somatic dysfunctions in newborns: prevalence and correlation inter- operator 8th international...
TRANSCRIPT
![Page 1: Somatic dysfunctions in newborns: prevalence and correlation inter- operator 8th International Conference on Advance in Osteopathic Research. Milan, Italy](https://reader035.vdocuments.us/reader035/viewer/2022062314/56649f1b5503460f94c30580/html5/thumbnails/1.jpg)
Somatic dysfunctions in newborns:
prevalence and correlation inter-
operator
8th International Conference on Advance in Osteopathic Research.
Milan, Italy. May 29, 2010
Francesco Cerritelli MS DOEuropean Institute for Evidence Based Osteopathic Medicine
(EBOM)AIOT Research Institute
Pescara, Italy
![Page 2: Somatic dysfunctions in newborns: prevalence and correlation inter- operator 8th International Conference on Advance in Osteopathic Research. Milan, Italy](https://reader035.vdocuments.us/reader035/viewer/2022062314/56649f1b5503460f94c30580/html5/thumbnails/2.jpg)
2
Definition of Somatic Dysfunction (SD)
Introduction
• impaired or altered function of related components of the somatic (body framework) system: skeletal, arthrodial, and myofascial structures, and their related vascular, lymphatic, and neural elements
2
Glossary of Osteopathic Terminology, 2009
![Page 3: Somatic dysfunctions in newborns: prevalence and correlation inter- operator 8th International Conference on Advance in Osteopathic Research. Milan, Italy](https://reader035.vdocuments.us/reader035/viewer/2022062314/56649f1b5503460f94c30580/html5/thumbnails/3.jpg)
3
SD as marker of:
Introduction
•bodily changing
•clinical condition
3
Licciardone JC, Fulda KG, Stoll ST, Gamber RG, Cage AC. A case-control study of osteopathic palpatory findings in type 2 diabetes mellitus. Osteopath Med Prim Care. 2007 Feb 8;1:6.
![Page 4: Somatic dysfunctions in newborns: prevalence and correlation inter- operator 8th International Conference on Advance in Osteopathic Research. Milan, Italy](https://reader035.vdocuments.us/reader035/viewer/2022062314/56649f1b5503460f94c30580/html5/thumbnails/4.jpg)
4
Measuring SD: TART paramters
Introduction
4
![Page 5: Somatic dysfunctions in newborns: prevalence and correlation inter- operator 8th International Conference on Advance in Osteopathic Research. Milan, Italy](https://reader035.vdocuments.us/reader035/viewer/2022062314/56649f1b5503460f94c30580/html5/thumbnails/5.jpg)
5
SD and newborns
Introduction
RegionCerritelli
(’09)Carreiro (’03)
Frymann (’65)
SBS 36,77 40
Torsion 28,50
Compression 17,49
Occiput
Condyles 60,65 45,97
Temporal bone 5,79 32,58
Column 70
Dorsal tract 18,71
Lumbar/sacral tract
39,35
Sacrum
Extension 36,76
Intraosseum 36,77
Diaphragm 16,77Number in table are in percentage
![Page 6: Somatic dysfunctions in newborns: prevalence and correlation inter- operator 8th International Conference on Advance in Osteopathic Research. Milan, Italy](https://reader035.vdocuments.us/reader035/viewer/2022062314/56649f1b5503460f94c30580/html5/thumbnails/6.jpg)
6
Aim of the study
•Evaluate the AREA and SUBJECT prevalence of SD in a population of newborns
•Evaluate the inter-operator reliability
6
![Page 7: Somatic dysfunctions in newborns: prevalence and correlation inter- operator 8th International Conference on Advance in Osteopathic Research. Milan, Italy](https://reader035.vdocuments.us/reader035/viewer/2022062314/56649f1b5503460f94c30580/html5/thumbnails/7.jpg)
7
Population
Methods
7
newborns N= newborns N= 220220
excluded excluded N=46N=46
eligible N= 174eligible N= 174
pre-terms pre-terms group N= 101group N= 101
terms group terms group N= 73N= 73
study group study group N= 47N= 47
control control group N= group N=
5454
study group study group N= 34N= 34
control control group N= group N=
3939
28≤ga<38
ga≥38
ga = gestational age
![Page 8: Somatic dysfunctions in newborns: prevalence and correlation inter- operator 8th International Conference on Advance in Osteopathic Research. Milan, Italy](https://reader035.vdocuments.us/reader035/viewer/2022062314/56649f1b5503460f94c30580/html5/thumbnails/8.jpg)
8
Methods
•Baseline measurements of osteopathic characteristics (TART)
•Osteopathic Evaluations: 2/week
•Study period: 20 months
•Outcomes:
•prevalence of SD
• inter-reliability between operators
8
![Page 9: Somatic dysfunctions in newborns: prevalence and correlation inter- operator 8th International Conference on Advance in Osteopathic Research. Milan, Italy](https://reader035.vdocuments.us/reader035/viewer/2022062314/56649f1b5503460f94c30580/html5/thumbnails/9.jpg)
9
Statistical Analysis
•Arithmetic means and SD for the general characteristics of study population
•Univariate statistical tests for all differences between study and control group
•Pearson’s test for correlation between operators
9
![Page 10: Somatic dysfunctions in newborns: prevalence and correlation inter- operator 8th International Conference on Advance in Osteopathic Research. Milan, Italy](https://reader035.vdocuments.us/reader035/viewer/2022062314/56649f1b5503460f94c30580/html5/thumbnails/10.jpg)
