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婴儿姿势不对称与整骨疗法:一项随机治疗试验。

Infantile postural asymmetry and osteopathic treatment: a randomized therapeutic trial.

作者信息

Philippi Heike, Faldum Andreas, Schleupen Angela, Pabst Bianka, Jung Tatjana, Bergmann Holger, Bieber Imke, Kaemmerer Christine, Dijs Piet, Reitter Bernd

机构信息

Department of Paediatric Neurology, University Children's Hospital, Heidelberg, Germany.

出版信息

Dev Med Child Neurol. 2006 Jan;48(1):5-9; discussion 4. doi: 10.1017/S001216220600003X.

DOI:10.1017/S001216220600003X
PMID:16359587
Abstract

The aim of this study was to assess the therapeutic efficacy of osteopathic treatment in infants with postural asymmetry. A randomized clinical trial of efficacy with blinded videoscoring was performed. Sixty-one infants with postural asymmetry aged 6 to 12 weeks (mean 9wks) were recruited. Thirty-two infants (18 males, 14 females) with a gestational age of at least 36 weeks were found to be eligible and randomly assigned to the intervention groups, 16 receiving osteopathic treatment and 16 sham therapy. After a treatment period of 4 weeks the outcome was measured using a standardized scale (4-24 points). With sham therapy, five infants improved (at least 3 points), eight infants were unchanged (within 3 points), and three infants deteriorated (not more than -3 points); the mean improvement was 1.2 points (SD 3.5). In the osteopathic group, 13 infants improved and three remained unchanged; the mean improvement was 5.9 points (SD 3.8). The difference was significant (p=0.001). We conclude that osteopathic treatment in the first months of life improves the degree of asymmetry in infants with postural asymmetry.

摘要

本研究的目的是评估整骨疗法对姿势不对称婴儿的治疗效果。进行了一项采用盲法视频评分的疗效随机临床试验。招募了61名年龄在6至12周(平均9周)的姿势不对称婴儿。发现32名胎龄至少36周的婴儿符合条件,并随机分配到干预组,16名接受整骨疗法,16名接受假治疗。经过4周的治疗期后,使用标准化量表(4 - 24分)测量结果。接受假治疗的婴儿中,5名有所改善(至少3分),8名无变化(在3分以内),3名恶化(不超过 - 3分);平均改善为1.2分(标准差3.5)。在整骨疗法组中,13名婴儿有所改善,3名无变化;平均改善为5.9分(标准差3.8)。差异具有显著性(p = 0.001)。我们得出结论,在生命的头几个月进行整骨疗法可改善姿势不对称婴儿的不对称程度。

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