Introduction. The main clinical manifestation of dorsopathy is pain syndrome of varying degrees of expression. Conventional treatment regimens focus primarily on pain management, with an emphasis on drug therapy.

Taking drugs is always associated with a certain risk, but drugs are increasingly administered in larger quantities. In recent years, there has been a justified increase in the interest of specialists from different fields to nonpharmacological methods of pain treatment. It is also worth noting that the attention of clinicians sometimes misses the fact that pain syndromes, primarily chronic, are very closely related to the psycho-emotional state of patients, which must be taken into account in the course of treatment. At the same time, current studies evaluating neuropsychological indicators and their dynamics against the background of treatment, especially non-pharmacological, in patients with dorsopatities are few. All of the above and predetermined the purpose of this work.

The aim of the study: to study neuropsychological indicators and their dynamics against the background of nonpharmacological treatment in young patients with cervical dorsopathy.

Materials and methods. The prospective randomized controlled study has been conducted since September 2018 to September 2022 at the clinical base of the Department of osteopathy I. I. Mesnikov NWSMU. 631 patients with a diagnosis of dorsopathy were under observation. 169 people dropped out of the study for various reasons. Thus, a group of 462 patients between the ages of 18 and 45 was formed. Depending on the treatment methods used, all patients monitored with randomized controlled trials were divided into three groups: group 1 (n=228) received osteopathic correction (OK); group 2 (n=124) received reflexotherapy (RT); group 3 (n=110) received osteopathic correction and reflexotherapy. Treatment approach, both osteopathic and reflexotherapy, in each patient was individual and based on the results of previous diagnosis. All patients were assessed prior to the start of treatment and 7–10 days after the end of it, the severity of pain intensity assessment (Visual Analog Scale, VAS), asthenic condition (ShAS test), well-being, activity, mood (SAN questionnaire) was evaluated.

Results. Before treatment, the patients examined were characterized by a moderate level of pain syndrome, mainly presence of mild and pronounced asthma and predominance of mood variability. According to these indicators, patients of the observed groups had no statistically significant differences (p>0,05). After treatment, all groups of patients showed a statistically significant positive trend (p<0,05) for all evaluated indicators. However, it was found that statistically more pronounced (p<0,05) reduction of the pain syndrome was observed in patients 1 (OK only) and 3 groups (combined use of OK and PT), and more pronounced depression in patients 1 (OK only).

Conclusion. For young patients with cervical dorsopathy in the clinical picture in addition to pain syndrome is characteristic the presence of moderate and pronounced asthma, as well as the prevalence of mood variability. Osteopathy and reflexotherapy, both in the form of monotherapy and combined use, have demonstrated significant clinical effectiveness (control of pain syndrome, asthenia condition, improvement of mood). This makes it possible to recommend the application of these non-pharmacological approaches in the therapy of patients with dorsopathy, especially when the use of pharmacological treatment for some reason becomes impossible.

Introduction. Low back pain (LBP) is one of the main causes of disability worldwide. The presence of postoperative scars on the anterior abdominal wall contributes to chronic nonspecific LBP and significantly affects the condition of the entire muscular-fascial system. As a result, the axial structures of the body also suffer. In this situation, standard diagnostic approaches are not informative, and pain treatment doesn′t bring desired results.

The aim of the study: In this article, we substantiate the use of osteopathic correction in the complex rehabilitation of chronic nonspecific LBP in patients with postoperative scars on the anterior abdominal wall.

Materials and methods. The prospective randomized controlled trial was conducted from February 2024 to October 2025 at the Medical Rehabilitation Department of the «RZhD-Medicine» Clinical Hospital (Bataysk Stat.). The participants were 80 women with scars on the anterior abdominal wall after a cesarean section: the study group consisted of 40 women, whose individual medical rehabilitation plan (IMRP) included two osteopathic corrections with an interval of 12–14 days; the control group consisted of 40 women, who received medical rehabilitation without osteopathic treatment. Research methods included osteopathic examination of patients according to clinical guidelines, measuring the distance from the tip of the third finger to the floor with forward and lateral bends, and visual analogue pain scale (VAS).

