using the Flexion-Rotation-Test and Lateral-Flexion-Test: a blinded inter-rater reliability study in a clinical practice setting

Driehuis

Keijsers

Sanden

et al. 2020

Journal of Manual & Manipulative Therapy

Self Cite

View full text Add to dashboard Cite

show abstract

“…Data extraction was validated by one of three reviewers (PC, CC, SM). We contacted the study authors when clarification or additional information/data was necessary to build the evidence tables [32,33]. Evidence tables summarized the information relevant to each objective and we used this information to create the summary statements.…”

Section: Data Extractionmentioning

confidence: 99%

The safety of spinal manipulative therapy in children under 10 years: a rapid review

et al. 2020

View full text Add to dashboard Cite

Introduction: The safety of spinal manipulative therapy (SMT) in children is controversial. We were mandated by the College of Chiropractors of British Columbia to review the evidence on this issue. Objectives: We conducted a rapid review of the safety of SMT in children (< 10 years). We aimed to: 1) describe adverse events; 2) report the incidence of adverse events; and 3) determine whether SMT increases the risk of adverse events compared to other interventions. Evidence review: We searched MEDLINE, CINAHL, and Index to Chiropractic Literature from January 1, 1990 to August 1, 2019. We used rapid review methodology recommended by the World Health Organization. Eligible studies (case reports/series, cohort studies and randomized controlled trials) were critically appraised. Studies of high and acceptable methodological quality were included. The lead author extracted data. Data extraction was independently validated by a second reviewer. We conducted a qualitative synthesis of the evidence. Findings: Most adverse events are mild (e.g., increased crying, soreness). One case report describes a severe adverse event (rib fracture in a 21-day-old) and another an indirect harm in a 4-month-old. The incidence of mild adverse events ranges from 0.3% (95% CI: 0.06, 1.82) to 22.22% (95% CI: 6.32, 54.74). Whether SMT increases the risk of adverse events in children is unknown. Conclusion: The risk of moderate and severe adverse events is unknown in children treated with SMT. It is unclear whether SMT increases the risk of adverse events in children < 10 years.

show abstract

Manual therapy of infants with postural and movement asymmetries and positional preference

Sacher¹,

Knüdeler²,

Wuttke³

et al. 2021

Manuelle Medizin

View full text Add to dashboard Cite

Background There are different therapeutic approaches to persistent positional preference (kinematic imbalance due to suboccipital strain, KISS) in infants. There are no evidence-based or controlled studies investigating the effect of manual medicine treatment in children aged 3–6 months, particularly in combination with a home exercise programme. The presented monocentric study on one-time manual medicine treatment of infants aged 14–24 exhibiting these symptoms aims to close this gap. Methods This study comprises a controlled double-blind trial and per-protocol-analysis. Primary outcome was the 4-item symmetry score (4–17 points). The second measurement was performed after 4–6 weeks. Results A total of 62 infants were treated and evaluated (mean age 17 weeks). The intervention and control groups started with a symmetry score of 12.9 ± 2.1 and 12.5 ± 1.7 points, respectively. In the intervention group the score improved by 4.9 ± 2.4 to 8.0 ± 2.7 points, in the control group it improved by 2.9 ± 2.9 to 9.6 ± 3.0 points. The difference between the groups was statistically significant (p = 0.03). Both groups had significantly better values over time (p < 0.001). No adverse events or side effects were observed. Conclusion Manual medicine treatment of infants with postural and movement asymmetries as well as positional preference in combination with a home exercise programme is superior to a home exercise programme alone. Both treatment concepts achieved significant improvements. However, the manual medicine treatment played an important role in reducing the symmetry score value for the affected children, such they were no longer in need of treatment.

show abstract

Common Manual Therapy Practices in the Netherlands for Infants With Upper Cervical Dysfunction: A Prospective Cohort Study

Cited by 13 publications

References 34 publications

Measurement of range-of-motion in infants with indications of upper cervical dysfunction using the Flexion-Rotation-Test and Lateral-Flexion-Test: a blinded inter-rater reliability study in a clinical practice setting

Measurement of range-of-motion in infants with indications of upper cervical dysfunction using the Flexion-Rotation-Test and Lateral-Flexion-Test: a blinded inter-rater reliability study in a clinical practice setting

The safety of spinal manipulative therapy in children under 10 years: a rapid review

Manual therapy of infants with postural and movement asymmetries and positional preference

Contact Info

Product

Resources

About