Introducing an osteopathic approach into neonatology ward: the NE-O model
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CHIROPRACTIC & MANUAL THERAPIES
METHODOLOGY
Open Access
Introducing an osteopathic approach into neonatology ward: the NE-O model Francesco Cerritelli1,2*†, Marta Martelli1,2†, Cinzia Renzetti1,2, Gianfranco Pizzolorusso1,2, Vincenzo Cozzolino1,2 and Gina Barlafante1,2
Abstract Background: Several studies showed the effect of osteopathic manipulative treatment on neonatal care in reducing length of stay in hospital, gastrointestinal problems, clubfoot complications and improving cranial asymmetry of infants affected by plagiocephaly. Despite several results obtained, there is still a lack of standardized osteopathic evaluation and treatment procedures for newborns recovered in neonatal intensive care unit (NICU). The aim of this paper is to suggest a protocol on osteopathic approach (NE-O model) in treating hospitalized newborns. Methods: The NE-O model is composed by specific evaluation tests and treatments to tailor osteopathic method according to preterm and term infants’ needs, NICU environment, medical and paramedical assistance. This model was developed to maximize the effectiveness and the clinical use of osteopathy into NICU. Results: The NE-O model was adopted in 2006 to evaluate the efficacy of OMT in neonatology. Results from research showed the effectiveness of this osteopathic model in reducing preterms’ length of stay and hospital costs. Additionally the present model was demonstrated to be safe. Conclusion: The present paper defines the key steps for a rigorous and effective osteopathic approach into NICU setting, providing a scientific and methodological example of integrated medicine and complex intervention. Keywords: Complementary and alternative medicine, Integrated medicine, Neonatology intensive care unit, Newborns, Osteopathic manipulative treatment
Background Osteopathy is a manual medicine classified as complementary and alternative medicine (CAM). It is based on manual contact for diagnosis and treatment. It stresses the importance on the structural and functional integrity of the body as well as the intrinsic ability of the body for self-healing. Osteopaths can use numerous manual techniques to treat somatic dysfunction (SD) (ICD-10-CM Diagnosis Code M99.0-9) in order to enhance physiological functions [1]. Some studies and case reports starting shedding positive light on the effect of OMT on neonatal care. Lund et al. [2] and Wescott [3] showed a possible effect of osteopathic procedures in the management of sucking dysfunctions. Similarly, Andreoli et al. [4] suggested that OMT can be used as an adjuvant treatment for * Correspondence: [email protected] † Equal contributors 1 EBOM – European Institute for Evidence Based Osteopathic Medicine, Pescara, Italy 2 AIOT – Accademia Italiana Osteopatia Tradizionale, Pescara, Italy
clubfoot complications, whilst Friedman [5] corroborated the application of osteopathy in reducing gastrointestinal problems, such as colics and regurgitation. Moreover, OMT seems to have a role in improving cranial asymmetry of infants affected by pl
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