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Assessing the immediate behavioural responses of hospitalized preterm babies during osteopathic manipulative treatment (OMT): A case series
O'Connor, S.
Lafrenaye, S. [1]

Journal: Journal of Complementary and Integrative Medicine Date: 2018/12, 15(4):Pages: eA29. doi: Subito , type of study: case series

Free full text   (https://www.degruyter.com/document/doi/10.1515/jcim-2018-2000/html)

Keywords:

behavior [51]
case series [58]
OMT [3780]
osteopathic manipulative treatment [3800]
pediatrics [547]
preterm infants [24]

Abstract:

Background: Osteopathic manipulative treatment (OMT) has been shown to be effective in reducing the length of preterm babies’ hospital stays. No associated adverse events have been reported. However, babies’ tolerance while receiving OMT remains unclear. Objectives: To examine preterm babies’ tolerance to an OMT session through their immediate behavioural responses. Methods: In a quality of care assessment context, three hospitalized babies deemed medically stable whose gestational age at birth was 245/7, 334/7 and 344/7 weeks received one OMT session including somatic dysfunctions evaluation and treatment using myofascial release and cranial field techniques. Videos starting three minutes before and ending eight minutes after sessions captured babies, continuous display of their heart rate, respiratory rate, oxygen saturation, and ambient noise decibels. Babies' behaviour was examined independently by three qualified developmental care assessors using validated qualitative observation scales. Cumulative duration of the observed stress behaviours by manipulation type was calculated using MaxQDA video coding. Results: OMT sessions were well tolerated by the babies (n=3), which even showed improved relaxation (n=3), quiet awake state (n=1), fluidity of movements (n=2) or better sucking activity (n=1). The cumulative duration of stress behaviours was in each case (n=3) shorter (by 40%, 52% and 91%) during osteopathic manipulations when osteopath hands were in place than during transitions such as first tactile contact, changes in osteopath hands position or baby position. Most of the stress behaviours appeared linked to environmental factors such as initial positioning and noise.Conclusion: To our knowledge, this is the first report showing preterm babies’ good tolerance to osteopathic manipulations specifically based on their immediate behaviour. Stimulations related to transitions or environmental factors during OMT should be controlled using protective developmental care measures in order to possibly reach even better global OMT session tolerance and possibly potentiate its benefits, which should be verified in further studies.


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