Osteopathic manipulative treatment showed reduction of length of stay and costs in preterm infants

Abstract

Background:Osteopathic medicine is an emerging and complementary method used in neonatology.Methods:Outcomes were the mean difference in length of stay (LOS) and costs between osteopathy and alternative treatment group. A comprehensive literature search of (quasi)- randomized controlled trials (RCTs), was conducted from journal inception to May, 2015. Eligible studies must have treated preterm infants directly in the crib or bed and Osteopathic Manipulative Treatment (OMT) must have been performed by osteopaths. A rigorous Cochrane-like method was used for study screening and selection, risk of bias assessment and data reporting. Fixed effect meta-analysis was performed to synthesize data.Results:5 trials enrolling 1306 infants met our inclusion criteria. Although the heterogeneity was moderate (I2 = 61%, P = 0.03), meta-analysis of all five studies showed that preterm infants treated with OMT had a significant reduction of LOS by 2.71 days (95% CI −3.99, −1.43; P < 0.001). Considering costs, meta-analysis showed reduction in the OMT group (−1,545.66€, −1,888.03€, −1,203.29€, P < 0.0001). All studies reported no adverse events associated to OMT. Subgroup analysis showed that the benefit of OMT is inversely associated to gestational age.Conclusions:The present systematic review showed the clinical effectiveness of OMT on the reduction of LOS and costs in a large population of preterm infants.

Osteopathic care for spinal complaints: A systematic literature review

“…Nevertheless, we decided to include studies irrespective of their differences in methodologies to provide a broad overview of the impact of osteopathic care in the treatment of spinal complaints. Several of these methodological shortcomings were already addressed in previous literature reviews [ 15 – 18 ] examining the impact of osteopathic care for spinal complaints, but also in reviews of the effect of osteopathic care for other conditions such as irritable bowel syndrome [ 49 ], lower urinary tract symptoms in women [ 50 ], pediatric conditions [ 20 ], and length of stay in preterm infants [ 51 ].…”

Saúde Do Homem Jovem Na Perspectiva Da Promoção a Saúde E Prevenção De Agravos

“…O Osteopata possui papel importante dentro da neonatologia e no ambiente de UTIN. Como pode ser observado no estudo alguns pesquisadores, em sua maioria com publicações na Itália, com embasamento científicos, mostraram o efeito do tratamento manipulador osteopático em cuidados neonatais na redução da duração da internação hospitalar, na resolução de problemas gastrointestinais, na melhoria da assimetria craniana dos RN, minimizando e corrigindo disfunções somáticas e com papel importante na avaliação precoce (LANARO et al, 2017, CERRITELLI et al, 2015aPIZZOLORUSSO et al, 2014;CERRITELLI et al, 2013;PIZZOLORUSSO, et al 2013;PIZZOLORUSSO et al, 2011;CERRITELLI et al 2015 b;CERRITELLI et al 2014;VISMARA et al, 2019).…”

Tratamento manipulativo osteopático em Unidade de Terapia Intensiva Neonatal

“…O Osteopata possui papel importante dentro da neonatologia e no ambiente de UTIN. Como pode ser observado no estudo alguns pesquisadores, em sua maioria com publicações na Itália, com embasamento científicos, mostraram o efeito do tratamento manipulador osteopático em cuidados neonatais na redução da duração da internação hospitalar, na resolução de problemas gastrointestinais, na melhoria da assimetria craniana dos RN, minimizando e corrigindo disfunções somáticas e com papel importante na avaliação precoce (LANARO et al, 2017, CERRITELLI et al, 2015aPIZZOLORUSSO et al, 2014;CERRITELLI et al, 2013;PIZZOLORUSSO, et al 2013;PIZZOLORUSSO et al, 2011;CERRITELLI et al 2015 b;CERRITELLI et al 2014;VISMARA et al, 2019). occipital e disfunção somática no nível da coluna cervical também pode predispõe um recém-nascido a assumir uma posição de cabeça preferencial, levando a plagiocefalia.…”