Pizzolorusso Gianfranco, Cerritelli Francesco, D'Orazio Marianna, Cozzolino Vincenzo, Turi Patrizia, Renzetti Cinzia, Barlafante Gina, D'Incecco Carmine
European Institute for Evidence Based Osteopathic Medicine, Chieti, Italy.
J Am Osteopath Assoc. 2013 Jun;113(6):462-7.
Palpatory skills are a central part of osteopathic manipulative treatment and palpatory diagnosis. The aim of osteopathic structural examination is to locate somatic dysfunction and cranial strain pattern, which are the hallmarks that form the basis for treatment decisions and strategy. In the osteopathic literature, there is a lack of studies evaluating preterm or term newborns during hospitalization.
To determine the prevalence of somatic dysfunction and cranial strain pattern in a population of preterm and term newborns who were treated in a neonatal intensive care unit (NICU).
During a period of 6 months--November 2009 through April 2010--the authors performed a retrospective review of data on consecutive preterm and term newborns who were admitted to the NICU of the Spirito Santo Public Hospital. Osteo pathic evaluation was performed once on each newborn, and somatic dysfunction and cranial strain pattern were identified. Descriptive analysis and test of association based on the χ(2) test were performed.
One hundred fifty-five preterm and term newborns met the study's eligibility criteria. The highest rate of somatic dysfunction was found in the pelvic area of 63 newborns (40.7%). The sacroiliac joints were compressed unilaterally or bilaterally in 82 newborns (52.9%); the lumbosacral junction was restricted in 61 newborns (39.4%), and intraosseous lesions of the sacral bone were diagnosed in 57 newborns (36.8%). The spine accounted for somatic dysfunction in 38 newborns (24.5%), with the middle thoracic and lower thoracic areas restricted in 29 (18.7%) and 21 (16.8%) newborns, respectively. Sphenobasilar synchondrosis compression and lateral-vertical strain were diagnosed in 57 newborns (36.8%), with the sagittal and the coronal sutures found restricted in 35 (22.6%) and 30 (19.4%) newborns, respectively. The occipital bone presented the highest rate of intraosseous lesions, with the left condyle compressed in 48 newborns (31%), the right condyle in 46 newborns (29.7%), and the squama in 38 newborns (24.5%).
Results showed that osteopathic findings are not secondary to gestational age and weight at birth.
触诊技能是整骨手法治疗和触诊诊断的核心部分。整骨结构检查的目的是定位躯体功能障碍和颅骨应变模式，这些特征是形成治疗决策和策略的基础。在整骨医学文献中，缺乏对住院期间早产儿或足月儿的研究。
确定在新生儿重症监护病房（NICU）接受治疗的早产儿和足月儿群体中躯体功能障碍和颅骨应变模式的患病率。
在2009年11月至2010年4月的6个月期间，作者对圣灵公立医院NICU收治的连续早产儿和足月儿的数据进行了回顾性分析。对每个新生儿进行一次整骨评估，并确定躯体功能障碍和颅骨应变模式。进行了基于χ²检验的描述性分析和关联性检验。
155名早产儿和足月儿符合研究的纳入标准。躯体功能障碍发生率最高的部位是骨盆区域，有63名新生儿（40.7%）。82名新生儿（52.9%）单侧或双侧骶髂关节受压；61名新生儿（39.4%）腰骶关节受限，57名新生儿（36.8%）诊断出骶骨骨内病变。脊柱导致38名新生儿（24.5%）出现躯体功能障碍，其中中胸部和下胸部区域受限的分别有29名（18.7%）和21名（16.8%）新生儿。57名新生儿（36.8%）诊断出蝶枕软骨结合受压和外侧-垂直应变，矢状缝和冠状缝受限的分别有35名（22.6%）和30名（19.4%）新生儿。枕骨骨内病变发生率最高，左侧髁受压的有48名新生儿（31%），右侧髁受压的有46名新生儿（29.7%），枕鳞受压的有38名新生儿（24.5%）。
结果表明，整骨医学检查结果并非继发于胎龄和出生体重。
