PO-0686 The Impact Of Visceral Osteopathic Treatment On The Meconium Evacuation In Very Low Birth Weight Infants
ObjectiveTo determine whether the complementary approach of manipulative osteopathic treatment accelerates complete meconium excretion and improves feeding tolerance in very low birth weight infants.MethodsThis study was a prospective, randomised, controlled trial in premature infants with a birth w...
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Veröffentlicht in: | Archives of disease in childhood 2014-10, Vol.99 (Suppl 2), p.A478-A478 |
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creator | Haiden, N Kreissl, A Pimpel, B Berger, A |
description | ObjectiveTo determine whether the complementary approach of manipulative osteopathic treatment accelerates complete meconium excretion and improves feeding tolerance in very low birth weight infants.MethodsThis study was a prospective, randomised, controlled trial in premature infants with a birth weight 1500 g and a gestational age 32 weeks who received a visceral osteopathic treatment algorithm 3 times during their first week of life or no treatment.ResultsPassage of last meconium occurred after a median of 7.5 days (95% confidence interval: 6–9 days, n = 20) in the intervention group and after 6 days (95% confidence interval: 5–9 days, n = 21) in the control group (p = 0.11). However, osteopathic treatment was associated with a 12 day longer time to full enteral feedings (p = 0.02), and a longer hospital stay (44 days longer in the intervention group; n.s). Osteopathic treatment was tolerated well and no adverse events were observed.ConclusionsVisceral osteopathic treatment oft the abdomen did not accelerate meconium excretion in VLBW-infants. However infants in the osteopathic group had a longer time to full enteral feedings and a longer hospital stay what must be interpreted as negative side effect. Further investigations are needed with modified protocols focussed on cranial osteopathy in this vulnerable group of patients. Currently the application of visceral osteopathic techniques cannot be recommended in VLBW-infants without further clinical trials. |
doi_str_mv | 10.1136/archdischild-2014-307384.1325 |
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However, osteopathic treatment was associated with a 12 day longer time to full enteral feedings (p = 0.02), and a longer hospital stay (44 days longer in the intervention group; n.s). Osteopathic treatment was tolerated well and no adverse events were observed.ConclusionsVisceral osteopathic treatment oft the abdomen did not accelerate meconium excretion in VLBW-infants. However infants in the osteopathic group had a longer time to full enteral feedings and a longer hospital stay what must be interpreted as negative side effect. Further investigations are needed with modified protocols focussed on cranial osteopathy in this vulnerable group of patients. Currently the application of visceral osteopathic techniques cannot be recommended in VLBW-infants without further clinical trials.</description><identifier>ISSN: 0003-9888</identifier><identifier>EISSN: 1468-2044</identifier><identifier>DOI: 10.1136/archdischild-2014-307384.1325</identifier><language>eng</language><publisher>London: BMJ Publishing Group LTD</publisher><subject>Algorithms ; Birth weight ; Body Weight ; Bone diseases ; Clinical trials ; Confidence intervals ; Control Groups ; Excretion ; Gestational age ; Health risk assessment ; Infants ; Low birth weight ; Meconium ; Osteopathic medicine ; Side effects ; Young Children</subject><ispartof>Archives of disease in childhood, 2014-10, Vol.99 (Suppl 2), p.A478-A478</ispartof><rights>2014 2014, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,3196,27924,27925</link.rule.ids></links><search><creatorcontrib>Haiden, N</creatorcontrib><creatorcontrib>Kreissl, A</creatorcontrib><creatorcontrib>Pimpel, B</creatorcontrib><creatorcontrib>Berger, A</creatorcontrib><title>PO-0686 The Impact Of Visceral Osteopathic Treatment On The Meconium Evacuation In Very Low Birth Weight Infants</title><title>Archives of disease in childhood</title><description>ObjectiveTo determine whether the complementary approach of manipulative osteopathic treatment accelerates complete meconium excretion and improves feeding tolerance in very low birth weight infants.MethodsThis study was a prospective, randomised, controlled trial in premature infants with a birth weight 1500 g and a gestational age 32 weeks who received a visceral osteopathic treatment algorithm 3 times during their first week of life or no treatment.ResultsPassage of last meconium occurred after a median of 7.5 days (95% confidence interval: 6–9 days, n = 20) in the intervention group and after 6 days (95% confidence interval: 5–9 days, n = 21) in the control group (p = 0.11). However, osteopathic treatment was associated with a 12 day longer time to full enteral feedings (p = 0.02), and a longer hospital stay (44 days longer in the intervention group; n.s). Osteopathic treatment was tolerated well and no adverse events were observed.ConclusionsVisceral osteopathic treatment oft the abdomen did not accelerate meconium excretion in VLBW-infants. However infants in the osteopathic group had a longer time to full enteral feedings and a longer hospital stay what must be interpreted as negative side effect. Further investigations are needed with modified protocols focussed on cranial osteopathy in this vulnerable group of patients. Currently the application of visceral osteopathic techniques cannot be recommended in VLBW-infants without further clinical trials.