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María Orosia Lucha López
Universidad de Zaragoza
Corresponding Author
ORCiD: https://orcid.org/0000-0002-9930-3903
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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: 34 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 controls (p=0.000). CI changes did not present any significant differences between the 2 groups. Manual therapy increased 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 caregiver education program improved cranial symmetry and parents’ satisfaction more effectively than solely caregiver education program.
Trial registration: trial registration number: NCT03659032; registration date: September 1, 2018. Retrospectively registered.
https://clinicaltrials.gov/ct2/show/NCT03659032?term=NCT03659032&cond=Plagiocephaly&draw=2&rank=1
Keywords
Positional Plagiocephaly, Deformational Plagiocephaly, Manual Therapy, Physical Therapy
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CURRENT STATUS: Under Review
Version 1
Posted 25 Nov, 2020
No community comments so far
Review #2 received
Received 09 Dec, 2020
Reviewer #2 agreed
On 08 Dec, 2020
Review #1 received
Received 05 Dec, 2020
Reviewer #1 agreed
On 30 Nov, 2020
Reviewers invited
Invitations sent on 29 Nov, 2020
Editor assigned
On 23 Nov, 2020
Editor invited
On 23 Nov, 2020
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On 21 Nov, 2020
First submitted
On 18 Nov, 2020
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Subject Areas
Pediatrics
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A new preprint design is coming!
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This preprint is under consideration at Italian Journal of Pediatrics. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research
María Orosia Lucha López
Universidad de Zaragoza
Corresponding Author
ORCiD: https://orcid.org/0000-0002-9930-3903
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Under Review
Version 1
Posted 25 Nov, 2020
No community comments so far
Review #2 received
Received 09 Dec, 2020
Reviewer #2 agreed
On 08 Dec, 2020
Review #1 received
Received 05 Dec, 2020
Reviewer #1 agreed
On 30 Nov, 2020
Reviewers invited
Invitations sent on 29 Nov, 2020
Editor assigned
On 23 Nov, 2020
Editor invited
On 23 Nov, 2020
Submission checks complete
On 21 Nov, 2020
First submitted
On 18 Nov, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Pediatrics
License:
This work is licensed under a CC BY 4.0 License. Read Full License
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: 34 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 controls (p=0.000). CI changes did not present any significant differences between the 2 groups. Manual therapy increased 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 caregiver education program improved cranial symmetry and parents’ satisfaction more effectively than solely caregiver education program.
Trial registration: trial registration number: NCT03659032; registration date: September 1, 2018. Retrospectively registered.
https://clinicaltrials.gov/ct2/show/NCT03659032?term=NCT03659032&cond=Plagiocephaly&draw=2&rank=1
Figure 1
Figure 2
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