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Evaluation of Somatic Dysfunctions in Newborns: An Observational Study

Journal: The Journal of the American Osteopathic Association Date: 2009/08, 109(8):Pages: 425-426. doi: Subito , type of study: observational study

Full text    (https://www.degruyter.com/document/doi/10.7556/jaoa.2009.109.8.425/html)

Keywords:

diagnosis [389]
infants [201]
observational study [217]
pediatrics [528]

Abstract:

Hypothesis: Somatic dysfunctions represent important parameters for osteopathic practice. In the framework of a study on the effect of OMT in newborns, we designed an observational study of osteopathic dysfunctions in a subgroup of subjects. Materials and Methods: After the application of eligibility criteria, 155 newborns were enrolled, including preterms admitted at the NICU after birth, in a period of 6 months. Osteopathic evaluation was performed once on each subject and all osteopathic dysfunctions in terms of grouping into cranial, trunk, column, pelvis, and upper and lower arms were recorded. Descriptive analysis and test of association based on chi-square test were performed. Results: The highest percentage of single dysfunctions was observed on L5-S1 compression (61 events, 39.35%). After grouping into classes, the median dysfunctions in cranial field was two events (range 0-14) while the highest percentage was observed on SSB compression (36.77%); as far as the column was concerned, the median was one event (range 0-6) while the highest percentage was observed on medium dorsal segment (T4-T5-T6) (18.71%); in the pelvis, the median was one event (range 0-5) while the highest percentage was observed on intraosseum of the sacrum (36.77%); when considering the trunk, the median was zero events (range 0-2) while the highest percentage was observed on diaphragm (16.77%). No significant association between groups and dysfunctions, adjusting for gestational age (≤37 vs >37) and weight at birth (≤2500 vs >2500). Conclusion: The present study was the first conducted looking at all the osteopathic dysfunctions affecting newborns. The results obtained reveal that no association was found between gestational age and somatic dysfunctions nor between weight at birth and somatic dysfunctions. This suggests that somatic dysfunctions may be due to extrinsic factor (eg, type and characteristics of labor, fetus position in uterus or mother's situation during pregnancy and labor) rather than weeks of birth or weight. The present study may represent a basis for further research, on a broader population, to build an osteopathic dysfunctions database in newborns and to improve knowledge on the genesis of newborns' dysfunctions.


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