107340 20230519145421.0 doi 10.1186/s13052-021-01079-4 sideral 124669 ART-2021-124669 eng Pastor Pons, Iñaki Efficacy of pediatric integrative manual therapy in positional plagiocephaly: a randomized controlled trial 2021 Access copy available to the general public Unrestricted Background 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. info:eu-repo/semantics/openAccess by http://creativecommons.org/licenses/by/3.0/es/ 3.288 2021 PEDIATRICS 43 / 130 = 0.331 2021 Q2 T2 0.665 2021 Pediatrics, Perinatology and Child Health 2021 Q2 4.3 2021 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Lucha López, María Orosia Universidad de Zaragoza (orcid)0000-0002-9930-3903 Barrau Lalmolda, Marta Rodes Pastor, Iñaki Rodríguez Fernández, Ángel Luis Hidalgo García, César Universidad de Zaragoza (orcid)0000-0001-7667-2178 Tricás Moreno, José Miguel Universidad de Zaragoza (orcid)0000-0002-3583-5206 1006 413 Universidad de Zaragoza Dpto. Fisiatría y Enfermería Área Fisioterapia 47 (2021), 132 [9 pp.] ITALIAN JOURNAL OF PEDIATRICS ITALIAN JOURNAL OF PEDIATRICS 1720-8424 818667 http://zaguan.unizar.es/record/107340/files/texto_completo.pdf Versión publicada 2341946 http://zaguan.unizar.es/record/107340/files/texto_completo.jpg?subformat=icon icon Versión publicada oai:zaguan.unizar.es:107340 articulos driver 2023-05-18-14:07:15 ARTICLE