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Osteopathic Considerations in Positional Plagiocephaly

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Abstract

Recently, osteopathy has gained more and more interest as a complementary treatment approach, especially in non-synostotic cranial deformations. This chapter explores the origin of the osteopathic profession, its philosophy and principles, and its clinical application to the positional plagiocephalies.

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Notes

  1. 1.

    Somatic dysfunction is defined as the impaired or altered function of related components of the somatic (bodywork) system including the skeletal, arthrodial, and myofascial structures and their related vascular, lymphatic, and neural elements. Somatic dysfunction may be evaluated and treated by osteopaths or osteopathic physicians using osteopathic manual technique, who look for signs and symptoms related to the somatic dysfunction commonly represented by the mnemonic device “TART” (tissue texture change, asymmetry, restriction, and tenderness) [18]. Much research has been conducted over the years on its neurophysiological effects, which today are fairly understood by looking at the mechanics of pain.

  2. 2.

    International Classification of Functioning, Disability and Health, approved by the WHO in 2001, complements the International Classification of Disease with the aim to integrate both medical and social aspects in the evaluation of patients’ health, by identifying limitations of function and possibly implement other interventions. The goal rests in offering the best possible solution in order to improve health, without necessarily waiting for the disease process to be expressed and diagnosed, or to improve undergoing treatment outcomes [19].

  3. 3.

    KiSS syndrome (kinetic imbalance due to suboccipital strain) is a term coined by the German medical doctor Biedermann in 1991, who assumed a functional abnormality of the upper cervical spine could lead to a number of complications, including positional plagiocephaly, if left untreated. Treatment relied on manual techniques performed locally. The whole clinical assumption was the cause of much debate in the German press and scientific circles over the years, and articles also accused the procedure to be likely to lead to false or misdiagnoses [20]. It remains unclear whether the syndrome actually exists and if there are any observable therapeutic benefits.

References

  1. Gevitz N (2004) The DOs – osteopathic medicine in America, 2nd edn. The John Hopkins University Press, Baltimore/London

    Google Scholar 

  2. Collins M (2005) Osteopathy in Britain. BookSurge, LLC, London

    Google Scholar 

  3. Bronfrot G, Haas M, Evans R, Leininger B, Triano J (2010) Effectiveness of manual therapies: the UK evidence report. Chiropr Osteopat 18:3

    Article  Google Scholar 

  4. Posadzki P, Lee MS, Ernst E (2013) Osteopathic manipulative treatment for pediatric conditions: a systematic review. Pediatrics 132(1):140–152

    Article  PubMed  Google Scholar 

  5. Seffinger M et al. (2011) In: Foundations of osteopathic medicine, 3rd edn. American Osteopathic Association, Lippincott Williams & Wilkins 3–21

    Google Scholar 

  6. Hodge LM (2011) Lymphatic pump treatment enhances the lymphatic and immune system. Exp Biol Med 236:1109–1115

    Article  CAS  Google Scholar 

  7. Peppin JF (1993) The osteopathic distinction: fact or fancy? J Med Hum 14(4):203–222

    Article  CAS  Google Scholar 

  8. Philippi H et al (2006) Patterns of postural asymmetry in infants: a standardized video-based analysis. Eur J Pediatr 165(3):158–164

    Article  PubMed  Google Scholar 

  9. Solow B, Sandham A (2002) Cranio-cervical posture: a factor in the development and function of the dentofacial structures. Eur J Orthod 24(5):447–456

    Article  PubMed  Google Scholar 

  10. Rogers GF, Oh AK, Mulliken JB (2009) The role of congenital muscular torticollis in the development of deformational plagiocephaly. Plast Reconstr Surg 123:643–652

    Article  CAS  PubMed  Google Scholar 

  11. Philippi H, Faldum A, Schleupen A, Pabst B, Jung T, Bergmann H, Bieber I, Kaemmerer C, Dijs P, Reitter B (2006) Infantile postural asymmetry and osteopathic treatment: a randomized therapeutic trial. Dev Med Child Neurol 48:5–9

    Article  PubMed  Google Scholar 

  12. Jäkel A, von Hauenschild P (2011) Therapeutic effects of cranial osteopathic manipulative medicine: a systematic review. J Am Osteopath Assoc 111(12):685–693

    PubMed  Google Scholar 

  13. Sergueef N, Nelson KE, Glonek T (2006) Palpatory diagnosis of plagiocephaly. Complement Ther Clin Pract 12(2):101–110, Epub 2006 Mar 29

    Article  PubMed  Google Scholar 

  14. Van Vlimmeren LA, van der Graaf Y, Boere-Boonekamp MM, L’Hoir MP, Helders PJ, Engelbert RH (2008) Effect of pediatric physical therapy on deformational plagiocephaly in children with positional preference: a randomized controlled trial. Arch Pediatr Adolesc Med 162:712–718

    Article  PubMed  Google Scholar 

  15. Lessard S, Gagnon I, Trottier N (2011) Exploring the impact of osteopathic treatment on cranial asymmetries associated with nonsynostotic plagiocephaly in infants. Complement Ther Clin Pract 17(4):193–198. doi:10.1016/j.ctcp.2011.02.001, Epub 2011 Mar 5

    Article  PubMed  Google Scholar 

  16. St John D, Mulliken JB, Kaban LB, Padwa BL (2002) Anthropometric analysis of mandibular asymmetry in infants with deformational posterior plagiocephaly. J Oral Maxillofac Surg 60:873–877

    Article  PubMed  Google Scholar 

  17. Lund G, Carreiro JE (2010) Characteristics of pediatric patients seen in medical school–based osteopathic manipulative medicine clinics. JAOA J Am Osteopath Assoc 110:376–380

    Google Scholar 

  18. AACOM (2011) Glossary of osteopathic terminology (revised)

    Google Scholar 

  19. Üstün TB, Chatterji S, Bickenbach J, Kostanjsek N, Schneider M (2003) The International classification of functioning, disability and health: a new tool for understanding disability and health. Disabil Rehabil 25:565–571. http://www.aacom.org/resources/bookstore/Pages/glossary.aspx Accessed 2013 Dec 15

  20. Happle C, Wetzke M, Hermann EJ, Krauss JK, Hartmann H, Lücke T (2009) Cases against KiSS: a diagnostic algorithm for children with torticollis. Klin Padiatr 221(7):430–435

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Cristian Ciranna-Raab MSc, BSc, DO, DPO .

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Ciranna-Raab, C. (2014). Osteopathic Considerations in Positional Plagiocephaly. In: Villani, D., Meraviglia, M. (eds) Positional Plagiocephaly. Springer, Cham. https://doi.org/10.1007/978-3-319-06118-4_7

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  • DOI: https://doi.org/10.1007/978-3-319-06118-4_7

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-06117-7

  • Online ISBN: 978-3-319-06118-4

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