000107340 001__ 107340
000107340 005__ 20230519145421.0
000107340 0247_ $$2doi$$a10.1186/s13052-021-01079-4
000107340 0248_ $$2sideral$$a124669
000107340 037__ $$aART-2021-124669
000107340 041__ $$aeng
000107340 100__ $$aPastor Pons, Iñaki
000107340 245__ $$aEfficacy of pediatric integrative manual therapy in positional plagiocephaly: a randomized controlled trial
000107340 260__ $$c2021
000107340 5060_ $$aAccess copy available to the general public$$fUnrestricted
000107340 5203_ $$aBackground
Positional plagiocephaly frequently affects healthy babies. It is hypothesized that manual therapy tailored to pediatrics is more effective in improving plagiocephalic cranial asymmetry than just repositioning and sensory and motor stimulation.
Methods
Thirty-four neurologically healthy subjects aged less than 28 weeks old with a difference of at least 5 mm between cranial diagonal diameters were randomly distributed into 2 groups. For 10 weeks, the pediatric integrative manual therapy (PIMT) group received manual therapy plus a caregiver education program, while the controls received the same education program exclusively. Cranial shape was evaluated using anthropometry; cranial index (CI) and cranial vault asymmetry index (CVAI) were calculated. Parental perception of change was assessed using a visual analogue scale (− 10 cm to + 10 cm).
Results
CVAI presented a greater decrease in PIMT group: 3.72 ± 1.40% compared with 0.34 ± 1.72% in the control group (p = 0.000). CI did not present significant differences between groups. Manual therapy led to a more positive parental perception of cranial changes (manual therapy: 6.66 ± 2.07 cm; control: 4.25 ± 2.31 cm; p = 0.004).
Conclusion
Manual therapy plus a caregiver education program improved CVAI and led to parental satisfaction more effectively than solely a caregiver education program.
000107340 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000107340 590__ $$a3.288$$b2021
000107340 592__ $$a0.665$$b2021
000107340 594__ $$a4.3$$b2021
000107340 591__ $$aPEDIATRICS$$b43 / 130 = 0.331$$c2021$$dQ2$$eT2
000107340 593__ $$aPediatrics, Perinatology and Child Health$$c2021$$dQ2
000107340 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000107340 700__ $$0(orcid)0000-0002-9930-3903$$aLucha López, María Orosia$$uUniversidad de Zaragoza
000107340 700__ $$aBarrau Lalmolda, Marta
000107340 700__ $$aRodes Pastor, Iñaki
000107340 700__ $$aRodríguez Fernández, Ángel Luis
000107340 700__ $$0(orcid)0000-0001-7667-2178$$aHidalgo García, César$$uUniversidad de Zaragoza
000107340 700__ $$0(orcid)0000-0002-3583-5206$$aTricás Moreno, José Miguel$$uUniversidad de Zaragoza
000107340 7102_ $$11006$$2413$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Fisioterapia
000107340 773__ $$g47 (2021), 132 [9 pp.]$$pITALIAN JOURNAL OF PEDIATRICS$$tITALIAN JOURNAL OF PEDIATRICS$$x1720-8424
000107340 8564_ $$s818667$$uhttps://zaguan.unizar.es/record/107340/files/texto_completo.pdf$$yVersión publicada
000107340 8564_ $$s2341946$$uhttps://zaguan.unizar.es/record/107340/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000107340 909CO $$ooai:zaguan.unizar.es:107340$$particulos$$pdriver
000107340 951__ $$a2023-05-18-14:07:15
000107340 980__ $$aARTICLE