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Exploring the impact of osteopathic treatment on cranial asymmetries associated with nonsynostotic plagiocephaly in infants

Journal: Complementary Therapies in Clinical Practice Date: 2011/11, 17(4):Pages: 193-198. doi: Subito , type of study: clinical trial

Free full text   (https://www.sciencedirect.com/science/article/abs/pii/S174438811100020X)

Keywords:

anthropometrics [1]
cranial asymmetry [3]
deformational plagiocephaly [2]
osteopathic manipulative treatment [2973]
nonsynostotic plagiocephaly [2]
clinical trial [612]

Abstract:

OBJECTIVES: To document the evolution of cranial asymmetries in infants with signs of nonsynostotic occipital plagiocephaly (NSOP) who were to undergo a course of four osteopathic treatments (in addition to the standard positioning recommendations) as well as to determine the feasibility of using this methodology to conduct a randomized clinical trial investigating the impact of osteopathic intervention for infants with NSOP. DESIGN: Pilot clinical standardization project using pre-post design in which 12 infants participated. Ten infants presented an initial Oblique Diameter Difference Index (ODDI) over 104% and five of them had an initial moderate to severe Cranial Vault Asymmetry (CVA) (over 12mm). INTERVENTIONS: Infants received four osteopathic treatments at 2-week intervals. MAIN OUTCOME MEASURES: Anthropometric, plagiocephalometric as well as qualitative measures were administered pre-intervention (T1), during the third treatment (T2) and two weeks after the fourth treatment (T3). RESULTS: Participants showed a significant decrease in CVA (p=0.02), Skull Base Asymmetry (SBA) (p=0.01), Trans-Cranial Vault Asymmetry (TCVA) (p<0.003) between the first and third evaluations. CONCLUSIONS: These clinical findings support the hypothesis that osteopathic treatments contribute to the improvement of cranial asymmetries in infants younger than 6.5 months old presenting with NSOP characteristics.


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