Osteopathic Medicine for the Paediatric Population

Osteopathic Medicine for the Paediatric Population – Workshops

Please note that the program of the conference may be subject to changes.

The congress will be held in English with translation into French

08.30 - 12.45 Morning Session

08.30 Registration

09.00 Welcome and “have to knows”: Eric Dobbelaere (Osteopathie.be) & (KBC)

09.15 Concept & collaboration - Francesco Cerritelli (COME Collaboration) & Patrick van Dun (COME BE)

09.30 – 11.00 Workshops 1

A_ Rik Hoste - Evaluation and treatment of the pharyngeal arches and cranial nerves from an embryological standpoint in children.

The structures arising from the pharyngeal arches play a crucial role in human functioning, both psycho-emotional and social. Behavioural disorders, as well as language, communication, eating and swallowing problems are reflected in the function of these structures and the corresponding cranial nerves.
This workshop focuses on the development of the pharyngeal arches in the child. How did these structures develop embryologically and what can we learn from this in terms of diagnosis and treatment?
Techniques on the relationship of the pharyngeal arches to the environment will be trained.
This workshop will also answer the following questions:
- How can we examine the different pharyngeal arches in a very specific way?
- How can we integrate these arches in the global examination scheme, and which treatment principles can we apply?

B_ Samantha Fennell - An evidence based approach to assessment of the under one.

In this workshop delegates will gain an understanding of how we can integrate current evidence into our examination of the baby ensuring we are able to screen for potential red flags, underlying previously undiagnosed pathology and how to reassure parents with confidence of their babies health before undertaking our osteopathic intervention. Delegates will be introduced to the underpinning theory before watching how to examine using weighted dolls and finally all delegates will have the opportunity to have a go themselves and receive feedback from their peers. This workshop is a must for anyone who works with children under one.

C_ Els Hellebaut - Primitive reflexes in relation to the motor development of the young child.

This workshop invites you to understand the role of the osteopath regarding the importance of the primitive reflexes in the newborn:
- the timing of their appearance;
- their integration; and,
- their purpose
You will be able to explore the influence of birth and the positioning of the baby on the integration of the primitive reflexes. Furthermore, you will understand the relationship of the primitive reflexes to the motor development of the child. Alberta infant motor scale (AIMS) charts will be provided to each participant. A short session will also be dedicated to the hands-on treatment of the newborn and provision of advice to parents.

D_ Chantal Morin - Osteopathic vision of otitis media.

Acute otitis media (AOM) is one of the most common infections, reasons for medical consultation and antibiotic use in young children. AOM is a multifactorial condition, and several risk factors have been identified over time. However, most risk factors are not modifiable. Eustachian tube dysfunction is known to play an important role in the pathogenesis of otitis media, but very few studies have focused on the exact role of its bony support, the temporal bone, on occurrence of otitis media. From an anatomical point of view, the disturbed positioning of the temporal bone could interfere with the evacuation of secretions through the eustachian tube. This workshop presents the pathogenesis of AOM and its risk factors. The plausibility of the influence of the temporal bone on the occurrence of otitis media will be discussed, including a study on the relationship between the osteopathic dysfunction of the temporal bone and the occurrence of AOM in young children. The results of the research will be briefly put into context in order to see their impact on management and possible clinical interventions in osteopathy.

E_ Débora Minguez - Clinical decision making in managing babies with different cranial shapes: plagiocephaly, braquicephaly, dolicocephaly.

The aim of this workshop is to improve clinical decision making in treating babies with cranial deformities taking into account several dimensions of the clinical encounter:
- Firstly, we will review the latest research about the topic so we can support the clinical decisions in the latest recommended guidelines, improving the safety of our intervention and considering the advantages of working with a multidisciplinary view.
- Secondly, we will deepen our knowledge about how to proceed depending on the age of the patient, severity of the deformity, stage in neuropsychomotor development, parents collaboration and the osteopathic diagnosis amongst other factors.This workshop is designed to place the participant in different clinical scenarios that might be encountered in practice. By creating interactive discussions between the attendees we will reflect on how to make the best decisions to manage the patient, always balancing the knowledge obtained by the evidence and the clinical experience. At the end of the session we will have more confidence in deciding the most appropriate treatment plan for the infant and we will acquire the ability to assess when another health care professional should be involved.

