ObiH- Osteopathy for infantile postural asymmetry and plagiocephaly, Part 1 and 2

Not Applicable

• Conditions: M41.5; Q67.3; Other secondary scoliosis; Plagiocephaly

• Registration Number: DRKS00032526
• Lead Sponsor: Institut für Osteopathie im Oberharz-IFOO

Brief Summary

ObiH Part 1: Both treatment methods significantly improve the degree of asymmetry (OMT-group: p = 3.7E-21; Vojta-group: p = 1.4E-05) and the passive upper-cervical rotation. In the overall rotation (FRTsum), the OMT-group achieved a significant result at the 2nd treatment (T2: p = 0.013) and the Vojta-group at the follow-up appointment (T4: p = 0.035). An isolated analysis of the results of treatments done by osteopaths specialized and experienced in pediatric treatment suggests a significant improvement in the flexion-rotation test (T3: p = 2.8E-03) compared to the Vojta-group. ObiH Part 2: Both treatment methods showed a significant improvement in the severity assessment score at follow-up T4 (OMT group, p = 0.000; Vojta group, p = 0.015). The OMT group also reached significance in the between-group comparison at T2 (p = 0.031) and T3 (p = 0.000). The treatment effects of both groups converged at follow-up T4.

Detailed Description

Not available

Study Timeline

• Study Completion: 2019-12-30
• Results First Posted: 2022-12-22
• Study Start: 2023-12-11
• Last Update Posted: 19 August 2024

Recruitment & Eligibility

• Status: Complete
• Sex: All
• Target Recruitment: 45

Inclusion Criteria

Asymmetry score according to Philippi et al. (2006b) greater than 8 points, unilateral restricted head rotation measured with the flexion-rotation test, visible cranial asymmetry quantified with the Severity Scale for Plagiocephaly (Öhman, 2012).

Exclusion Criteria

Postural asymmetries associated with a developmental delay of more than 6 weeks, cranial asymmetries and genetic dysmorphia that do not correspond to the described plagiocephaly (Argenta 2004; Branch et al.,2015), central nervous signs such as an asymmetric or non-triggerable hand or foot grasp response, positive Babinski's sign, triggerable clonus, positive Babkin.

Study & Design

• Study Type: interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Improvement in infantile postural asymmetry, measured with the Philippi asymmetry score at T1, T3 and T4.

Secondary Outcome Measures

Name	Time	Method
Improvement of positional plagiocephaly, measured with the Severity Assessment Scale for Plagiocephaly according to Öhmann at T1, T3 and T4.