Department of Rehabilitation Medicine, Ospedale San Giuseppe MultiMedica, Milan, Italy.
Department of Neonatology, Ospedale San Giuseppe MultiMedica, Milan, Italy.
Ital J Pediatr. 2024 Apr 5;50(1):61. doi: 10.1186/s13052-024-01611-2.
Breastfeeding plays a primary role in the events that characterize the development of the relationship between a mother and her newborn. However, this essential process sometimes does not fully cover the nutritional requirements of the newborn due to altered biomechanical sucking skills. In this context, adequate osteopathic treatment associated with neuromotor facilitation techniques could play a promoting role.
This study evaluated the effect of the osteopathic approach using myofascial release on 26 infants with ineffective sucking ability, identified by the POFRAS scale and LATCH score, compared with 26 untreated similar infants. After the procedure was initially performed in the hospital, the strategy based on basic neuromotor patterns was taught to the parents to be continued at home. The effects were measured at hospital discharge, during the first outpatient visit, which occurred after about seven days, and at one month of life.
The number of valid and continuous suctions, initially less than five per feed in both groups, at the first outpatient check-up was significantly higher (p < 0.00001) in the treated group. Exclusive breastfeeding, initially present in all enrolled children, was maintained mainly in treated children, both at discharge (p < 0.003), at outpatient follow-up (p < 0.00001), and at one month of life (p < 0.00001). Differences in growth and health conditions were not found between the groups.
We believe that osteopathic treatment associated with neuromotor facilitation techniques can optimize newborns' sucking skills, improving the acquisition and duration of breastfeeding.
母乳喂养在母亲和新生儿之间关系发展所特有的事件中起着主要作用。然而，由于生物力学吸吮技能的改变，这个重要的过程有时并不能完全满足新生儿的营养需求。在这种情况下，适当的整骨治疗结合神经运动促进技术可能会起到促进作用。
本研究评估了使用肌筋膜松解的整骨方法对 26 名吸吮能力不足的婴儿的影响，这些婴儿通过 POFRAS 量表和 LATCH 评分确定，与 26 名未接受治疗的类似婴儿进行了比较。在医院最初进行治疗后，向父母传授了基于基本神经运动模式的策略，以便在家中继续进行。在出院时、大约七天后的第一次门诊就诊时以及一个月大时测量效果。
两组最初每次喂养的有效连续吸吮次数均少于五次，在第一次门诊检查时，治疗组的吸吮次数明显更高（p<0.00001）。最初所有入组儿童均进行纯母乳喂养，在治疗组中主要维持了纯母乳喂养，无论是在出院时（p<0.003）、门诊随访时（p<0.00001）还是在一个月大时（p<0.00001）。两组在生长和健康状况方面没有差异。
我们认为，整骨治疗结合神经运动促进技术可以优化新生儿的吸吮技能，提高母乳喂养的获得和持续时间。