11.00 Coffee break

11.30 – 13.00  Workshops 2

A_ Francesco Cerritelli - Research, collaboration and osteopathy in treating premature newborns in hospitals.

The aim of this workshop is to suggest a protocol of osteopathic care in preterm and term newborns.
The NE-O (NEonatology and Osteopathy) model was adopted in 2006 in a public hospital in Italy and then applied in other Neonatal Intensive Care Units across Europe. It is composed by specific evaluation tests and treatments to tailor osteopathic care according to preterm and term infants’ needs, NICU environment, medical and paramedical assistance. This model was developed to maximize the effectiveness and the clinical use of osteopathy in the care of newborns.
Using a systematic, scientific and practical perspective, the workshop will define, discuss and put into practice the key steps for a rigorous and effective osteopathic neonatal approach, which could be also applied into NICU setting. The attendees will be provided of hands-on procedures supported by the scientific results obtained, in terms of effectiveness and safety, and the methodological sequel developed.

B_ Bernard Deconinck -Feeding and suckling disorders in infants and young children

Digestive disorders in infants and young children are often the first reason for an osteopathic consultation. These disorders can lead osteopaths to other related dysfunctions such as asymmetries in cervical movement or reduced mobility of the tongue.
Feeding and suckling disorders in infants and young children usually last for several weeks to months. If they do not disappear spontaneously, they can affect the infant's quality of life, with an impact on sleep, nutrition, growth, social relationships and aspects of psychomotor development. They can also affect the quality of life of the parents. In this workshop, we will take the time to look at the different anatomical structures and tissues that have to be considered for these disorders. We will look at the evolution of these structures during the first months of life.
An osteopathic treatment approach based on neurovisceral and mechanical connections, mainly inspired by functional anatomy and the works of older and more recent osteopaths will be presented. Special emphasis will be given to balanced membranous tension techniques that can help restore circulation (blood and lymph vessels). The main idea is to promote normal growth and to support self-healing mechanisms

C_ Julie Ellwood - Evidence based management of infantile colic.

Infant unsettledness, often referred to as infantile colic, is reported by 20-40% of parents in the first 3 months of life. For most irritable infants there is no underlying medical cause and the infant is said to ‘grow out of it’. However significant consequences have been associated with unsettledness in the first 3 months, including cessation of breastfeeding, maternal depression, family disruption and, alarmingly, abusive head trauma (or shaken baby syndrome). Therefore, the correct management of these infants is critical and osteopaths have the opportunity to play a key role. Recent research reports significant benefits of manual therapy for reducing crying time in unsettled infants by up to 87 minutes in a 24 hour period (Carnes et al 2017; Ellwood et al 2020). Acknowledging that treatment with manual therapy is more complex than simply the administering of techniques, the effective elements of this treatment process are still unclear. While national guidelines, where available, recommend important aspects of the consultation process such as clinical evaluation of mother and baby, and parental information, advice and support, they otherwise do not reflect the evidence available on manual therapy. This 90 minute workshop aims to explore how to exploit all aspects of the consultation process in the management of infantile colic in the most effective manner. Notwithstanding the importance of osteopathic techniques, we aim to delve further into other important elements at play to enhance the osteopathic consult and maximize our opportunities to achieve the greatest outcome for unsettledness in infants. We will use interactive methods such as case studies and roll play, in an all-inclusive way, which aims to be informative, thought-provoking, challenging and fun.

D_ Gianni Marangelli - Differential diagnosis, evaluation and measurement of deformational plagiocephaly in infants.

