Skip to main content
Top
Published in: BMC Pediatrics 1/2013

Open Access 01-12-2013 | Research article

Effect of osteopathic manipulative treatment on length of stay in a population of preterm infants: a randomized controlled trial

Authors: Francesco Cerritelli, Gianfranco Pizzolorusso, Francesco Ciardelli, Emiliano La Mola, Vincenzo Cozzolino, Cinzia Renzetti, Carmine D’Incecco, Paola Fusilli, Giuseppe Sabatino, Gina Barlafante

Published in: BMC Pediatrics | Issue 1/2013

Login to get access

Abstract

Background

The use of osteopathic manipulative treatment (OMT) in preterm infants has been documented and results from previous studies suggest the association between OMT and length of stay (LOS) reduction, as well as significant improvements in several clinical outcomes. The aim of the present study is to investigate the effect of OMT on LOS in premature infants.

Methods

A randomized controlled trial was conducted on preterm newborns admitted to a single NICU between 2008-2009. N=110 subjects free of medical complications and with gestational age >28 and < 38 weeks were enrolled and randomized in two groups: study group (N=55) and control group (N=55). All subjects received routine pediatric care and OMT was performed to the study group for the entire period of hospitalization. Endpoints of the study included differences in LOS and daily weight gain.

Results

Results showed a significant association between OMT and LOS reduction (mean difference between treated and control group: -5.906; 95% C.I. -7.944, -3.869; p<0.001). OMT was not associated to any change in daily weight gain.

Conclusions

The present study suggests that OMT may have an important role in the management of preterm infants hospitalization.

