Effects of osteopathic approach in infants with deformational plagiocephaly: an outcome research study

Gasperini, Margherita; Vanacore, Nicola; Massimi, Luca; Consolo, Stefano; Haass, Cristina; Scapillati, Maria E; Petracca, Marco

doi:10.23736/s2724-5276.21.06588-5

Cited by 6 publications

(7 citation statements)

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“…In the present scoping review, we assumed that osteopathic touch is focused on SD of the musculoskeletal body framework interacting with self-regulation. The studies included in this review confirm that osteopathic practitioners not only work in the prevention field but also with a fragile population, such as in the pediatric field [ 11 , 12 , 52 ] or in patients with different pathologies [ 9 , 10 , 53 , 54 ].…”

Section: Discussionmentioning

confidence: 54%

International Overview of Somatic Dysfunction Assessment and Treatment in Osteopathic Research: A Scoping Review

Tramontano

Tamburella

Farra³

et al. 2021

Healthcare

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Background: Osteopathic manipulative treatment (OMT) is a patient-centred, whole-body intervention aimed at enhance the person’s self-regulation. OMT interventions are focused on somatic dysfunctions (SD) that can be defined as an altered regulative function associated with inflammatory signs palpable in the body framework in different body regions. The conceptual model that sustains SD, as well as its usefulness for the osteopathic profession, is still being discussed by the osteopathic community. Understanding the role and the application of SD is the aim of this scoping review. Methods: A literature search was carried out through the main biomedical databases: Pubmed (Medline), Cochrane, Central (Cochrane), Embase, PEDro and Scopus. Grey literature was considered via Google Scholar and the Osteopathic Research Web. The review was prepared by referring to the “Preferred Reporting Items for Systematic reviews and Meta-Analysis extension for Scoping Reviews” (PRISMA-ScR). Results: A total of 37,279 records were identified through database searching and other sources. After the duplicates were removed, 27,023 titles and abstracts were screened. A total of 1495 full-text articles were assessed for eligibility. The qualitative synthesis included 280 studies. Conclusions: Treating SD is an important part of osteopathic practice that varies from country to country. SD should be considered as a clinical value that assists in the clinical assessment and guides the decision-making process of osteopathic practitioners. Further studies should be designed to better understand why and how to choose the different assessment and intervention modalities to approach SD and to evaluate new osteopathic models.

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Section: Discussionmentioning

confidence: 54%

International Overview of Somatic Dysfunction Assessment and Treatment in Osteopathic Research: A Scoping Review

Tramontano

Tamburella

Farra³

et al. 2021

Healthcare

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“…In Gasperini et al's study, a sample of 37 infants reported a significant improvement in cranial index asymmetries both at the end of OMT sessions and at a 12-month follow-up. 25 The study reported a range of 2 to 12 OMT sessions in a period extending from 1 to 8 months, while in our trial, infants received a median of six OMTh sessions in a period of 3 months. Furthermore, in our trial, in accordance with the CONSORT and the Template for Intervention Description and Replication (TIDieR), 45 we provide a full description of OMTh during the phase of assessment and treatment to allow for the study to be replicated.…”

Section: Discussionmentioning

confidence: 67%

“…23 In the area of NSP, the evidence of a potential benefit of OMT is still preliminary, and comparisons between OMT and sham manipulation are generally lacking. 24,25 Therefore, assessing whether OMT may be beneficial in NSP would require large-sized studies and robust data generated through a randomized controlled trial. To overcome these knowledge gaps, we wanted to test the hypothesis that a course of six OMTh sessions (in addition to repositioning therapy) would significantly reduce cranial asymmetries when compared with a control group receiving only light touch therapy (LTT).…”

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confidence: 99%

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A Randomized Controlled Trial of Osteopathic Manipulative Therapy to Reduce Cranial Asymmetries in Young Infants with Nonsynostotic Plagiocephaly

