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Updated: Jul 3, 2026

Assessment of the Efficacy of An Osteopathic Treatment in Infants with Biomechanical Impairments to Suckling
Published on: February 5, 2019
Osteopathy may decrease obstructive apnea in infants: a pilot study
Yvan Vandenplas1, Etienne Denayer, Thierry Vandenbossche
1Department of Pediatrics, Universitair Ziekenhuis Brussel Kinderen, Brussels, Belgium. yvan.vandenplas@uzbrussel.be.
Insights
Osteopathy treatment may reduce obstructive sleep apnea in infants. While the osteopathy group showed a significant decrease in apneas, the difference between groups was not statistically significant, warranting further research.
Area of Science:
- Pediatric Sleep Medicine
- Osteopathic Manipulative Treatment
- Respiratory Physiology
Background:
- Obstructive sleep apnea (OSA) involves breathing cessation due to physical airway blockage during sleep.
- Infant OSA poses risks, necessitating investigation into effective, non-invasive interventions.
- Understanding factors influencing infant breathing patterns during sleep is crucial for early detection and management.
Purpose of the Study:
- To evaluate the efficacy of osteopathic manipulative treatment (OMT) in reducing obstructive apnea events in infants.
- To compare the impact of OMT versus non-specific treatment on infant obstructive apnea incidence.
- To assess changes in polysomnographic measures of obstructive apnea following OMT.
Main Methods:
- A randomized controlled trial involving 34 healthy infants aged 1.5-4.0 months.
- Intervention group (n=15) received two osteopathic treatments over two weeks; control group (n=13) received non-specific treatments.
- Polysomnography was used to measure obstructive apnea counts before and after the two-week treatment period.
Main Results:
- The osteopathy group demonstrated a statistically significant reduction in obstructive apneas (p=0.01).
- The control group exhibited a trend towards a physiological decrease in obstructive apneas.
- The difference in apnea reduction between the osteopathy and control groups was not statistically significant (p=0.43).
Conclusions:
- Osteopathy may positively influence obstructive apnea incidence in infants with a history of such events.
- Polysomnography confirmed a reduction in apneas within the osteopathy cohort.
- Further research is recommended to validate these findings and explore the long-term effects of osteopathy on infant sleep-disordered breathing.
Background:
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.
Methods:
Thirty-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.
Results:
The 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).
Conclusion:
Osteopathy 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.
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