Prevalence of Positional Skull Deformities (PSD) is growing since twenty years and the back to sleep campaign, which helped to reduce the risk of Sudden Infant Death Syndrome (SIDS). According to recent studies, about 40% of infants are concerned by PSD at 2 months in western countries. We have to differentiate types of skull deformities : PSD which includes deformational plagiocephaly (DP) and deformational brachycephaly (DB), dolichocephaly, and skull malformations due to craniosynostosis, which are differential diagnosis. We will see that clinical examination is generally sufficient to assess PSD and eliminate craniosynostosis. The etiology of PSD seems to be a lack of mobility, which, associated to the supine position, leads to the skull deformation. Most of the time, this problem of mobility is functional, for example due to infantile postural asymmetry and/or lack of environmental stimulation. It may also be due to congenital muscular torticollis, a unilateral shortening of the sternocleidomastoid muscle. But this lack of mobility can have other causes, and linked to different pathologies. Osteopaths have to realize a rigorous clinical examination in order to confirm a functional diagnosis, whose treatment can be osteopathic, and rule out a medical pathology, which need above all a medical care. The literature and the recommendations evoke the need to objectively evaluate the deformation, and to follow its evolution over time. We will practice with different measurement tools, and discuss how osteopaths can include these measurements in their clinical practice. We will discuss about international severity scales, indications for cranial orthosis, and how osteopaths fit into multi-disciplinary care. This workshop will cover 1) diagnostic criteria of PSD, what elements of the osteopathic clinical examination are important and how to assess infant torticollis, and 2) measurement, how osteopaths can measure PSD in clinic, monitor progress, and redirect if necessary.

E_ Andrea Manzotti - The respiratory system as a central element in preterms: clinical consideration and manual approach.

The participants will learn about the anatomical-functional relationships in the premature child and how pathologies affecting it can influence the physiology of the respiratory system but also influence other systems, i.e. oro-facial functions, and not least sociality.
Attendees will learn the manual osteopathic approach to the respiratory function and to the related areas.

12.00 Discussion & practical approach

13.00 - 14.00 Lunch

14.00 - 17.30 Afternoon Session

14.00 – 15.40 Workshops 3

A_ Rik Hoste - Evaluation and treatment of the pharyngeal arches and cranial nerves from an embryological standpoint in children.

The structures arising from the pharyngeal arches play a crucial role in human functioning, both psycho-emotional and social. Behavioural disorders, as well as language, communication, eating and swallowing problems are reflected in the function of these structures and the corresponding cranial nerves.
This workshop focuses on the development of the pharyngeal arches in the child. How did these structures develop embryologically and what can we learn from this in terms of diagnosis and treatment?
Techniques on the relationship of the pharyngeal arches to the environment will be trained.
This workshop will also answer the following questions:
- How can we examine the different pharyngeal arches in a very specific way?
- How can we integrate these arches in the global examination scheme, and which treatment principles can we apply?

B_ Samantha Fennell - An evidence based approach to assessment of the under one.

In this workshop delegates will gain an understanding of how we can integrate current evidence into our examination of the baby ensuring we are able to screen for potential red flags, underlying previously undiagnosed pathology and how to reassure parents with confidence of their babies health before undertaking our osteopathic intervention. Delegates will be introduced to the underpinning theory before watching how to examine using weighted dolls and finally all delegates will have the opportunity to have a go themselves and receive feedback from their peers. This workshop is a must for anyone who works with children under one.

C_ Els Hellebaut - Primitive reflexes in relation to the motor development of the young child.

This workshop invites you to understand the role of the osteopath regarding the importance of the primitive reflexes in the newborn:
- the timing of their appearance;
- their integration; and,
- their purpose
You will be able to explore the influence of birth and the positioning of the baby on the integration of the primitive reflexes. Furthermore, you will understand the relationship of the primitive reflexes to the motor development of the child. Alberta infant motor scale (AIMS) charts will be provided to each participant. A short session will also be dedicated to the hands-on treatment of the newborn and provision of advice to parents.

D_ Chantal Morin - Osteopathic vision of otitis media.

Acute otitis media (AOM) is one of the most common infections, reasons for medical consultation and antibiotic use in young children. AOM is a multifactorial condition, and several risk factors have been identified over time. However, most risk factors are not modifiable. Eustachian tube dysfunction is known to play an important role in the pathogenesis of otitis media, but very few studies have focused on the exact role of its bony support, the temporal bone, on occurrence of otitis media. From an anatomical point of view, the disturbed positioning of the temporal bone could interfere with the evacuation of secretions through the eustachian tube. This workshop presents the pathogenesis of AOM and its risk factors. The plausibility of the influence of the temporal bone on the occurrence of otitis media will be discussed, including a study on the relationship between the osteopathic dysfunction of the temporal bone and the occurrence of AOM in young children. The results of the research will be briefly put into context in order to see their impact on management and possible clinical interventions in osteopathy.

