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The Effects of Osteopathic Manipulative Treatment (OMT) on an Infant with Failure to Thrive (FTT); A Case Study

Journal: The AAO Journal Date: 2023/06, 33(2):Pages: 21. doi: Subito , type of study: case report

Full text    (https://meridian.allenpress.com/aaoj/article/33/2/20/493544/LBORC-NUFA-Poster-Abstracts-2023-Students)

Keywords:

case report [514]
newborn [58]
OMT [2951]
osteopathic manipulative treatment [2973]
pediatrics [375]
weight [16]

Abstract:

Introduction/Background: Failure to thrive (FTT) is defined as inability for a pediatric patient to properly maintain a steady increase in weight with resultant drop below the 5th percentile in both height and weight (1). The etiology of FTT is diverse and can include feeding difficulties, constipation, and overall insufficient nutrient intake. Osteopathic manipulative treatment (OMT) has been integrated in the management of various pediatric conditions, most notably torticollis and plagiocephaly (2), colic (3), and poor latch (4); however, there has been limited evidence for use in FTT (5). Case: A 9-week-old male with difficulty feeding, weight loss, and constipation was referred to the OMT clinic for FTT by his pediatrician, a specialist in breastfeeding medicine. Structural exam was most notable for bilateral condylar, occipital, and OM suture compression, thoracic and lumbar paraspinal muscle spasms, bilateral psoas spasms, bilateral sacroiliac restrictions, and right-sided middle rib exhalation dysfunctions. The infant was treated with balanced ligamentous tension, myofascial release, articulatory, cranial and visceral osteopathy. Results: At first follow-up, the mother reported immediate improvement in the baby’s ability to feed, increasing 8-10 ounces. Treatment was continued biweekly for six visits, with the pediatrician reporting improvement from the 2nd percentile in both height and weight to the 50th60th percentile, respectively. The infant was then seen occasionally for other issues, with the mother reporting significant improvement in the ability to feed and eliminate stool, along with a decrease in irritability. Discussion: This case study demonstrates utilization of OMT in a case of a patient with severe documented FTT, with resultant improvement of appetite, bowel function, and infant irritability. This encourages further exploration of utility of OMT in such cases of FTT.


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