<h5>Background and aim</h5> We have been carrying out a combined experience of diagnosis and treatment of postural disorders in the 0–18 age range, with osteopathic palpatory diagnosis and osteopathic manual techniques. Since its proposal, cranial osteopathy has been focused on the diagnosis and treatment of birth trauma and cranial asymmetries and, as a result, a specific therapy was described for the treatment of plagiocephaly without synostosis and of muscular torticollis. The purpose of our study is to show how the osteopathic palpatory diagnosis can be integrated within traditional semeiotics — something that would account for the physiognomic and postural alterations observed in normal newborns as much as their increased frequency in recent years.</P><h5>Materials and methods</h5> Such alterations would fit the complex framework of IPA (infantile postural asymmetry). Since early physical therapy is recommended as a first step in the management of plagiocephaly without synostosis and associated muscular torticollis, it is imperative to remark that in these cases a craniosacral osteopathic treatment could be the major elective therapy. We have revised, retrospectively, the medical records of those infants that were treated with osteopathy between 2005 and 2008. Of those, we have selected 20 infants in the 1–12 months age range when first examined. The revised data concerned race, sex, history of birth, perinatal trauma, maternal history (stuck baby, delivery details, position during the third trimester, use of forceps, suction cap, or manual pushing), feeding modes, and associated symptoms (reflux, vomiting, lacrimation), associated cranial or facial asymmetries.</P><h5>Results</h5> Although our experience is actually limited to a case series, osteopathic treatment could be considered a potential support in more disorders than only postural ones (recurrent otitis media, convergent strabismus of the external rectus). Infants in the first year of life underwent cranial–sacral osteopathic treatment. At the same time, parents were advised about position of the baby in bed and day-time posture.</P><h5>Conclusions</h5> According to our experience craniosacral therapy emerges as a possible and advisable treatment. With further prospective studies, the osteopathic treatment would gain an added value in preventive medicine in child development.</P>
Early Human Development – Elsevier
Published: Nov 1, 2008
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