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Somatic Dysfunctions in Newborns: A Prospective Study

Journal: Journal of Complementary and Integrative Medicine Date: 2024/12, 21(4):Pages: eA12-eA13. doi: Subito , type of study: observational study

Full text    (https://www.degruyter.com/document/doi/10.1515/jcim-2024-0360/html)

Keywords:

conference abstract [120]
infant development [3]
newborn [73]
observational study [217]
pediatrics [528]
somatic dysfunction [159]

Abstract:

Introduction: Early intervention is recommended in pediatric medicine for developmental delays identified during the first year of life. Osteopathic consultation, particularly for motor, postural, and facial issues, is gaining popularity as an intervention for developmental concerns in infants. This approach focuses on identifying and treating somatic dysfunctions (SD). However, no studies have examined the relationship between SD and these developmental delays. This prospective study aims to document such an association and observe the natural evolution of SD in newborns. Methods: A prospective observational study assessed cranial and vertebral SD in healthy infants (7-21 days old) using a standardized form. An osteopath, following a calibration period with another osteopath, evaluated SD through palpation and mobility tests, categorizing them as severely restricted or not. These evaluations were repeated at 10 weeks. Motor development and postural asymmetry were assessed by two trained evaluators using the Head Control Scale and the Infantile Asymmetry Scale, while facial asymmetry was assessed using the FACE software. Spearman test was used to analyzed correlations between SD and developmental outcomes. McNemar test evaluated SD changes over time. Results: Of 53 newborns recruited, 51 completed the study. Baseline SD evaluation showed minimal correlation with motor, postural or facial development at 10 weeks (all r <0.187). However, at 10 weeks, modest correlations were observed between SD and motor (r=0.271) and postural (r=0.282) development. Most SD restrictions did not change significantly over time, except for left coronal and right fronto-zygomatic sutures, which tended to resolve spontaneously (p = 0.001 and 0.049). Conclusion: The study could not demonstrate significant clinical correlations between SD and motor, postural or facial development in infants. In most cases, SD remained stable over time. Further research is needed to understand the mechanisms by which SD may impact developmental delays.


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