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Somatic dysfunctions in newborns: prevalence and correlation inter-operator

Somatic dysfunctions in newborns: prevalence and correlation inter-operator. Francesco Cerritelli MS DO European Institute for Evidence Based Osteopathic Medicine (EBOM) AIOT Research Institute Pescara, Italy francesco.cerritelli@ebom.it.

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Somatic dysfunctions in newborns: prevalence and correlation inter-operator

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  1. Somatic dysfunctions in newborns: prevalence and correlation inter-operator Francesco Cerritelli MS DO European Institute for Evidence Based Osteopathic Medicine (EBOM) AIOT Research Institute Pescara, Italy francesco.cerritelli@ebom.it 8th International Conference on Advance in Osteopathic Research. Milan, Italy. May 29, 2010

  2. Introduction Definition of Somatic Dysfunction (SD) • impaired or altered function of related components of the somatic (body framework) system: skeletal, arthrodial, and myofascial structures, and their related vascular, lymphatic, and neural elements Glossary of Osteopathic Terminology, 2009 2

  3. Introduction SD as marker of: • bodily changing • clinical condition Licciardone JC, Fulda KG, Stoll ST, Gamber RG, Cage AC. A case-control study of osteopathic palpatory findings in type 2 diabetes mellitus. Osteopath Med Prim Care. 2007 Feb 8;1:6. 3

  4. Introduction Measuring SD: TART paramters 4

  5. Introduction SD and newborns Number in table are in percentage 5

  6. Aim of the study • Evaluate the AREA and SUBJECT prevalence of SD in a population of newborns • Evaluate the inter-operator reliability 6

  7. Methods Population newborns N= 220 study group N= 47 28≤ga<38 excluded N=46 pre-terms group N= 101 control group N= 54 eligible N= 174 ga≥38 study group N= 34 terms group N= 73 control group N= 39 ga = gestational age 7

  8. Methods • Baseline measurements of osteopathic characteristics (TART) • Osteopathic Evaluations: 2/week • Study period: 20 months • Outcomes: • prevalence of SD • inter-reliability between operators 8

  9. Statistical Analysis • Arithmetic means and SD for the general characteristics of study population • Univariate statistical tests for all differences between study and control group • Pearson’s test for correlation between operators 9

  10. Pre-terms population Numbers in table are mean±s.d.; p value from t test *n(%);p value from χ2 test 10

  11. Dysfunction per area 11

  12. Dysfunction per subject 12

  13. Terms population Numbers in table are mean±s.d.; p value from t test *n(%);p value from χ2 test 13

  14. Dysfunction per area 14

  15. Dysfunction per subject 15

  16. Correlation inter-operator * r value from Pearson’s test † p value from Pearson’s test 16

  17. Discussion • Cranial and pelvic areas highest percentage of SD • Supposed etiology: • type of labor; • absence of delivery; • fetal condition; • mother condition. 17

  18. Discussion • How we should consider the SDs? • Are the SDs related to an improvement of the clinical condition? 18

  19. Discussion Fractal system? http://upload.wikimedia.org/wikipedia/commons/2/21/Mandel_zoom_00_mandelbrot_set.jpg 19

  20. Conclusion • The study shows a significant r inter-reliability score as well as an high percentage of SD in cranial and pelvic areas. 20

  21. ...A second... Thank you for your attention Francesco Cerritelli MS DO European Institute for Evidence Based Osteopathic Medicine (EBOM) AIOT Research Institute Pescara, Italy francesco.cerritelli@ebom.it 8th International Conference on Advance in Osteopathic Research. Milan, Italy. May 29, 2010

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