Efficacy of pediatric integrative manual therapy in positional plagiocephaly: a randomized controlled trial
Pastor Pons, Iñaki ; Lucha López, María Orosia (Universidad de Zaragoza) ; Barrau Lalmolda, Marta ; Rodes Pastor, Iñaki ; Rodríguez Fernández, Ángel Luis ; Hidalgo García, César (Universidad de Zaragoza) ; Tricás Moreno, José Miguel (Universidad de Zaragoza)
Resumen: 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.
Idioma: Inglés
DOI: 10.1186/s13052-021-01079-4
Año: 2021
Publicado en: ITALIAN JOURNAL OF PEDIATRICS 47 (2021), 132 [9 pp.]
ISSN: 1720-8424
Factor impacto JCR: 3.288 (2021)
Categ. JCR: PEDIATRICS rank: 43 / 130 = 0.331 (2021) - Q2 - T2
Factor impacto CITESCORE: 4.3 - Medicine (Q2)
Factor impacto SCIMAGO: 0.665 - Pediatrics, Perinatology and Child Health (Q2)
Tipo y forma: Article (Published version)
Área (Departamento): Área Fisioterapia (Dpto. Fisiatría y Enfermería)
You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
Exportado de SIDERAL (2023-05-18-14:07:15)
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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.
Idioma: Inglés
DOI: 10.1186/s13052-021-01079-4
Año: 2021
Publicado en: ITALIAN JOURNAL OF PEDIATRICS 47 (2021), 132 [9 pp.]
ISSN: 1720-8424
Factor impacto JCR: 3.288 (2021)
Categ. JCR: PEDIATRICS rank: 43 / 130 = 0.331 (2021) - Q2 - T2
Factor impacto CITESCORE: 4.3 - Medicine (Q2)
Factor impacto SCIMAGO: 0.665 - Pediatrics, Perinatology and Child Health (Q2)
Tipo y forma: Article (Published version)
Área (Departamento): Área Fisioterapia (Dpto. Fisiatría y Enfermería)
You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. Exportado de SIDERAL (2023-05-18-14:07:15)
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Record created 2021-09-13, last modified 2023-05-19