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Examining the Incidence of Somatic Dysfunction in Infants with Colic: A Retrospective Chart Review

Journal: The AAO Journal Date: 2026/09, 36(3):Pages: 6–17. doi: Subito , type of study: retrospective study

Full text    (https://aaoj.kglmeridian.com/view/journals/aaoj/36/3/article-p6.xml)

Keywords:

cranium [85]
diagnosis [412]
infantile colic [57]
infants [211]
pediatrics [573]
retrospective study [339]

Abstract:

Introduction: Infantile colic is a common condition characterized by fussiness and prolonged periods of crying. An identifiable cause for colic in some children has not been discovered. The authors suggest that somatic dysfunction is likely a source of discomfort and fussiness in many of these infants. This study aims to identify the incidence of somatic dysfunctions by body region in patients with colic. This incidence has not been previously reported in the literature. Methods: Using a retrospective chart review, cases of infants with colic were analyzed for the presence of somatic dysfunctions at their initial presentation. Data points are displayed in frequency distribution tables to highlight common trends of somatic dysfunctions. Results: Somatic dysfunction of the cranium was diagnosed in all subjects. The most common diagnoses were bilateral occipital condylar compression, occipitomastoid suture dysfunction, and occipito-atlantal (OA) joint dysfunction. Other spinal levels most frequently diagnosed in the subject population include the atlanto-axial (AA), C2-C4, T5-T9 and L5-S4. Infants with colic had a statistically significant increase in somatic dysfunction at S4 when compared to infants diagnosed with fussiness. Both groups of infants had lower than expected incidence of abdominal somatic dysfunction. Conclusion: The results may be utilized in helping guide the physician's comprehensive osteopathic treatment of infants with colic or with fussiness. They may also assist in guiding study design for future prospective studies on the osteopathic manipulative treatment (OMT) approach to the management of infantile colic and fussiness. The study's limitations include a small sample size. Further research is needed.


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