Osteopathic status of preterm infants with intraventricular hemorrhage

Introduction. Intraventricular hemorrhage (IVH) is a common neurological pathology in newborns (primarily premature babies) and remains a serious problem. The etiology of IVH seems to be multifactorial, the leading causes are fetal immaturity at the time of delivery, instability of the circulatory system and hemostasis.

The goal of research — to evaluate osteopathic status in preterm infants with intraventricular hemorrhage (IVH) depending on the severity of IVH.

Materials and methods. The study included 66 premature infants aged less than 18 days. Main group included 36 infants with IVH, control group — 30 infants without IVH. All newborns underwent general and neurologic evaluation, osteopathic evaluation and neurosonography.

Results. Osteopathic evaluation in preterm infants with grade 2 IVH revealed high prevalence of global rhythmogenic cranial somatic dysfunction (SD), in grade 1 IVH — global rhythmogenic cranial SD and regional SD of head region, in preterm infants without IVH — regional SD of dura mater region. In infants with IVH there was a significantly increased prevalence of global SD, whereas in infants without IVH regional SD was more prevalent (p<0,05). Global rhythmogenic cranial SD is significantly more prevalent in infants with IVH, compared to infants without IVH (p<0,05). This type of SD was more prevalent in IVH of higher grades. Regional SD of dura mater region in infants with IVH was less prevalent than in infants without IVH (p<0,05). Local SD are significantly more prevalent in infants without IVH compared to infants with IVH (p<0,05).

Conclusion. Osteopathic evaluation is recommended for preterm infants both with and without IVH for early diagnostics and correction of SD. Neonatologists and pediatricians could consider osteopathic consultation in preterm infants with IVH at abilitation and rehabilitation stage of treatment.

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