Results. During the osteopathic examination of patients with chronic nonspecific LBP and postoperative scars on the anterior abdominal wall, regional somatic dysfunctions (SD) were detected in all patients; however, SD of the lumbar and pelvic regions dominated. The results of rehabilitation with osteopathic correction demonstrated, among other things, a statistically significant decrease in SD of the structural components in the neck region (p<0,001) and the thoracic region (p=0,03). Likewise, in the study group, there was a statistically significant decrease in the severity of SD in the lumbar region visceral component (p=0,013), the lumbar region structural component (p=0,036), and the pelvic region visceral component (p=0,002). In the control group, only the severity of SD of the lumbar region visceral component decreased (p=0,049). Prior to the treatment, both groups had the same level of severity of pain and active mobility in the lumbar region (p>0,05). In the study group, the severity of pain significantly decreased from the range of 1–7 points (Me=4) to 0–4 points (Me=2), p<0,001, and in the control group, an insignificant decrease in pain was noted (p<0,05). The mobility indicators in the lumbar region improved in patients of the study group: forward bend Me decreased from 12 to 10 cm (p<0,001), whereas lateral bend Me decreased from 47 to 45 cm on the right (p<0,001) and from 47 to 46 cm on the left (p<0,001). In the control group, however, the forward bend test indicator increased from 12 to 13,5 cm, which shows a decrease in mobility (p=0,034).

Conclusion. This study demonstrated the effectiveness of including osteopathic correction in the complex of rehabilitation measures for patients with chronic nonspecific low back pain and postoperative scars on the anterior abdominal wall, which is manifested in a decrease in the intensity of pain, improved mobility of the lumbar spine, and a decrease in the severity or complete recovery from regional somatic dysfunctions.

Introduction. Scoliosis is a multifactorial disease of the spine that has a high social significance at school age. There is a involvement in the process of the disease not only of the musculoskeletal system (MS), but also of other organs and systems, and therefore it is advisable to use the term «scoliotic disease» Analysis of the osteopathic status of children with scoliotic disease will potentially help to expand the understanding of its etiopathogenesis, as well as to develop comprehensive schemes of prevention, treatment and rehabilitation.

The aim of the study: to study the osteopathic status of children with scoliosis.

Materials and methods. Cross-sectional study was carried out at the Children′s Rehabilitation and Education Center № 76 (Moscow) from September 2023 to September 2024. Inclusion criteria: age 10–15 years; scoliosis of I–III degree (according to the Cobb method); incomplete skeletal growth according to the Risser criterion; pathologies of the cardiovascular and respiratory systems in the compensation stage; absence of diseases of the nervous system; absence of acute injuries and infectious diseases; informed consent of the patient′s parents to participate in the study. Criteria for non-inclusion: grade IV scoliosis; history of spinal surgery; epilepsy; spina bifida; vertebral abnormalities; cerebral palsy; osteomyelitis; limb paresis; malignant neoplasms. 100 children (62 girls and 38 boys) were selected. Age 10–15 years, median 13 years. The duration of the disease is 1–14 years, the median is 3 years. According to the results of measuring the Cobb′s angle, 25 people were determined to have grade I scoliosis, 65 people had grade II, and 10 people had grade III. All patients had their osteopathic status assessed according to clinical guidelines.

Results. In the examined children with scoliosis, somatic dysfunctions (SD) of all three levels of manifestation were revealed. The most characteristic were dysfunctions at the regional level: pelvic structural and visceral components; thoracic structural and visceral components; neck visceral component; lumbar structural component. Global biomechanical disorders were diagnosed as dominant SDs in 6 % (all with grade III scoliosis), in the remaining patients, regional biomechanical SDs dominated, of which the most common were biomechanical SDs of the thoracic region structural component (37 %).

Conclusion. From 1 to 3 biomechanical somatic dysfunction of the axial regions were revealed in all the examined, but only in the III degree of scoliosis there were the signs of a global biomechanical disorder.

Introduction. Knee osteoarthritis remains one of the leading causes of disability and a significant reduction in quality of life among older patients. Although total knee arthroplasty (TKA) is considered the gold standard for treating end-stage gonarthrosis, a considerable proportion of patients continue to experience pain and functional limitations after surgery. This has increased interest in preoperative programs designed to enhance rehabilitation potential and optimize treatment outcomes.

The aim of the study: to evaluate the impact of manual therapy performed in the preoperative period of total knee arthroplasty on the clinical and functional state of patients after surgery.

Materials and methods. A prospective randomized comparative study included 127 patients (75 women, 52 men) with unilateral idiopathic knee osteoarthritis stage III–IV scheduled for primary TKA. Participants were allocated to an experimental group (n=62), which received a course of preoperative manual therapy (three sessions during the month before surgery), or a control group (n=65), which underwent standard preoperative preparation. Assessments were performed using the KOOS (Knee injury and Osteoarthritis Outcome Score), Visual Analogue Scale (VAS) for pain, International Classification of Functioning, Disability and Health (ICF), and goniometry of the knee joint at five time points (from one month before surgery to three months postoperatively).

