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Adverse events in pediatric osteopathy
Kales, S. [1]

Journal: Unpublished MSc thesis University of Wales, Date: 2014/09, , type of study: cohort study

Free full text   (https://www.academia.edu/10204609/Adverse_events_in_pediatric_osteopathy)

Keywords:

adverse events [35]
children [228]
babies [13]
pediatric [452]
osteopathic manipulative treatment [2973]
OMT [2951]
cohort study [51]

Abstract:

The inspiration of this thesis comes from two severe cases that took place in the Netherlands during the past seven years. In 2005, a baby died in the hospital after treatment by a Cranio Sacral therapist. In 2009, a baby of three months, died after a manipulative treatment by a Manual Therapist (Micha Holla 2009). The technique which has been used in both cases, is the “folding technique” taught in the training of Upledger in the Netherlands, in which the baby is forced in a fetal position with a full flexion of the neck. In subsequent media hype osteopathy was included in the list of practitioners who work on the necks of children. This resulted in a negative association with osteopathy and subsequent fewer referrals by physicians to osteopaths. Physicians, especially pediatricians, rated osteopathy as a harmful form of treatment. The incentive of this thesis is that osteopathy, even though both treatments were no osteopathic treatments, was accused and found guilty, while the “folding technique“ (Micha Holla 2009) is in fact not even taught to osteopaths. Osteopathy is not a technique but encompasses both a philosophy ,which is different from regular medicine, and a skill which is holistic mostly in its diagnosis. The current study into adverse events in pediatric osteopathy is done through an inventory of pediatric background of osteopaths and pediatric osteopaths in the Netherlands. A comparison is made between the training of pediatric and regular osteopaths with pediatricians and pediatric physiotherapists. Thereafter an analysis was made to see if there was a difference in amount of adverse events between regular osteopaths and pediatric trained osteopaths. This was not the case (Micha Holla 2009). The effect of pediatric osteopathic treatment in children is assessed by a literature study. There are, for example, studies that have investigated the effect of osteopathic manual treatment for certain symptoms in children. These studies are inventoried. It is about finding the best evidence for clinical questions (Hawk, Schneider et al. 2009). In this study the safety of osteopathic treatment in the Netherlands in patients aged zero to fourteen is investigated by a questionnaire about side effects and adverse events. This was performed in twenty seven practices of osteopaths across the country. 785 treatments were analyzed. The results show that there were no serious or mild but just minor adverse events in only twenty percent, which lasted on average not more than three days. Recommendations are made to further improve osteopathy in pediatric patients and to make sure that osteopathic treatments remain safe.

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