Trial registration

ClinicalTrials.gov,NCT01544257.
Appendix
Available only for authorised users
Literature
1.
go back to reference Slattery MM, Morrison JJ: Preterm delivery. Lancet. 2002, 360 (9344): 1489-1497. 10.1016/S0140-6736(02)11476-0.CrossRefPubMed Slattery MM, Morrison JJ: Preterm delivery. Lancet. 2002, 360 (9344): 1489-1497. 10.1016/S0140-6736(02)11476-0.CrossRefPubMed
2.
go back to reference Goldenberg RL, Culhane JF, Iams JD, Romero R: Epidemiology and causes of preterm birth. Lancet. 2008, 371 (9606): 75-84. 10.1016/S0140-6736(08)60074-4.CrossRefPubMed Goldenberg RL, Culhane JF, Iams JD, Romero R: Epidemiology and causes of preterm birth. Lancet. 2008, 371 (9606): 75-84. 10.1016/S0140-6736(08)60074-4.CrossRefPubMed
3.
go back to reference Beck S, Wojdyla D, Say L, Betran AP, Merialdi M, Requejo JH, Rubens C, Menon R, Van Look PF: The worldwide incidence of preterm birth: a systematic review of maternal mortality and morbidity. Bull World Health Organ. 2010, 88 (1): 31-38. 10.2471/BLT.08.062554.CrossRefPubMed Beck S, Wojdyla D, Say L, Betran AP, Merialdi M, Requejo JH, Rubens C, Menon R, Van Look PF: The worldwide incidence of preterm birth: a systematic review of maternal mortality and morbidity. Bull World Health Organ. 2010, 88 (1): 31-38. 10.2471/BLT.08.062554.CrossRefPubMed
4.
go back to reference McCormick MC: The contribution of low birth weight to infant mortality and childhood morbidity. N Engl J Med. 1985, 312 (2): 82-90. 10.1056/NEJM198501103120204.CrossRefPubMed McCormick MC: The contribution of low birth weight to infant mortality and childhood morbidity. N Engl J Med. 1985, 312 (2): 82-90. 10.1056/NEJM198501103120204.CrossRefPubMed
5.
go back to reference Petrou S, Mehta Z, Hockley C, Cook-Mozaffari P, Henderson J, Goldacre M: The impact of preterm birth on hospital inpatient admissions and costs during the first 5 years of life. Pediatrics. 2003, 112 (6 Pt 1): 1290-1297.CrossRefPubMed Petrou S, Mehta Z, Hockley C, Cook-Mozaffari P, Henderson J, Goldacre M: The impact of preterm birth on hospital inpatient admissions and costs during the first 5 years of life. Pediatrics. 2003, 112 (6 Pt 1): 1290-1297.CrossRefPubMed
6.
go back to reference Petrou S: The economic consequences of preterm birth during the first 10 years of life. BJOG. 2005, 112 (Suppl 1): 10-15.CrossRefPubMed Petrou S: The economic consequences of preterm birth during the first 10 years of life. BJOG. 2005, 112 (Suppl 1): 10-15.CrossRefPubMed
7.
go back to reference Russell RB, Green NS, Steiner CA, Meikle S, Howse JL, Poschman K, Dias T, Potetz L, Davidoff MJ, Damus K: Cost of hospitalization for preterm and low birth weight infants in the United States. Pediatrics. 2007, 120 (1): e1-9. 10.1542/peds.2006-2386.CrossRefPubMed Russell RB, Green NS, Steiner CA, Meikle S, Howse JL, Poschman K, Dias T, Potetz L, Davidoff MJ, Damus K: Cost of hospitalization for preterm and low birth weight infants in the United States. Pediatrics. 2007, 120 (1): e1-9. 10.1542/peds.2006-2386.CrossRefPubMed
8.
go back to reference Mistry H, Dowie R, Franklin RC, Jani BR: Costs of neonatal care for low-birthweight babies in English hospitals. Acta Paediatr. 2009, 98 (7): 1123-1129. 10.1111/j.1651-2227.2009.01316.x.CrossRefPubMed Mistry H, Dowie R, Franklin RC, Jani BR: Costs of neonatal care for low-birthweight babies in English hospitals. Acta Paediatr. 2009, 98 (7): 1123-1129. 10.1111/j.1651-2227.2009.01316.x.CrossRefPubMed
9.
go back to reference McLaurin KK, Hall CB, Jackson EA, Owens OV, Mahadevia PJ: Persistence of morbidity and cost differences between late-preterm and term infants during the first year of life. Pediatrics. 2009, 123 (2): 653-659. 10.1542/peds.2008-1439.CrossRefPubMed McLaurin KK, Hall CB, Jackson EA, Owens OV, Mahadevia PJ: Persistence of morbidity and cost differences between late-preterm and term infants during the first year of life. Pediatrics. 2009, 123 (2): 653-659. 10.1542/peds.2008-1439.CrossRefPubMed
10.