Results. Both groups showed significant improvements in all measured parameters (p<0,05) after TKA. The experimental group demonstrated greater pain reduction (VAS from 71,5 to 23,3 vs. 73,5 to 32,6 in controls), a larger increase in knee flexion (from 76º to 124,6º vs. 113,2º), and better quality of life and daily function scores according to KOOS. Positive changes in the manual therapy group appeared earlier: functional outcomes achieved at one month postoperatively in this group were only reached by the control group at three months.

Conclusion. Incorporating manual therapy into the preoperative preparation of patients with knee osteoarthritis undergoing total knee arthroplasty leads to faster and more pronounced functional improvement, pain reduction, and enhanced quality of life in the early postoperative period. This approach may be considered an effective addition to standard rehabilitation programs for optimizing total knee arthroplasty outcomes.

Introduction. The problem of chronic pelvic pain is due to the complexity of timely verification of the disease, due to its multidisciplinary nature, which in turn leads to the chronification of the process, steadily reducing the quality of life of patients. Despite the widespread use of both drug-based and non-drug-based approaches in the treatment of patients with chronic pelvic pain syndrome (CPPS), the effectiveness of treatment often remains low, requiring constant economic costs, this in turn reduces the patient′s commitment to treatment, placing clinicians with the challenge of finding and including new non-pharmacological ways to treat patients with this type of nomology in a comprehensive manner.

The aim of the study: to study the results of osteopathic correction in the comprehensive treatment of patients with CPPS.

Materials and methods. In a prospective randomized controlled study conducted between October 2023 and January 2025 at the Women′s Consultation № 7 Krasnodar Maternity Hospital. 50 women aged 20 to 40 years with CPPS were included. All patients were divided into two comparable groups of 25 people — the main and control group, depending on the treatment method used. Patients in the main group of the comprehensive treatment of CPPS along with standard therapy (use of non-steroidal anti-inflammatory drugs, physiotherapeutic procedures and exercises of curative physical culture) were carried out osteopathic correction (3 procedures with an interval of 13–16 days), the patients in the control group received only standard treatment without osteopathic correction. All subjects were given an osteopathic examination prior to and 2 weeks after completion of treatment, with the formation of an osteopathic conclusion and assessed the degree of severity of pain syndrome and quality of life.

Results. Osteopathic correction in the complex treatment of patients with CPPS compared to standard therapy statistically significant (p<0,05) contributes to reduce the intensity of the pain syndrome and improve the quality of life of this category of patients.

Conclusion. The inclusion of osteopathic correction in the complex treatment of chronic pelvic pain syndrome allows statistically significant reduction of the intensity of the pain syndrome and improve the quality of life of patients, what can be further used to improve the medical care of this population.

Introduction. The relevance of chronic tonsillitis (CT) is due not only to the polyetiology of the disease and its relationship with autoinfection, but also to the fact that non-almonds are an important component of the MALT system and act as a first-line protection when interacting with various pathogens. Thus, according to various immunological studies it has been proven that significant immune activity is maintained even with a recurrent tonsillitis, and the morbidity of autoimmune pathology in persons who underwent tonsillicectomy, is much more common in the context of developing immune dysfunction after it. The protective function of non-bile tonsils is carried out at the expense of their production of lymphocytes and delivery of them, as well as other factors of immunity through the epithelium into the cavity of the crypt. However, with a persistent inflammatory reaction in the nebbs, there is a decrease in the number of lymphoid cells in the crits and a significant increase in bacterial insemination. The change in the architect′s crypt leads to a disruption of their drainage function, and contained in their illuminations ejected epithelial cells, lymphocytes and diverse microflora can lead to inflammation. The high immune activity of lymphocytes in crypts allows us to believe that information about cytological composition and characteristics of bacterial excretion of crypts can contain the most complete information about the functional state of amygdales and adapted to new conditions microorganisms. This complex pathogenesis of the disease suggests that the treatment of CT should be aimed not only at eradicating from the depths of the patogenic pathogens, but also at developing more effective methods of conservative treatment, promoting the restoration of functional activity of the amygdala itself, and also requires the involvement of specialists in related fields to treat this immunopathology.

