“…The main reasons for consultation are musculoskeletal and postural problems (es. plagiocephaly, and torticollis), and gastrointestinal functional disorders [36][37][38][39][40][41].…”
Section: Value Of the Osteopathic Approachmentioning
In the first stage of life, the response of the child to the environment emerges as a behavior involving motor, sensory, relational and emotional attitudes.
Risk conditions for developmental impairmentNeurodevelopment may be negatively affected by the presence of well-known risk factors: premature birth, acute intrapartum hypoxiaischemia, genetic disorders and abnormalities, perinatal conditions such as seizures, hypoglicemia, jaundice and infection, exposure to toxins, poor or inadequate perinatal care. Developmental disorders often are caused by the interaction of many related conditions [1,[5][6][7][8].
“…The main reasons for consultation are musculoskeletal and postural problems (es. plagiocephaly, and torticollis), and gastrointestinal functional disorders [36][37][38][39][40][41].…”
Section: Value Of the Osteopathic Approachmentioning
In the first stage of life, the response of the child to the environment emerges as a behavior involving motor, sensory, relational and emotional attitudes.
Risk conditions for developmental impairmentNeurodevelopment may be negatively affected by the presence of well-known risk factors: premature birth, acute intrapartum hypoxiaischemia, genetic disorders and abnormalities, perinatal conditions such as seizures, hypoglicemia, jaundice and infection, exposure to toxins, poor or inadequate perinatal care. Developmental disorders often are caused by the interaction of many related conditions [1,[5][6][7][8].
“…10,11 This notion is inconsistent with the opinion of other authors reporting that nonsynostotic head deformities have the tendency to improve by natural course 6 or by nonorthotic methods, such as physiotherapy 14 or osteopathy. 28 One explanation for this discrepancy could be that the latter studies used only indices describing cranial asymmetry (e.g., CVAI), whereas absolute measures of cranial asymmetry (e.g., CVA) were not taken into account. The relevance of including absolute values when evaluating treatment or nontreatment effects is also illustrated by the normative values generated in this study.…”
Objective The treatment of a positional head deformity in infancy is a controversial issue. The aim of this study was to explore the effects of helmet therapy on positional plagiocephaly and brachycephaly.
Patients and Methods We determined cranial vault shape parameters in 348 healthy children during the second year of life, combined them with preexisting data from more than 400 subjects younger than 12 months, and related retrospectively the data of 1,531 children obtained before and after treatment with individual molding helmets to these newly generated normative values.
Results The number of subjects with cranial vault asymmetry values > 97th percentile decreased by 85.5% from 1,361 before to 197 (p < 0.01) after helmet therapy, while the number of individuals with cranial vault asymmetry index values > 97th percentile declined by 87.7% from 1,353 to 167 (p < 0.01). Similarly, the number of infants with cranial index values > 97th percentile diminished by 66.8% from 885 to 294 (p < 0.01).
Conclusions These findings do not finally prove, but they support the idea that helmet treatment is effective and meaningful in preventing permanent head deformities in infants with severe deformation. The normative anthropometric data generated in this study will allow investigating the natural course and effects of various therapies on infant cranial shape objectively.
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