go back to reference Bakewell-Sachs S, Medoff-Cooper B, Escobar GJ, Silber JH, Lorch SA: Infant functional status: the timing of physiologic maturation of premature infants. Pediatrics. 2009, 123 (5): e878-886. 10.1542/peds.2008-2568.CrossRefPubMed Bakewell-Sachs S, Medoff-Cooper B, Escobar GJ, Silber JH, Lorch SA: Infant functional status: the timing of physiologic maturation of premature infants. Pediatrics. 2009, 123 (5): e878-886. 10.1542/peds.2008-2568.CrossRefPubMed
11.
go back to reference Field T, Diego M, Hernandez-Reif M: Preterm infant massage therapy research: a review. Infant Behav Dev. 2010, 33 (2): 115-124. 10.1016/j.infbeh.2009.12.004.CrossRefPubMedPubMedCentral Field T, Diego M, Hernandez-Reif M: Preterm infant massage therapy research: a review. Infant Behav Dev. 2010, 33 (2): 115-124. 10.1016/j.infbeh.2009.12.004.CrossRefPubMedPubMedCentral
12.
go back to reference Vickers A, Ohlsson A, Lacy JB, Horsley A: Massage for promoting growth and development of preterm and/or low birth-weight infants. Cochrane Database Syst Rev. 2004, 2: CD000390 Vickers A, Ohlsson A, Lacy JB, Horsley A: Massage for promoting growth and development of preterm and/or low birth-weight infants. Cochrane Database Syst Rev. 2004, 2: CD000390
13.
go back to reference Pizzolorusso G, Turi P, Barlafante G, Cerritelli F, Renzetti C, Cozzolino V, D'Orazio M, Fusilli P, Carinci F, D'Incecco C: Effect of osteopathic manipulative treatment on gastrointestinal function and length of stay of preterm infants: an exploratory study. Chiropr Man Therap. 2011, 19: 15-10.1186/2045-709X-19-15.CrossRefPubMedPubMedCentral Pizzolorusso G, Turi P, Barlafante G, Cerritelli F, Renzetti C, Cozzolino V, D'Orazio M, Fusilli P, Carinci F, D'Incecco C: Effect of osteopathic manipulative treatment on gastrointestinal function and length of stay of preterm infants: an exploratory study. Chiropr Man Therap. 2011, 19: 15-10.1186/2045-709X-19-15.CrossRefPubMedPubMedCentral
14.
go back to reference Ward RC, Hruby RJ, Jerome JA, Jones JM, Kappler RE, Kuchera ML, Kuchera WA, Patterson MM, Rubin BR, Association AO: Foundations for Osteopathic Medicine, 2nd Revised edition edn. 2002, : Lippincott Williams Ward RC, Hruby RJ, Jerome JA, Jones JM, Kappler RE, Kuchera ML, Kuchera WA, Patterson MM, Rubin BR, Association AO: Foundations for Osteopathic Medicine, 2nd Revised edition edn. 2002, : Lippincott Williams
15.
go back to reference Magoun H: 3rd ed. Osteopathy in the Cranial Field. 1976, Journal Printing Co: Kirksville, Mo Magoun H: 3rd ed. Osteopathy in the Cranial Field. 1976, Journal Printing Co: Kirksville, Mo
16.
go back to reference R Development Core Team: R: A language and environment for statistical computing. 2010, Vienna, Austria: In: R Foundation for Statistical Computing R Development Core Team: R: A language and environment for statistical computing. 2010, Vienna, Austria: In: R Foundation for Statistical Computing
17.
go back to reference American Academy of Pediatrics: Committee on Fetus and Newborn. Hospital discharge of the high-risk neonate--proposed guidelines. Pediatrics. 1998, 102 (2 Pt 1): 411-417. American Academy of Pediatrics: Committee on Fetus and Newborn. Hospital discharge of the high-risk neonate--proposed guidelines. Pediatrics. 1998, 102 (2 Pt 1): 411-417.
18.
go back to reference Italian Ministry of Health: Rapporto annuale sull'attività di ricovero ospedaliero - dati SDO 2009. 2010, Ministero della salute: In. Roma Italian Ministry of Health: Rapporto annuale sull'attività di ricovero ospedaliero - dati SDO 2009. 2010, Ministero della salute: In. Roma
19.
20.
go back to reference ISTAT: Consumer price indices, September 2012. 2012, Italian National Institute of Statistics: In. Rome ISTAT: Consumer price indices, September 2012. 2012, Italian National Institute of Statistics: In. Rome
21.
go back to reference Hayden C, Mullinger B: A preliminary assessment of the impact of cranial osteopathy for the relief of infantile colic. Complement Ther Clin Pract. 2006, 12 (2): 83-90. 10.1016/j.ctcp.2005.12.005.CrossRefPubMed Hayden C, Mullinger B: A preliminary assessment of the impact of cranial osteopathy for the relief of infantile colic. Complement Ther Clin Pract. 2006, 12 (2): 83-90. 10.1016/j.ctcp.2005.12.005.CrossRefPubMed