The aim of the study: to assess the impact of a comprehensive therapy of CT, including osteopathic correction, on the functional activity of nebbia tonsillines.

Materials and methods. The prospective controlled randomized, conducted on the basis of the Department of Osteopathy and the Department of Otorhinolaryngology of I. I. Mesnikov North-Western State Medical University in the period from 06.2022 to 06.2023, were included 120 patients with an established diagnosis of chronic tonsillitis. This study was carried out by a team of researchers from the Russian Federation. All patients according to treatment were divided by the randomization envelope method into three groups — main (n=56), control (n=49) and comparison group (n=15). Patients of the three groups received an otorhinolaryngological treatment in the form of a lavage of the amygdala (ten procedures with antiseptic therapy, interval between procedures — 2 days). The main group of patients received additional osteopathic correction (three procedures with an interval of 14 days). Patients in the comparison group were additionally treated with an imaginary therapy, which is a method of manual exposure to the patient without clear intention of treatment (three procedures at 14-day intervals). Before, after 1 month and after 3 months of treatment, all patients were tested for non-benthic amygdala functional activity.

Results. In patients of the main group with inclusion of osteopathic correction in the complex treatment of CT, statistically significant increase in the functional activity rates of nebbene tonsillins (number of lymphocytes, epitheliocytes and K coefficient, p<0,05) was detected 1 month and 3 months after the start of the study. There were no statistically significant differences between the patients in the control and comparison groups (p>0,05).

Conclusion. The inclusion of osteopathic correction in the complex therapy of patients with chronic tonsillitis contributes to a more significant improvement of the condition of the neb-tonsilline, increasing the spectrum of their functional activity and reducing the degree of insemination in early and long-term periods compared to only conventional conservative treatment and sham therapy. This indicates a positive and long-term effect when the manual method is included in the treatment of the disease.

Introduction. Acute cerebrovascular accident remains one of the most common causes of disability and mortality not only in Russia, but throughout the world. About 12 million cases of ischemic stroke are registered annually, and more than 30 % of patients remain dependent on outside help even after rehabilitation. Despite significant advances in the study of pathogenesis, traditional risk factors such as hypertension, atherosclerosis, and diabetes mellitus do not explain all cases of the disease. Recently, the role of the intestinal microbiota in the origin of cerebrovascular diseases, including ischemic stroke, has been actively investigated. The intestinal-brain axis is considered as a key pathway of interaction between the microbiota and the central nervous system. The human microbiome has ceased to be considered solely as a symbiotic system involved in digestion. Numerous studies demonstrate its key role in regulating immunity, metabolism, neuronal activity, and even behavior through the gut–brain axis. In the context of ischemic stroke, the microbiota can influence the pathogenesis of the disease through several mechanisms, which makes its study critically important for the development of new therapeutic strategies. The intestinal microbiome, numbering trillions of microorganisms, is involved in the regulation of the immune response, metabolism, the blood-brain barrier and systemic inflammation, which can affect the development, severity and outcome of stroke. However, the mechanisms of this effect remain poorly understood, and the clinical data are contradictory.

The aim of the study: to study the role of the composition and species activity of the intestinal microbiota in the risk of developing and determining the degree of ischemic stroke, with the identification of potential microbial markers.

Materials and methods. The study involved 64 people with a median age of 62 years. 4 groups were formed according to the clinical course of stroke: healthy people without signs of stroke (n=19), mild cerebrovascular accident (n=15), moderate cerebrovascular accident (n=15), severe cerebrovascular accident (n=15). In all groups, anamnesis was collected and stool analysis was performed using 16S-ribosomal RNA genetic sequencing to determine the species composition of the intestinal microbiota.

Results. The analysis of the intestinal microbiota in patients with acute cerebrovascular accident of varying severity and healthy individuals revealed significant differences in the composition of key bacterial species. A typical composition of the microbiota of the large intestine of different types of cerebrovascular accident was also compiled. Based on the values of the regression coefficients, the factors: the proportion of microorganisms such as Proteobacteria and Actinobacteriota, have a direct relationship with the likelihood of cerebrovascular accident. Thus, an increase in the proportion of Proteobacteria by 1 % increases the chances of cerebrovascular accident by 10,5 times (95 % CI 2,08–53,33), an increase in the proportion of Actinobacteriota by 1 % increases the chances of cerebrovascular accident by 5,3 times (95 % CI 2,12–13,35).

