Effects of Single Manual Medicine Treatment for Infants with Postural
and Movement Asymmetries and Positional Preference: A Multicentre Randomised
Controlled Trial – SMMT for IPMA
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Media type:
E-Article
Title:
Effects of Single Manual Medicine Treatment for Infants with Postural
and Movement Asymmetries and Positional Preference: A Multicentre Randomised
Controlled Trial – SMMT for IPMA
Description:
<jats:title>Abstract</jats:title><jats:p>
Objective The aim of the study was the evaluation of the effects of a
single manual medicine treatment (SMMT) for infants with postural and motor
asymmetries in upper cervical asymmetry disorder respectively kinematic
imbalance due to suboccipital strain (KISS).</jats:p><jats:p>
Methods Design: Multicentre double-blind randomised study
Subjects/Setting: 202 infants at the age of 14–24 weeks with
postural and movement findings were examined in four study centres using the
standardized 4-item Symmetry-Score (points: 4=symmetric to
17=asymmetric). The inclusion criterion was a score of at least 10
points. The intervention group (IG) received a SMMT, whereas the control group
(CG) did not receive any manual therapy. In addition, the infants of both groups
were trained with a home exercise programme by their parents.</jats:p><jats:p>
Statistical Methods The primary target parameter was the result of the
Symmetry-Score, measured before the intervention and 4–6 weeks
afterwards.</jats:p><jats:p>
Results 171 children were randomised
(IG=83/CG=88). All infants enrolled were measured to the
second time-point (Intention-to-treat-analysis). The average improvement of IG
compared to CG in Symmetry-Score was 2.3 points (p<.001). Following the
score definition 80% of IG and 49% of CG fell below the
treatment threshold of 10 points. No side effects were observed.</jats:p><jats:p>
Conclusions The SMMT significantly improves postural and motor asymmetries
in infants with KISS.</jats:p>