Efficacy of Pediatric Manual Therapy in the Positional Plagiocephaly

University of Zaragoza

Status: Completed

Conditions: Plagiocephaly; Plagiocephaly, Nonsynostotic; Plagiocephaly, Positional

Treatments: Procedure: Educational Physical Therapy; Procedure: Pediatric Manual Therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT03659032

PMT1

Details and patient eligibility

About

This study evaluates the efficacy of Pediatric Manual Therapy in the treatment of positional plagiocephaly in infants. 40 participants will receive a protocol of Pediatric Manual Therapy and educational physiotherapy in combination, while the other 20 will receive only educational physiotherapy

Full description

The Manual Therapy has shown efficacy in different pathologies in the adult but it is not know its utility in infants and children population, nor in specific pathologies as non synostotic plagiocephaly.

In the conservative treatment of plagiocephaly the educational physiotherapy and the helmet therapy have the better level of evidence among other treatments.

A protocol of ten sessions of Pediatric Manual Therapy will be applied to infants with positional plagiocephaly in combination with educational physiotherapy. The protocol consists in soft cervical mobilisation, myofascial induction and the application of some pressures to the cranial bones to improve the asymmetry of the head. Educational therapy which consists in more "tummy time" stimulation, stimulation to the non preference position of the head and counter positioning.

The control group will receive only Educational therapy.

Enrollment: 60 patients

Sex: All

Ages: Under 6 months old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Sign of positional plagiocephaly
• Infants below 6 moths age

Exclusion criteria

• No neurological disorders
• No infectious diseases
• No respiratory diseases
• No other treatments

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

---

60 participants in 2 patient groups

Pediatric Manual Therapy Group

Experimental group

Description:

10 sessions of Pediatric Manual Therapy, once a week. Soft cervical mobilisation, myofascial induction and cranial techniques will be administered. Educational physiotherapy consists in "tummy time" stimulation, visual and kinaesthetic stimulation on the non preferential head position and counter position will be also administered.

Treatment:

Procedure: Pediatric Manual Therapy

Control Group

Active Comparator group

Description:

Only Educational Physical Therapy consists in "tummy time" stimulation, visual and kinaesthetic stimulation on the non preferential head position and counter position will be administered.

Treatment:

Procedure: Educational Physical Therapy