Comparison of the osteopathic status of children in the fi rst six months of life with regurgitation with functional disorders of the digestive system or perinatal damage of the nervous system

Abstract

Introduction. Recently, the prevalence of functional disorders of the digestive system (FD DS) in children has increased. Regurgitation is one of the most common manifestations of FD DS, but also one of the symptoms of perinatal damage to the nervous system (PD NS). The most diffi cult diagnosis of FD DS is in newborns and children of the fi rst half of life, since there are age restrictions in the use of instrumental research methods. Osteopathic diagnostics of somatic dysfunctions can complement clinical and instrumental research methods in such children. No studies have been conducted to assess the osteopathic status of children in the fi rst six months of life with FD DS and PD NS. The aim of the study is to assess the osteopathic status of children in the fi rst six months of life with regurgitation and to compare the osteopathic status in children with functional disorders of the digestive system or perinatal NS damage.Materials and methods. There were examined 50 children aged 1 to 6 months with regurgitation. The patients were divided into 2 groups of 25 people in accordance with the criteria for inclusion in the study — the presence of a diagnosed FD DS or PD NS, vegeto-visceral syndrome. Anamnestic information was collected. A single osteopathic examination was conducted, according to the results of which the osteopathic status of children of both groups was compared.Results. It was found that regional somatic dysfunction of the neck region (somatic component) and local somatic dysfunctions of the thoracic diaphragm and sigmoid colon are the most common in the group of children with FD DS. Regional somatic dysfunctions of the head and neck region are the most common in patients with PD NS and vegeto-visceral syndrome, which could be associated with the development of central nervous system pathology.Conclusion. The obtained results allow to recommend the osteopathic diagnostics to clarify the possible cause of regurgitation with an aim to its subsequent osteopathic correction in children of the fi rst six months of life with FD DR and PD NS.