Abstract

BackgroundObstructive apnea is a sleep disorder characterized by pauses in breathing during sleep: breathing is interrupted by a physical block to airflow despite effort. The purpose of this study was to test if osteopathy could influence the incidence of obstructive apnea during sleep in infants.MethodsThirty-four healthy infants (age: 1.5–4.0 months) were recruited and randomized in two groups; six infants dropped out. The osteopathy treatment group (n = 15 infants) received 2 osteopathic treatments in a period of 2 weeks and a control group (n = 13 infants) received 2 non-specific treatments in the same period of time. The main outcome measure was the change in the number of obstructive apneas measured during an 8-hour polysomnographic recording before and after the two treatment sessions.ResultsThe results of the second polysomnographic recordings showed a significant decrease in the number of obstructive apneas in the osteopathy group (p = 0.01, Wilcoxon test), in comparison to the control group showing only a trend suggesting a gradual physiologic decrease of obstructive apneas. However, the difference in the decline of obstructive apneas between the groups after treatment was not significant (p = 0.43).ConclusionOsteopathy may have a positive influence on the incidence of obstructive apneas during sleep in infants with a previous history of obstructive apneas as measured by polysomnography. Additional research in this area appears warranted.

Highlights

  • The aim of the study was to measure the impact of osteopathic treatment on the incidence of obstructive apnea in infants

  • The infants were recruited from a broad population of children younger than 4 months who tested positive according to a polysomnographic test, which is known to be a reliable and reproducible diagnostic tool for obstructive apnea [1]

  • Participation in this study was proposed to all parents of infants in whom the 8-hour polysomnographic recording revealed more than 3 obstructive apneas [2]

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Summary

Introduction

The aim of the study was to measure the impact of osteopathic treatment on the incidence of obstructive apnea in infants. Obstructive apnea is a pathologic finding, and is in some infants related to a risk for sudden infant death. The infants were recruited from a broad population of children younger than 4 months who tested positive according to a polysomnographic test, which is known to be a reliable and reproducible diagnostic tool for obstructive apnea [1]. Obstructive apnea is a sleep disorder characterized by pauses in breathing during sleep: breathing is interrupted by a physical block to airflow despite effort. The purpose of this study was to test if osteopathy could influence the incidence of obstructive apnea during sleep in infants

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