22.
go back to reference Vandenplas Y, Denayer E, Vandenbossche T, Vermet L, Hauser B, Deschepper J, Engelen A: Osteopathy may decrease obstructive apnea in infants: a pilot study. Osteopath Med Prim Care. 2008, 2: 8-10.1186/1750-4732-2-8.CrossRefPubMedPubMedCentral Vandenplas Y, Denayer E, Vandenbossche T, Vermet L, Hauser B, Deschepper J, Engelen A: Osteopathy may decrease obstructive apnea in infants: a pilot study. Osteopath Med Prim Care. 2008, 2: 8-10.1186/1750-4732-2-8.CrossRefPubMedPubMedCentral
23.
go back to reference Philippi H, Faldum A, Schleupen A, Pabst B, Jung T, Bergmann H, Bieber I, Kaemmerer C, Dijs P, Reitter B: Infantile postural asymmetry and osteopathic treatment: a randomized therapeutic trial. Dev Med Child Neurol. 2006, 48 (1): 5-9. discussion 4CrossRefPubMed Philippi H, Faldum A, Schleupen A, Pabst B, Jung T, Bergmann H, Bieber I, Kaemmerer C, Dijs P, Reitter B: Infantile postural asymmetry and osteopathic treatment: a randomized therapeutic trial. Dev Med Child Neurol. 2006, 48 (1): 5-9. discussion 4CrossRefPubMed
24.
go back to reference Narendran V, Visscher MO, Abril I, Hendrix SW, Hoath SB: Biomarkers of epidermal innate immunity in premature and full-term infants. Pediatr Res. 2010, 67 (4): 382-386. 10.1203/PDR.0b013e3181d00b73.CrossRefPubMed Narendran V, Visscher MO, Abril I, Hendrix SW, Hoath SB: Biomarkers of epidermal innate immunity in premature and full-term infants. Pediatr Res. 2010, 67 (4): 382-386. 10.1203/PDR.0b013e3181d00b73.CrossRefPubMed
25.
go back to reference Meltzer KR, Standley PR: Modeled repetitive motion strain and indirect osteopathic manipulative techniques in regulation of human fibroblast proliferation and interleukin secretion. J Am Osteopath Assoc. 2007, 107 (12): 527-536.PubMed Meltzer KR, Standley PR: Modeled repetitive motion strain and indirect osteopathic manipulative techniques in regulation of human fibroblast proliferation and interleukin secretion. J Am Osteopath Assoc. 2007, 107 (12): 527-536.PubMed
26.
go back to reference Degenhardt BF, Darmani NA, Johnson JC, Towns LC, Rhodes DC, Trinh C, McClanahan B, DiMarzo V: Role of osteopathic manipulative treatment in altering pain biomarkers: a pilot study. J Am Osteopath Assoc. 2007, 107 (9): 387-400.PubMed Degenhardt BF, Darmani NA, Johnson JC, Towns LC, Rhodes DC, Trinh C, McClanahan B, DiMarzo V: Role of osteopathic manipulative treatment in altering pain biomarkers: a pilot study. J Am Osteopath Assoc. 2007, 107 (9): 387-400.PubMed
27.
go back to reference Longin E, Gerstner T, Schaible T, Lenz T, Konig S: Maturation of the autonomic nervous system: differences in heart rate variability in premature vs. term infants. J Perinat Med. 2006, 34 (4): 303-308.CrossRefPubMed Longin E, Gerstner T, Schaible T, Lenz T, Konig S: Maturation of the autonomic nervous system: differences in heart rate variability in premature vs. term infants. J Perinat Med. 2006, 34 (4): 303-308.CrossRefPubMed
28.
go back to reference Henley CE, Ivins D, Mills M, Wen FK, Benjamin BA: Osteopathic manipulative treatment and its relationship to autonomic nervous system activity as demonstrated by heart rate variability: a repeated measures study. Osteopath Med Prim Care. 2008, 2: 7-10.1186/1750-4732-2-7.CrossRefPubMedPubMedCentral Henley CE, Ivins D, Mills M, Wen FK, Benjamin BA: Osteopathic manipulative treatment and its relationship to autonomic nervous system activity as demonstrated by heart rate variability: a repeated measures study. Osteopath Med Prim Care. 2008, 2: 7-10.1186/1750-4732-2-7.CrossRefPubMedPubMedCentral
Metadata
Title
Effect of osteopathic manipulative treatment on length of stay in a population of preterm infants: a randomized controlled trial
Authors
Francesco Cerritelli
Gianfranco Pizzolorusso
Francesco Ciardelli
Emiliano La Mola
Vincenzo Cozzolino
Cinzia Renzetti
Carmine D’Incecco
Paola Fusilli
Giuseppe Sabatino
Gina Barlafante
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Pediatrics / Issue 1/2013
Electronic ISSN: 1471-2431
DOI
https://doi.org/10.1186/1471-2431-13-65

Other articles of this Issue 1/2013

BMC Pediatrics 1/2013 Go to the issue