Incidence of Somatic Dysfunction in Healthy Newborns.
The Journal of the American Osteopathic Association
No. 5 from Nov. 11: This original contribution identified the incidence and patterns of somatic dysfunction in newborns and correlated those findings with maternal and labor history, gestational age and postpartum findings. One hundred healthy newborns aged 6 to 72 hours were assessed for somatic dysfunction, including asymmetry and motion restriction of the cranial, cervical, lumbar and sacral regions. The researchers, who included three Academy members, calculated a somatic dysfunction severity score (SDSS) for each newborn by assigning one point for each identified finding. SDSSs could range from zero to 34. In “Incidence of Somatic Dysfunction in Healthy Newborns,” the researchers report that they found at least one sphenobasilar synchondrosis strain pattern in 99 of the 100 newborns, with sidebending rotations being the most common. Condylar compression was found in 95 newborns, temporal bone restrictions in 85, motion restriction of cervical vertebral segments in 91, motion restriction of lumbar vertebral segments in 94 and a posterior sacral base in 80. While SDSSs were not associated with mode of delivery or labor augmentation, they were positively associated with the duration of labor: Each additional hour in labor increased the predicted SDSS by 0.12 point. (This is a hyperlink to the abstract. To view the full article, you will need to log in to the JAOA’s website using your standard AOA username and password.)