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The value of the osteopathic integrated approach in children

Journal: Italian Journal of Pediatrics Date: 2019/06, 45. doi: Subito , type of study: clinical trial

Full text    (https://ijponline.biomedcentral.com/articles/10.1186/s13052-019-0746-3)

Keywords:

infant [224]
osteopathic manipulative treatment [2973]
osteopathic medicine [1540]
OMT [2951]
child [312]
neonatology [7]
prematurity [1]
newborn [58]
conference abstract [108]
clinical trial [612]

Abstract:

Background Osteopathy is a manual therapy based on the evaluation and soft mobilizations of the musculeskeletal and fascial systems, based on the following principles: - Structure and function are related and interdependents - The whole body is a dynamic unit of function - The body has an inherent therapeutic potency by itself [1]. Dr. Still is the founder of osteopathic medicine. The application in children is due to the work and dedication of Dr. Viola M. Frymann (1921-2016), physician, founder of the Osteopathic Center for Children in San Diego (California) and international reference point for neonatal and pediatric osteopathy [2-3]. The main reasons for consultation are musculoskeletal and postural problems, disorders related to development, and gastrointestinal functional disorders. Osteopathic approach have a potential role also in prevention, integrated into primary care. It could be considered also for children with neurological problems as complementary treatment in the rehabilitative program. [4-8] Pediatric osteopathy require specific competences and training and is considered safe for children. [9] Materials and Methods Since 2010 osteopathy is included in a program of Early Intervention in the Service of “Neurodevelopmental Follow up“ in Desenzano del Garda Hospital (Italy). The Service is dedicated to newborns at risk for developmental disorders and offer a program of early intervention [10-14]. This program consists of: - Pediatric and neurological examination - Osteopathic evaluation and treatment, performed by physicians with experience in traditional pediatric osteopathy, following teachings of Doctor Viola M. Frymann - Home program to promote development involving parents to create stimulating environment, improve relationship and support motor and sensory development, according with recent knowledge about child development and brain maturation. [15-18] Results During 8 years of experience, the Service take care of 530 newborn, referred from Neonatology Department and Territorial Services. Mean age at the first evaluation is 2 months. Children present following conditions: prematurity, dystocial or hypoxic birth, postural and orthopedic disorders, congenital syndromes and neurological problems, gastrointestinal functional disorders. When necessary medical advice from other specialists is requested, in a multidis-ciplinary perspective. The proposed integrated approach is helpful in many aspects: postural setting, motor behavior, neuromotor development, gastrointestinal functions, infant-parent relationship. Families accepted the proposed follow up program. No child had any adverse effects. Conclusions Our experience encourages to explore the potential of osteopathy in neonatal and pediatric care. The integrated osteopathic approach could be considered a model of early intervention to promote development in newborn at risk.


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