10
Pre-terms population
10
Study group Control group p value
N* 47 (46.5) 54 (53.5)
Gender Male 24 (51.1) 27 (50.0) 0,92 Female 23 (49.8) 27 (50.0)
Gestational Age
Overall34.1 (2.4)
34.1 (2.5)
> 32* 36 (76.6) 39 (72.2) 0,79
≤ 32 11 (23.4) 15 (27.8)
Weight (gr)
At birth2088 (498.6) 2234 (730.9)
0,24
≤ 1500* 7 (14.9) 10 (18.5) 0,26
> 1500* 40 (85.1) 44 (81.5)
At recovery 1893 (496.7) 1926 (713.8) 0,59
Numbers in table are mean±s.d.; p value from t test *n(%);p value from χ2 test
![Page 11: Somatic dysfunctions in newborns: prevalence and correlation inter- operator 8th International Conference on Advance in Osteopathic Research. Milan, Italy](https://reader035.vdocuments.us/reader035/viewer/2022062314/56649f1b5503460f94c30580/html5/thumbnails/11.jpg)
11
Dysfunction per area
![Page 12: Somatic dysfunctions in newborns: prevalence and correlation inter- operator 8th International Conference on Advance in Osteopathic Research. Milan, Italy](https://reader035.vdocuments.us/reader035/viewer/2022062314/56649f1b5503460f94c30580/html5/thumbnails/12.jpg)
12
Dysfunction per subject
![Page 13: Somatic dysfunctions in newborns: prevalence and correlation inter- operator 8th International Conference on Advance in Osteopathic Research. Milan, Italy](https://reader035.vdocuments.us/reader035/viewer/2022062314/56649f1b5503460f94c30580/html5/thumbnails/13.jpg)
13
Terms population
13
Study group Control group p value
N* 34 (46.6) 39 (53.4)
Gender
Male 17 (50.0) 18 (46.2) 0,75
Female 17 (50.0) 21 (53.8)
Gestational Age (w) 40 (0.9) 40 (1.0) 0,82
Weight (gr)
At birth 3375 (472.9) 3361 (561.6) 0,92
At recovery 3300 (445.8) 3268 (516.1) 0,66
Numbers in table are mean±s.d.; p value from t test *n(%);p value from χ2 test
![Page 14: Somatic dysfunctions in newborns: prevalence and correlation inter- operator 8th International Conference on Advance in Osteopathic Research. Milan, Italy](https://reader035.vdocuments.us/reader035/viewer/2022062314/56649f1b5503460f94c30580/html5/thumbnails/14.jpg)
14
Dysfunction per area
![Page 15: Somatic dysfunctions in newborns: prevalence and correlation inter- operator 8th International Conference on Advance in Osteopathic Research. Milan, Italy](https://reader035.vdocuments.us/reader035/viewer/2022062314/56649f1b5503460f94c30580/html5/thumbnails/15.jpg)
15
Dysfunction per subject
![Page 16: Somatic dysfunctions in newborns: prevalence and correlation inter- operator 8th International Conference on Advance in Osteopathic Research. Milan, Italy](https://reader035.vdocuments.us/reader035/viewer/2022062314/56649f1b5503460f94c30580/html5/thumbnails/16.jpg)
16
Correlation inter-operator
16
Arear
value*p value†
Cranium 0.44 0.001
Column 0.24 0.01
Pelvis 0.38 0.001
Thorax 0.15 0.03
* r value from Pearson’s test† p value from Pearson’s test
![Page 17: Somatic dysfunctions in newborns: prevalence and correlation inter- operator 8th International Conference on Advance in Osteopathic Research. Milan, Italy](https://reader035.vdocuments.us/reader035/viewer/2022062314/56649f1b5503460f94c30580/html5/thumbnails/17.jpg)
17
Discussion
•Cranial and pelvic areas highest percentage of SD
•Supposed etiology:
- type of labor;
- absence of delivery;
- fetal condition;
- mother condition.
17
![Page 18: Somatic dysfunctions in newborns: prevalence and correlation inter- operator 8th International Conference on Advance in Osteopathic Research. Milan, Italy](https://reader035.vdocuments.us/reader035/viewer/2022062314/56649f1b5503460f94c30580/html5/thumbnails/18.jpg)
18
Discussion
•How we should consider the SDs?
•Are the SDs related to an improvement of the clinical condition?
18
![Page 19: Somatic dysfunctions in newborns: prevalence and correlation inter- operator 8th International Conference on Advance in Osteopathic Research. Milan, Italy](https://reader035.vdocuments.us/reader035/viewer/2022062314/56649f1b5503460f94c30580/html5/thumbnails/19.jpg)
19
Fractal system?
Discussion
19
http://upload.wikimedia.org/wikipedia/commons/2/21/Mandel_zoom_00_mandelbrot_set.jpg
![Page 20: Somatic dysfunctions in newborns: prevalence and correlation inter- operator 8th International Conference on Advance in Osteopathic Research. Milan, Italy](https://reader035.vdocuments.us/reader035/viewer/2022062314/56649f1b5503460f94c30580/html5/thumbnails/20.jpg)
20
Conclusion
•The study shows a significant r inter-reliability score as well as an high percentage of SD in cranial and pelvic areas.
20
![Page 21: Somatic dysfunctions in newborns: prevalence and correlation inter- operator 8th International Conference on Advance in Osteopathic Research. Milan, Italy](https://reader035.vdocuments.us/reader035/viewer/2022062314/56649f1b5503460f94c30580/html5/thumbnails/21.jpg)
...A second... Thank you for your
attentionFrancesco Cerritelli MS DO
European Institute for Evidence Based Osteopathic Medicine (EBOM)
AIOT Research InstitutePescara, Italy
8th International Conference on Advance in Osteopathic Research.
Milan, Italy. May 29, 2010