Bagagiolo¹,

Priolo

Favre³

et al. 2022

Am J Perinatol

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Objective This study aimed to compare the efficacy of osteopathic manipulative therapy (OMTh) versus light touch therapy (LTT) in reducing cranial asymmetries in infants with nonsynostotic plagiocephaly (NSP). Study Design A prospective, parallel-group, single-center, LTT-controlled randomized clinical trial was conducted in the Department of Neonatology of Sant'Anna Hospital in Turin, Italy, from September 6, 2016 to February 20, 2020. We enrolled infants of 1 to 6 months of age with NSP, who were then randomly assigned to the study group (repositioning therapy plus six sessions of OMTh) or the control group (repositioning therapy plus six sessions of LTT). The outcome was the reduction of the oblique diameter difference index (ODDI) score <104%, which was assessed at the end of the intervention protocol (at 3 months) and at 1 year of age. Results A total of 96 infants were randomized, 48 in the OMTh group and 48 in the LTT group, with mean ages of 3.1 versus 3.2 months, and baseline ODDI score of 110.2 versus 108.7%. In the OMTh group, a significant reduction of the ODDI score <104%, compared with the LTT group, was observed in the intension-to-treat (ITT) and per-protocol (PP) analyses. The ITT analysis revealed an ODDI score <104% in the OMTh group at 3 months (risk difference: 0.41; 95% confidence interval [CI]: 0.25–0.53; p < 0.001) and at the follow-up at 1 year of age (risk difference: 0.47; 95% CI: 0.31–0.64; p < 0.001). The PP analysis at 3 months reported a risk difference of 0.44 (95% CI: 0.27–0.60; p < 0.001), and at 1 year of age, a risk difference of 0.54 (95% CI: 0.36–0.72; p < 0.001). Conclusion In infants with NSP, a course of six OMTh sessions significantly reduced cranial asymmetries at both the 3-month and 1-year follow-up assessments, compared with LTT. This study is registered with ClinicalTrial.gov (identifier: NCT03970395; www.clinicaltrials.gov ). Key Points

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“…Plagiocephaly and feeding difficulty are two of the most commonly treated presentations in the NICU. Indeed, one of the most important uses of OCM is to correct plagiocephaly [ 27 , 28 ]. Craniosynostosis, on the other hand, may warrant surgical intervention as craniosynostosis is a more severe form of misshapen head resulting from premature fusion of a cranial suture.…”

Section: Osteopathic Manipulative Treatment: a Brief Overviewmentioning

confidence: 99%

Osteopathic Manipulative Treatment Decreases Hospital Stay and Healthcare Cost in the Neonatal Intensive Care Unit

et al. 2022

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Osteopathic manipulative treatment (OMT) is used in both inpatient and outpatient settings. Evidence suggests that OMT can reduce both patients’ recovery time and the financial cost of their acute medical treatment and rehabilitation. Multiple studies from neonatal intensive care units (NICUs) are presented in this article that demonstrate infants treated with OMT recover faster, are discharged earlier, and have lower healthcare costs than their non-OMT-treated counterparts. Data clearly show that adjunctive OMT facilitates feeding coordination in newborns, such as latching, suckling, swallowing, and breathing, and increases long-term weight gain and maintenance, which reduces hospital length of stay (LOS). Osteopathic techniques, such as soft tissue manipulation, balanced ligamentous tension, myofascial release, and osteopathic cranial manipulation (OCM), can reduce regurgitation, vomiting, milky bilious, or bloody discharge and decrease the need for constipation treatment. OMT can also be effective in reducing the complications of pneumonia in premature babies. Studies show the use of OCM and lymphatic pump technique (LPT) reduces the occurrence of both aspiration and environmentally acquired pneumonia, resulting in significantly lower morbidity and mortality in infants. Based on published findings, it is determined that OMT is clinically effective, cost efficient, a less invasive alternative to surgery, and a less toxic choice to pharmacologic drugs. Therefore, routine incorporation of OMT in the NICU can be of great benefit in infants with multiple disorders. Future OMT research should aim to initiate clinical trial designs that include randomized controlled trials with larger cohorts of infants admitted to the NICU. Furthermore, a streamlined and concerted effort to elucidate the underlying molecular mechanisms associated with the beneficial effects of OMT will aid in understanding the significant value of incorporating OMT into optimal patient care.

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Effects of osteopathic approach in infants with deformational plagiocephaly: an outcome research study

Cited by 6 publications

References 0 publications

International Overview of Somatic Dysfunction Assessment and Treatment in Osteopathic Research: A Scoping Review

International Overview of Somatic Dysfunction Assessment and Treatment in Osteopathic Research: A Scoping Review

A Randomized Controlled Trial of Osteopathic Manipulative Therapy to Reduce Cranial Asymmetries in Young Infants with Nonsynostotic Plagiocephaly

Osteopathic Manipulative Treatment Decreases Hospital Stay and Healthcare Cost in the Neonatal Intensive Care Unit

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