Conclusion. The gut microbiota is a potentially modifiable risk factor for stroke that affects it through multiple mechanisms. Further research should be aimed at establishing causal relationships, identifying key microbial markers, and developing methods for correcting dysbiosis for stroke prevention and treatment.

Introduction. Narrowing maxilla, which occurs as a result of an incorrect functional state of the dental system, can affect the development of general somatic pathology and social adaptation of growing patients. In particular, the infantile type of swallowing (ITS), today, is considered by many authors as a premorbid condition the specified dental pathology. This fact define the need to improve and implement an interdisciplinary approach at the stages of diagnosis and treatment of functionally determined occlusion anomalies in children with tongue dysfunction.

The aim of the study: is to analyze the relationship between swallowing dysfunction and the development of dental pathology in children 6–12 aged.

Materials and methods. Were examined 326 children (8,1±1,6 aged) with mixed dentition for frequency estimates of occlusion anomalies caused by narrowing maxilla and types of ITS. Clinical examination, radiological methods, electromyography, kinesiography of the lower jaw and the developed method of ultrasound diagnostics of the leading type of swallowing at children with mixed dentition (patent application for invention № 2025107573 dated March 28, 2025). Statistical analysis was performed using parametric and nonparametric methods of descriptive and correlation statistics.

Results. Frequency of occurrence of the infantile type of swallowing (ITS) in children with mixed dentition was 42,9 %. Its anterior type was 66,4 %, lateral type — 20,7 %, complex type — 12,9 %. Statistically significant differences were no found between the age and gender of patients (p<0,05 95 % CI). In 88 % of the examined children with ITS were identify incorrect anatomical and functional balance in the maxillofacial region, which most often led to formation of complex malocclusions — in 32,9 % and vertical incisor disocclusion — 29,3 %, in which the anterior type of ITS was significantly more common (p<0,001). With increasing patient age, the relative frequencies (proportions) of the indicated pathologies significantly increase (p<0,05), but we don′t have a statistically significant relationship with the gender of patients (p=0,7 95 % CI).

Conclusion. As a result of the comprehensive diagnostics of the dental system pathology in growing patients with narrowing maxilla and infantile type of swallowing, including the new method of ultrasound diagnostics of the leading type of swallowing in children, was determined a relationship between functional disorders of tongue position during the act of swallowing and the development of dentoalveolar anomalies in three mutually perpendicular plane. In 88 % of patients with this pathology showed disproportion in the facial profile and dental arches, asymmetric movements of the lower jaw and the work of the maxillofacial region muscles in accordance with the anterior, lateral or complex type of infantile swallowing.

Introduction. Since the 1980s, numerous studies have been conducted proving that tooth susceptibility to caries and resistance to caries depend on the degree of enamel mineralisation. The highest risk of caries development is observed during the period of enamel maturation after tooth eruption in the oral cavity. Tertiary mineralisation of teeth occurs particularly intensively during the period when the tooth erupts in the oral cavity. Tooth maturation depends significantly on the mineral components and properties of saliva. The effectiveness of preventive measures for dental caries has been studied by many authors, but the literature available to us contains scattered data on the prevention of dental caries with low mineralisation.

The aim of the study: to investigate the effectiveness of caries prophylaxis in patients with low mineralized permanent teeth.

Materials and methods. The study involved 67 people who were diagnosed with low enamel mineralisation based on clinical and morphological indicators. After signing an informed consent form, patients were divided into four groups with different types of prophylaxis for a randomised controlled trial. All children, regardless of the method of caries prevention, had the intensity of the carious process, average fluorescence loss, enamel resistance test, and simple hygiene index determined before the start of the study, after 6 months, and after one year.

Results. During daily home prevention, as well as professional remineralization in patients with a low level of enamel mineralization, the level of mineralization significantly improves, and caries susceptibility decreases, the average fluorescence loss index improves. When using a combined approach, the resistance of tooth enamel during the year of observation improves from 57,1±3,1 to 29±2,2 % (р<0,05), and the intensity of the carious process remains at the same level. When using home hygiene products, the enamel resistance also improves from 55,1±2,1 to 49,3±2 % over the year of observation, but the intensity of the carious process increases. According to the results of the study, it was found that in patients 9–15 years old with a low level of mineralization of hard tooth tissues, prevention based on a combination of home and professional methods is the most effective method of preventing caries.

