Microceohaly
Conditions
Interventions
Clinical, quasi-experimental trial (before and after) involving assessment of present Somatic Dysfunctions and osteopathic intervention using Osteopathic Manipulative Treatment (OMT) in a pragmatic wa
E02.190.599.280
Sponsors
Faculdade de Medicina de Jundiaí
Faculdade de Medicina de Jundiaí
Eligibility
Age
0 Days to 5 Years
Inclusion criteria
Inclusion criteria: Babies and Children aged between zero and 5 years old; both sexes; whose mothers were infected or exposed to the ZIKV virus, positive or not for Zika virus (RT-qPCr); belonging to the Zika Virus Cohort or Cohort nested at Faculdade de Medicina de Jundiaí (FMJ); children regularly seen at the aforementioned outpatient clinic and by active search for cases in the records of the Faculdade de Medicina de Jundiaí (FMJ) Pediatrics Outpatient Clinic of babies; children with signs of microcephaly at the first pediatric consultation. Children who did not initially show signs of microcephaly were also part of the sample, as they could develop it later
Exclusion criteria
Exclusion criteria: Children who do not allow osteopathic evaluation; those who cannot be monitored during the proposed research period; those who, on consultation days, manifest infectious diseases or any other changes that do not allow them to be evaluated and treated by osteopathy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome evaluated was the presence of Somatic Dysfunctions (SD) as defined in the Glossary and Osteopathic Terms 2017. The elements that identify SD are information about assymmetries of somatic structures, mobility restrictions of somatic structures, tissue changes, sensitivity. Evaluated in the following regions: cranial, cervical, thoracic, lumbar and sacral, upper limbs and lower limbs, abdomen following the name of the glossary of osteopathic terms from 2011 and 2017. The osteopathic evaluation followed the standard osteopathic consultation procedure and the evaluation protocol as proposed by Cerritelli et al (2014) involving: collection of personal data; data on current and past history; anthropometric data; complaints and symptoms present at the time of osteopathic evaluation SD may be associated with neuromusculoskeletal changes that affect the development of babies and children with microcephaly. It is expected that if identified and treated, they can contribute to the development of neuropsychomotor and somatic changes associated with microcephaly, since these have not been specifically treated so far. | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary data were those obtained from the medical records of each child attended at HUFMJ or participants in the Zika Virus Cohort or FMJ Nested Cohort, which included socio-demographic data such as sex, age, weeks of gestation, type of delivery and musculoskeletal changes, APGAR. | — |
Countries
Brazil
Contacts
Public ContactSaulo Passos
Faculdade de Medicina de Jundiaí
Outcome results
None listed