Postoperative Osteopathic Manipulative Treatment in Children with Esophageal Atresia: Potential Benefits on the Anthropometric Parameters

Esophageal atresia (EA) is a congenital malformation that affects the normal esophageal development. Surgical treatment, although restoring the integrity of the alimentary tract, may lead to long-term sequelae-like developmental abnormalities and musculoskeletal deformities. We evaluated the effects...

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Main Authors: Andrea Manzotti, Alessia Alati, Matteo Galli, Francesco Cerritelli, Chiara Leva, Adele Alberti, Alessandro Stizzoli, Sara Costanzo, Carlotta Paola Maria Canonica, Francesca Destro, Gianvincenzo Zuccotti, Valeria Calcaterra, Gloria Pelizzo
Format: Article
Language:English
Published: MDPI AG 2022-10-01
Series:Pediatric Reports
Subjects:
Online Access:https://www.mdpi.com/2036-7503/14/4/51
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author Andrea Manzotti
Alessia Alati
Matteo Galli
Francesco Cerritelli
Chiara Leva
Adele Alberti
Alessandro Stizzoli
Sara Costanzo
Carlotta Paola Maria Canonica
Francesca Destro
Gianvincenzo Zuccotti
Valeria Calcaterra
Gloria Pelizzo
author_facet Andrea Manzotti
Alessia Alati
Matteo Galli
Francesco Cerritelli
Chiara Leva
Adele Alberti
Alessandro Stizzoli
Sara Costanzo
Carlotta Paola Maria Canonica
Francesca Destro
Gianvincenzo Zuccotti
Valeria Calcaterra
Gloria Pelizzo
author_sort Andrea Manzotti
collection DOAJ
description Esophageal atresia (EA) is a congenital malformation that affects the normal esophageal development. Surgical treatment, although restoring the integrity of the alimentary tract, may lead to long-term sequelae-like developmental abnormalities and musculoskeletal deformities. We evaluated the effects of osteopathic manipulative treatment (OMT) on the recovery of the range of the right upper limb movement and on the rise of the auxological parameters. A case series of five children affected by type C EA were described. Six OMT sessions were performed over a 4-month period. At each treatment, height, weight, body mass index (BMI) and range of motion (ROM) in elevation of the right upper limb were assessed. OMT was applied to improve scar, larynx, rib cage, and sternum mobility. An average change of 2.3 cm in height and an average increase of 8° in the ROM of the upper limb in the period of study were detected. Additionally, OMT could improve the anthropometric data and the mobility of the right upper limb of children surgically treated for EA. Further studies that evaluate the effectiveness of OMT in post surgical treatment of congenital malformations of the thorax can be considered in the future.
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spelling doaj.art-f1febdc35a64471d9bed175477fab5242023-11-24T17:15:03ZengMDPI AGPediatric Reports2036-75032022-10-0114443444310.3390/pediatric14040051Postoperative Osteopathic Manipulative Treatment in Children with Esophageal Atresia: Potential Benefits on the Anthropometric ParametersAndrea Manzotti0Alessia Alati1Matteo Galli2Francesco Cerritelli3Chiara Leva4Adele Alberti5Alessandro Stizzoli6Sara Costanzo7Carlotta Paola Maria Canonica8Francesca Destro9Gianvincenzo Zuccotti10Valeria Calcaterra11Gloria Pelizzo12RAISE Laboratory, Clinical Based-Human Research Department, Foundation COME Collaboration, 65121 Pescara, ItalyRAISE Laboratory, Clinical Based-Human Research Department, Foundation COME Collaboration, 65121 Pescara, ItalyRAISE Laboratory, Clinical Based-Human Research Department, Foundation COME Collaboration, 65121 Pescara, ItalyRAISE Laboratory, Clinical Based-Human Research Department, Foundation COME Collaboration, 65121 Pescara, ItalyResearch Department SOMA, Istituto Osteopatia Milano, 20126 Milan, ItalyResearch Department SOMA, Istituto Osteopatia Milano, 20126 Milan, ItalyResearch Department SOMA, Istituto Osteopatia Milano, 20126 Milan, ItalyUOC of Pediatric Surgery Unit, Children’s Hospital “V. Buzzi” ASST-FBF-Sacco, 20154 Milan, ItalyUOC of Pediatric Surgery Unit, Children’s Hospital “V. Buzzi” ASST-FBF-Sacco, 20154 Milan, ItalyUOC of Pediatric Surgery Unit, Children’s Hospital “V. Buzzi” ASST-FBF-Sacco, 20154 Milan, ItalyUOC of Pediatric Surgery Unit, Children’s Hospital “V. Buzzi” ASST-FBF-Sacco, 20154 Milan, ItalyDepartment of Biomedical and Clinical Sciences “L. Sacco”, University of Milan, 20157 Milan, ItalyUOC of Pediatric Surgery Unit, Children’s Hospital “V. Buzzi” ASST-FBF-Sacco, 20154 Milan, ItalyEsophageal atresia (EA) is a congenital malformation that affects the normal esophageal development. Surgical treatment, although restoring the integrity of the alimentary tract, may lead to long-term sequelae-like developmental abnormalities and musculoskeletal deformities. We evaluated the effects of osteopathic manipulative treatment (OMT) on the recovery of the range of the right upper limb movement and on the rise of the auxological parameters. A case series of five children affected by type C EA were described. Six OMT sessions were performed over a 4-month period. At each treatment, height, weight, body mass index (BMI) and range of motion (ROM) in elevation of the right upper limb were assessed. OMT was applied to improve scar, larynx, rib cage, and sternum mobility. An average change of 2.3 cm in height and an average increase of 8° in the ROM of the upper limb in the period of study were detected. Additionally, OMT could improve the anthropometric data and the mobility of the right upper limb of children surgically treated for EA. Further studies that evaluate the effectiveness of OMT in post surgical treatment of congenital malformations of the thorax can be considered in the future.https://www.mdpi.com/2036-7503/14/4/51esophageal atresiaosteopathic manipulative treatmentpediatric surgerychildren
spellingShingle Andrea Manzotti
Alessia Alati
Matteo Galli
Francesco Cerritelli
Chiara Leva
Adele Alberti
Alessandro Stizzoli
Sara Costanzo
Carlotta Paola Maria Canonica
Francesca Destro
Gianvincenzo Zuccotti
Valeria Calcaterra
Gloria Pelizzo
Postoperative Osteopathic Manipulative Treatment in Children with Esophageal Atresia: Potential Benefits on the Anthropometric Parameters
Pediatric Reports
esophageal atresia
osteopathic manipulative treatment
pediatric surgery
children
title Postoperative Osteopathic Manipulative Treatment in Children with Esophageal Atresia: Potential Benefits on the Anthropometric Parameters
title_full Postoperative Osteopathic Manipulative Treatment in Children with Esophageal Atresia: Potential Benefits on the Anthropometric Parameters
title_fullStr Postoperative Osteopathic Manipulative Treatment in Children with Esophageal Atresia: Potential Benefits on the Anthropometric Parameters
title_full_unstemmed Postoperative Osteopathic Manipulative Treatment in Children with Esophageal Atresia: Potential Benefits on the Anthropometric Parameters
title_short Postoperative Osteopathic Manipulative Treatment in Children with Esophageal Atresia: Potential Benefits on the Anthropometric Parameters
title_sort postoperative osteopathic manipulative treatment in children with esophageal atresia potential benefits on the anthropometric parameters
topic esophageal atresia
osteopathic manipulative treatment
pediatric surgery
children
url https://www.mdpi.com/2036-7503/14/4/51
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