Conclusion. In patients aged 9–15 years with a low level of mineralization of tooth enamel, home daily use of preparations containing calcium and phosphorus and hydroxyapatite can increase the level of enamel mineralization, however, when using a calcium-phosphorus-based gel in conjunction with professional application of hydroxyapatite preparations in a dental office, enamel caries resistance doubles, which reduces the increase in caries intensity in this group of patients.

This article describes a case of successful combined treatment of chronic tension headache (CTH) in a 40-year-old female patient using osteopathic and psychotherapeutic correction. After experiencing a psychotraumatic situation (divorce), the patient first experienced episodes of headache that met the criteria for frequent episodic TTH according to the International Classification of Headache Disorders (ICHD-3). Over several months, there was a gradual increase in the frequency of attacks to 20 days per month with an intensity of 6–7 points on the VAS, which indicated the progression of the disease and allowed for the diagnosis of chronic TTH. An osteopathic examination revealed a number of somatic dysfunctions (SD), including global psychovisceral SD and regional SD in the head, neck, chest, pelvis, and dura mater. Given the incomplete relief of symptoms with pharmacotherapy and the pronounced affective background, non-drug treatment was performed, including osteopathic correction and cognitive-behavioral therapy. After two osteopathic and one psychotherapeutic sessions, significant improvement was noted: the frequency of headaches decreased to 1–2 episodes per month, global and regional SD regressed, the level of depression on the Beck scale decreased from 28 to 10 points, anxiety on the Spielberger scale decreased from 48 to 8 points for situational anxiety and from 46 to 10 points for personal anxiety. The results demonstrate the potential of a comprehensive non-pharmacological approach combining osteopathic correction and psychotherapy. The use of osteopathy as part of individualized therapy is consistent with the provisions of the current clinical guidelines for the treatment of tension headaches from the Russian Ministry of Health (2025), which emphasize the validity of including manual and psychotherapeutic methods in the presence of pronounced muscle-tonic and affective components characteristic of chronic tension headaches.

Introduction. The body of a newborn and a child in the first year of life is extremely vulnerable, so it is difficult for them to choose an effective and safe therapy. At the same time, in early postnatal ontogenesis, the organism has high reparative capabilities. It is at this age that primary and secondary prevention of many chronic diseases is highly effective. It is very important to find optimal, preferably non-drug, methods of treating diseases in children in the first months of life, to create conditions for the formation of health for the subsequent life of a person.

The aim of the study — according to the literature, to study the results of the use of manual methods of treatment in newborns and children of the first year of life.

Materials and methods. A literature search has been carried out on Russian and foreign scientific medical literature databases (PubMed, Cochrane Library, Google Scholar, eLibrary, KiberLeninka, as well as official websites of specialized journals). The main search was carried out from 2014 to 2024. According to the key words, 225 studies were found, of which sufficient level of evidence (presence of a control group, randomized controlled trial (RCT), systematic review, meta-analysis) was in 55 studies, of them 8 metaanalyses and 28 RCT. Nosologies was excluded from further analysis, with less than 5 articles. Publications on the results of treatment for neurological diseases and disorders of the cervical spine were also excluded, as they describe very diverse nosologies, and the quality of research is insufficient. The systematic review included 15 studies describing treatment outcomes for gastrointestinal organ dysfunction, breastfeeding problems and sucking disorders.

Results. Summing up all the results described in the publications, it can be stated that manual methods of treatment (most often osteopathic treatment) for functional disorders of the gastrointestinal tract and problems related to breastfeeding in newborns and children of first year of life leads to the following results: Shorten crying time in infant cocos; Improve sleep time; Improve the ability of infants to cling to their breasts; Parents′ complaints related to breastfeeding difficulties are reduced; Increases the likelihood of continued breast-feeding.

Conclusion. Over the past 10 years, studies have been conducted on the use of manual methods of treatment, including osteopathic treatment, for various disorders in newborns and children of the first year of life. The articles found often contain studies with a low level of evidence. In foreign studies, which were the overwhelming majority, osteopathic treatment is usually carried out with a certain set of techniques, without taking into account the dominant somatic dysfunction and individual approach to the patient. A detailed analysis of articles on the results of osteopathic treatment of infant colic and problems associated with breastfeeding showed that osteopathic treatment is more effective than no treatment, placebo and routine care. The level of proof is moderate. Chiropractic and other manual methods of treatment have not demonstrated efficacy in these violations. Osteopathic and other types of manual treatment in newborns and children of the first year of life are safe. Further well-designed, reliable studies are needed to provide the necessary evidence that osteopathic treatment is not an alternative but an integral component of pediatric care.