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Child's Nervous System
Published in: Child's Nervous System 11/2016

01-11-2016 | Original Paper

Effects of manual therapy on treatment duration and motor development in infants with severe nonsynostotic plagiocephaly: a randomised controlled pilot study

Authors: I. Cabrera-Martos, M. C. Valenza, G. Valenza-Demet, A. Benítez-Feliponi, C. Robles-Vizcaíno, A. Ruiz-Extremera

Published in: Child's Nervous System | Issue 11/2016

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Abstract

Purpose

Despite growing evidence regarding nonsynostotic plagiocephaly and their repercussions on motor development, there is little evidence to support the use of manual therapy as an adjuvant option. The aim of this study was to evaluate the effects of a therapeutic approach based on manual therapy as an adjuvant option on treatment duration and motor development in infants with severe nonsynostotic plagiocephaly.

Methods

This is a randomised controlled pilot study. The study was conducted at a university hospital. Forty-six infants with severe nonsynostotic plagiocephaly (types 4–5 of the Argenta scale) referred to the Early Care and Monitoring Unit were randomly allocated to a control group receiving standard treatment (repositioning and an orthotic helmet) or to an experimental group treated with manual therapy added to standard treatment. Infants were discharged when the correction of the asymmetry was optimal taken into account the previous clinical characteristics. The outcome measures were treatment duration and motor development assessed with the Alberta Infant Motor Scale (AIMS) at baseline and at discharge.

Results

Asymmetry after the treatment was minimal (type 0 or 1 according to the Argenta scale) in both groups. A comparative analysis showed that treatment duration was significantly shorter (p < 0.001) in the experimental group (109.84 ± 14.45 days) compared to the control group (148.65 ± 11.53 days). The motor behaviour was normal (scores above the 16th percentile of the AIMS) in all the infants after the treatment.

Conclusions

Manual therapy added to standard treatment reduces the treatment duration in infants with severe nonsynostotic plagiocephaly.
Literature
1.
Amiel C, Soyez E (2008) Place de l’ostéopathie dans la correction des déformations crâniennes du nouveau-né et du jeune enfant. Cranial osteopathy as a complementary treatment of postural plagiocephaly. Arch Pédiatr 15:S25–S31
2.
Argenta L, David L, Thompson J (2004) Clinical classification of positional plagiocephaly. J Craniofac Surg 15(3):368–372CrossRefPubMed
3.
Bialocerkowski AE, Vladusic SL, Wei Ng C (2008) Prevalence, risk factors, and natural history of positional plagiocephaly: a systematic review. Dev Med Child Neurol 50(8):577–586CrossRefPubMed
4.
Boere-Boonekamp MM, van der Linden-Kuiper AT (2001) Positional preference: prevalence in infants and follow-up after two years. Pediatrics 107:339–343CrossRefPubMed
5.
Cabrera-Martos I, Valenza MC, Benítez-Feliponi A, Robles-Vizcaíno C, Ruiz-Extremera A, Valenza-Demet G (2013) Clinical profile and evolution of infants with deformational plagiocephaly included in a conservative treatment program. Childs Nerv Syst 29(10):1893–1898CrossRefPubMed
6.
Carreiro JE (2003) An osteopathic approach to children. Churchill Livingstone, Edinburgh
7.
Couture DE, Crantford JC, Somasundaram A, Sanger C, Argenta AE, David LR (2013) Efficacy of passive helmet therapy for deformational plagiocephaly: report of 1050 cases. Neurosurg Focus 35(4):E4CrossRefPubMed
8.
Graham JM, Gomez M, Halberg A, et al. (2005) Management of deformational plagiocephaly: repositioning versus orthotic therapy. J Pediatr 146(2):258–262CrossRefPubMed
9.
Hutchison BL, Stewart A, De Chalain T, Mitchell E (2012) Serial developmental assessments in infants with deformational plagiocephaly. J Paediatr Child Health 48:274–278CrossRefPubMed
10.
Kluba S, Kraut W, Reinert S, Krimmel M (2011) What is the optimal time to start helmet therapy in positional plagiocephaly? Plast Reconstr Surg 128(2):492–498CrossRefPubMed
11.
Lalauze-Pol R (2003) Le crane du nouveau-né. Sauramps médical, Montpellier
12.
Lessard S, Gagnon I, Trottier N (2011) Exploring the impact of osteopathic treatment on cranial asymmetries associated with nonsynostotic plagiocephaly in infants. Complement Ther Clin Pract 17(4):193–198CrossRefPubMed
13.
Losee J, Corde A (2005) Deformational plagiocephaly: diagnosis, prevention, and treatment. Clin Plast Surg 32(1):53–64CrossRefPubMed
14.
Nelly KM, Littlefield TR, Pomatto JK, Ripley CE, Velas SP, Joganic EF (1999) Importance of early recognition and treatment of deformational plagiocephaly with orthotic cranioplasty. Cleft Palate Craniofac J 36:127–130CrossRef
15.
Panchal J, Amirsheybani H, Gurwitch R, Cook V, Francel P, Neas B, Levine N (2001) Neurodevelopment in children with single-suture craniosynostosis and plagiocephaly without synostosis. Plast Reconstr Surg 108(6):1492–1498CrossRefPubMed
16.
Philippi H, Faldum A, Schleupen A, et al. (2006) Infantile postural asymmetry and osteopathic treatment: a randomized therapeutic trial. Dev Med Child Neurol 48:5–9CrossRefPubMed
17.
Piper MC, Darrah J, Maguire TO, Redfern L (1994) Motor assessment of the developing infant. Saunders, Philadelphia
18.
Piper MC, Darrah J (1995) Response to Dr. Coster’s critique of the Alberta Infant Motor Scale (AIMS). Phys Occup Ther Pediatr 15:65–69CrossRef
19.
Pollack IF, Losken HW, Fasick P (1997) Diagnosis and management of posterior plagiocephaly. Pediatrics 99(2):180–185CrossRefPubMed
20.
Pople IK, Sanford RA, Muhlbauer MS (1996) Clinical presentation and management of 100 infants with occipital plagiocephaly. Pediatr Neurosurg 25(1):1–6CrossRefPubMed
21.
Sergueef N, Nelson KE, Glonek T (2006) Palpatory diagnosis of plagiocephaly. Complement Ther Clin Pract 12:101–110CrossRefPubMed
22.
Sutherland WG (1990) Teaching in the science of osteopathy. Sutherlaned Cranial Teaching, Texas Foundation
23.
Van Vlimmeren L, Van der Graaf Y, Boere-Boonekamp M, L’Hoir M, Helders P, Engelbert R (2008) Effect of pediatric physical therapy on deformational plagiocephaly in children with positional preference. A randomized controlled trial. Arch Pediatr Adolesc Med 162(8):712–718CrossRefPubMed
Metadata
Title
Effects of manual therapy on treatment duration and motor development in infants with severe nonsynostotic plagiocephaly: a randomised controlled pilot study
Authors
I. Cabrera-Martos
M. C. Valenza
G. Valenza-Demet
A. Benítez-Feliponi
C. Robles-Vizcaíno
A. Ruiz-Extremera
Publication date
01-11-2016
Publisher
Springer Berlin Heidelberg
Published in
Child's Nervous System / Issue 11/2016
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI
https://doi.org/10.1007/s00381-016-3200-5

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