</description><subject>Algorithms</subject><subject>Birth weight</subject><subject>Body Weight</subject><subject>Bone diseases</subject><subject>Clinical trials</subject><subject>Confidence intervals</subject><subject>Control Groups</subject><subject>Excretion</subject><subject>Gestational age</subject><subject>Health risk assessment</subject><subject>Infants</subject><subject>Low birth weight</subject><subject>Meconium</subject><subject>Osteopathic medicine</subject><subject>Side effects</subject><subject>Young Children</subject><issn>0003-9888</issn><issn>1468-2044</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNpNkLFOwzAURS0EEqXwD5YQY4pfXuy4AwNUBSoVlaGU0XIch6Rqk2I7oG4s_ChfQqIyMD3pvqN7pUPIFbARAIpr7UyZV96U1SaPYgZJhCxFmYwAY35EBpAI2eVJckwGjDGMxlLKU3Lm_ZoxiKXEAXHPi4gJKX6-vpelpbPtTptAFwVddcXW6Q1d-GCbnQ5lZejSWR22tu6Imvb8kzVNXbVbOv3QptWhamo6q-nKuj2dN5_0rnKhpK-2eitD9yh0Hfw5OSn0xtuLvzskL_fT5eQxmi8eZpPbeWQAUx4hcsgBdJylOUfElEmdcaklZwWkmMUZpnpcZDHLxDjPIDcgeMo1z6RAkcQ4JJeH3p1r3lvrg1o3rau7SRUDSsZBSOiomwNlXOO9s4XauWqr3V4BU71m9V-z6jWrg2bVa8ZfciR0BA</recordid><startdate>201410</startdate><enddate>201410</enddate><creator>Haiden, N</creator><creator>Kreissl, A</creator><creator>Pimpel, B</creator><creator>Berger, A</creator><general>BMJ Publishing Group LTD</general><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88B</scope><scope>88E</scope><scope>88I</scope><scope>8A4</scope><scope>8AF</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>CJNVE</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>LK8</scope><scope>M0P</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>M7P</scope><scope>PQEDU</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope></search><sort><creationdate>201410</creationdate><title>PO-0686 The Impact Of Visceral Osteopathic Treatment On The Meconium Evacuation In Very Low Birth Weight Infants</title><author>Haiden, N ; Kreissl, A ; Pimpel, B ; Berger, A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c1375-3351d11a2b7d5333708ab58a850f173b2b37a9fb20b69db1dc16575a5b8636423</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Algorithms</topic><topic>Birth weight</topic><topic>Body Weight</topic><topic>Bone diseases</topic><topic>Clinical trials</topic><topic>Confidence intervals</topic><topic>Control Groups</topic><topic>Excretion</topic><topic>Gestational age</topic><topic>Health risk assessment</topic><topic>Infants</topic><topic>Low birth weight</topic><topic>Meconium</topic><topic>Osteopathic medicine</topic><topic>Side effects</topic><topic>Young Children</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Haiden, N</creatorcontrib><creatorcontrib>Kreissl, A</creatorcontrib><creatorcontrib>Pimpel, B</creatorcontrib><creatorcontrib>Berger, A</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Education Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>Education Periodicals</collection><collection>STEM Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Education Collection</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Education Database</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>ProQuest One Education</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><jtitle>Archives of disease in childhood</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Haiden, N</au><au>Kreissl, A</au><au>Pimpel, B</au><au>Berger, A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>PO-0686 The Impact Of Visceral Osteopathic Treatment On The Meconium Evacuation In Very Low Birth Weight Infants</atitle><jtitle>Archives of disease in childhood</jtitle><date>2014-10</date><risdate>2014</risdate><volume>99</volume><issue>Suppl 2</issue><spage>A478</spage><epage>A478</epage><pages>A478-A478</pages><issn>0003-9888</issn><eissn>1468-2044</eissn><abstract>ObjectiveTo determine whether the complementary approach of manipulative osteopathic treatment accelerates complete meconium excretion and improves feeding tolerance in very low birth weight infants.MethodsThis study was a prospective, randomised, controlled trial in premature infants with a birth weight 1500 g and a gestational age 32 weeks who received a visceral osteopathic treatment algorithm 3 times during their first week of life or no treatment.ResultsPassage of last meconium occurred after a median of 7.5 days (95% confidence interval: 6–9 days, n = 20) in the intervention group and after 6 days (95% confidence interval: 5–9 days, n = 21) in the control group (p = 0.11). However, osteopathic treatment was associated with a 12 day longer time to full enteral feedings (p = 0.02), and a longer hospital stay (44 days longer in the intervention group; n.s). Osteopathic treatment was tolerated well and no adverse events were observed.ConclusionsVisceral osteopathic treatment oft the abdomen did not accelerate meconium excretion in VLBW-infants. However infants in the osteopathic group had a longer time to full enteral feedings and a longer hospital stay what must be interpreted as negative side effect. Further investigations are needed with modified protocols focussed on cranial osteopathy in this vulnerable group of patients. Currently the application of visceral osteopathic techniques cannot be recommended in VLBW-infants without further clinical trials.</abstract><cop>London</cop><pub>BMJ Publishing Group LTD</pub><doi>10.1136/archdischild-2014-307384.1325</doi><oa>free_for_read</oa></addata></record> |
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subjects | Algorithms Birth weight Body Weight Bone diseases Clinical trials Confidence intervals Control Groups Excretion Gestational age Health risk assessment Infants Low birth weight Meconium Osteopathic medicine Side effects Young Children |
title | PO-0686 The Impact Of Visceral Osteopathic Treatment On The Meconium Evacuation In Very Low Birth Weight Infants |
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