The association between infantile postural asymmetry and unsettled behaviour in babies

Ellwood, Julie; Ford, M. A.; Nicholson, Alf J

doi:10.1007/s00431-017-2993-x

Cited by 2 publications

(3 citation statements)

References 28 publications

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“…There is more access to research on the body posture of children with various motor and nervous system problems that begin in infancy. Idiopathic asymmetry is sometimes considered a trivial medical problem that should undergo auto-correction in the course of development [ 22 , 23 , 24 ]. However, among a large group of children, the beginnings of incorrect posture, or rather movement/postural patterns, were visible from the first weeks of life.…”

Section: Discussionmentioning

confidence: 99%

Physiotherapy as a Specific and Purposeful Form of Physical Activity in Children with Idiopathic Body Asymmetry

Wilczyński

Sowińska

Mierzwa-Molenda

2022

IJERPH

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The aim of the study was to determine the relationship between idiopathic asymmetry in infants and body posture in children at an early school age. The study included 45 girls aged nine. The Diers Formetric III 4D device was used to assess body posture, which allows photogrammetric registration of the back surface using the raster stereography process. For the purposes of the re-search project, the examination was performed via DiCAM using the “Average measurement” mode. Despite physiotherapy, these children had more postural defects later on compared to the control group due to asymmetry. They mainly concerned pelvic skewness, scoliosis angle, deviation from the vertical line and lateral deviation, as well as surface rotation. Positive correlations were observed between direction of asymmetry and pelvic skewness (r = 0.40), and between the location of asymmetry and the location of curvature (r = 0.39). Significant negative correlations were also found between the age of treatment initiation and trunk length (r = −0.42). There was also a negative correlation between the number of physiotherapeutic appointments and deviation from the vertical line, which means that along with an increase in the number of physiotherapeutic visits, the value of deviation from the vertical line decreased (p = −0.40). For scoliosis angle, the most important predictor was the direction of asymmetry (p = 0.05). For the location of the curvature, the most important predictor was the direction of asymmetry (p = 0.04), as well as the number of physiotherapeutic appointments (p = 0.04). Additionally, regression analysis allowed us to show that the number of physiotherapeutic visits (p = 0.03) was the most important predictor of curvature direction. The applied physiotherapy probably contributed to the occurrence of a smaller number of postural defects in these children at a later age. Physiotherapy as a specific and targeted form of physical activity among infants with idiopathic asymmetry should play a very important role in the prevention of body posture defects.

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Section: Discussionmentioning

confidence: 99%

Physiotherapy as a Specific and Purposeful Form of Physical Activity in Children with Idiopathic Body Asymmetry

Wilczyński

Sowińska

Mierzwa-Molenda

2022

IJERPH

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“…However this relies largely on evidence-informed guidance and parental compliance to optimal infant positioning and handling strategies 39 . Studies have also shown favourable outcomes for targeted parent education strategies in reducing the prevalence of PA and HSA 2 with a reliance on clear and consistent information to ensure parental adherence 33,40 .…”

Section: Introductionmentioning

confidence: 99%

“…Measurement scales for PA have been proposed 31,32 . However issues with validity were identi ed 33 and these remain little utilised.…”

Section: Introductionmentioning

confidence: 99%

Guidance strategies for infantile asymmetry prevention: A Systematic Review

Ellwood,

Sampath,

Rund

et al. 2024

Preprint

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Background: Infantile asymmetries of posture, movement and/or shape are common. Coincidence in the presentation of asymmetrical features can lead to a broad spectrum of descriptors. Evidence-based guidelines on prevention strategies are not currently available. The objective of this systematic review was to find, evaluate, and synthesise the available evidence regarding the effectiveness of prevention strategies for infantile asymmetries, specifically strategies involving paediatric screening and/or guidance to parents. Methods: This review has been reported based on Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) and the review protocol was prospectively registered on the Open Science Framework, (https://osf.io/rgzev/). Searches were conducted on Ovid Medline, Ovid AMED, and PEDro. Inclusion criteria of articles were infants <16 weeks old who had received either an early musculoskeletal screen and/or education to parents on home care guidance/exercises to prevent asymmetry development. Any primary research was included. There was no limit placed upon date of publication. Data was screened, extracted and appraised in duplicate by at least two blinded reviewers. The Cochrane Collaboration's tool for assessing risk of bias available as part of Covidence was used by two reviewers independently. Results: 702 papers were retrieved and 15 articles were included; 6 randomised controlled trials, 6 cohort studies and 3 non-randomised experimental studies. The presenting conditions were head shape asymmetry in 10/15 studies and movement asymmetry of congenital muscular torticollis in the remaining 5 studies. Due to a lack of homogeneity between all the studies, it was not possible to pool the data and conduct meta-analysis. Guidance strategies show better outcomes in asymmetry prevention when provided early (< 3 months) and under supervision of a healthcare professional. The overall risk of bias for cohort and non-randomised experimental studies was considered to be ‘low’, and ‘adequate’ or ‘low’ for randomised controlled trials. The GRADE level of evidence was found to be ‘very low’. Conclusion: Early parental guidance may prevent infantile asymmetry when supervised by a trained healthcare professional and with good adherence from parents. Further studies with a higher methodological rigour are needed to identify and perform comparative interventions. Clinical Trial Number: Not applicable OSF number: DOI 10.17605/OSF.IO/RGZEV

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The association between infantile postural asymmetry and unsettled behaviour in babies

Cited by 2 publications

References 28 publications

Physiotherapy as a Specific and Purposeful Form of Physical Activity in Children with Idiopathic Body Asymmetry

Physiotherapy as a Specific and Purposeful Form of Physical Activity in Children with Idiopathic Body Asymmetry

Guidance strategies for infantile asymmetry prevention: A Systematic Review

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