E_ Débora Minguez - Clinical decision making in managing babies with different cranial shapes: plagiocephaly, braquicephaly, dolicocephaly.

The aim of this workshop is to improve clinical decision making in treating babies with cranial deformities taking into account several dimensions of the clinical encounter:
- Firstly, we will review the latest research about the topic so we can support the clinical decisions in the latest recommended guidelines, improving the safety of our intervention and considering the advantages of working with a multidisciplinary view.
- Secondly, we will deepen our knowledge about how to proceed depending on the age of the patient, severity of the deformity, stage in neuropsychomotor development, parents collaboration and the osteopathic diagnosis amongst other factors.This workshop is designed to place the participant in different clinical scenarios that might be encountered in practice. By creating interactive discussions between the attendees we will reflect on how to make the best decisions to manage the patient, always balancing the knowledge obtained by the evidence and the clinical experience.

 

15.30 Coffee break

16.00 – 17.30 Workshops 4

A_ Francesco Cerritelli - Research, collaboration and osteopathy in treating premature newborns in hospitals.

The aim of this workshop is to suggest a protocol of osteopathic care in preterm and term newborns.
The NE-O (NEonatology and Osteopathy) model was adopted in 2006 in a public hospital in Italy and then applied in other Neonatal Intensive Care Units across Europe. It is composed by specific evaluation tests and treatments to tailor osteopathic care according to preterm and term infants’ needs, NICU environment, medical and paramedical assistance. This model was developed to maximize the effectiveness and the clinical use of osteopathy in the care of newborns.
Using a systematic, scientific and practical perspective, the workshop will define, discuss and put into practice the key steps for a rigorous and effective osteopathic neonatal approach, which could be also applied into NICU setting. The attendees will be provided of hands-on procedures supported by the scientific results obtained, in terms of effectiveness and safety, and the methodological sequel developed.

B_ Bernard Deconinck -Feeding and suckling disorders in infants and young children

Digestive disorders in infants and young children are often the first reason for an osteopathic consultation. These disorders can lead osteopaths to other related dysfunctions such as asymmetries in cervical movement or reduced mobility of the tongue.
Feeding and suckling disorders in infants and young children usually last for several weeks to months. If they do not disappear spontaneously, they can affect the infant's quality of life, with an impact on sleep, nutrition, growth, social relationships and aspects of psychomotor development. They can also affect the quality of life of the parents. In this workshop, we will take the time to look at the different anatomical structures and tissues that have to be considered for these disorders. We will look at the evolution of these structures during the first months of life.
An osteopathic treatment approach based on neurovisceral and mechanical connections, mainly inspired by functional anatomy and the works of older and more recent osteopaths will be presented. Special emphasis will be given to balanced membranous tension techniques that can help restore circulation (blood and lymph vessels). The main idea is to promote normal growth and to support self-healing mechanisms

C_ Julie Ellwood - Evidence based management of infantile colic.

Infant unsettledness, often referred to as infantile colic, is reported by 20-40% of parents in the first 3 months of life. For most irritable infants there is no underlying medical cause and the infant is said to ‘grow out of it’. However significant consequences have been associated with unsettledness in the first 3 months, including cessation of breastfeeding, maternal depression, family disruption and, alarmingly, abusive head trauma (or shaken baby syndrome). Therefore, the correct management of these infants is critical and osteopaths have the opportunity to play a key role. Recent research reports significant benefits of manual therapy for reducing crying time in unsettled infants by up to 87 minutes in a 24 hour period (Carnes et al 2017; Ellwood et al 2020). Acknowledging that treatment with manual therapy is more complex than simply the administering of techniques, the effective elements of this treatment process are still unclear. While national guidelines, where available, recommend important aspects of the consultation process such as clinical evaluation of mother and baby, and parental information, advice and support, they otherwise do not reflect the evidence available on manual therapy. This 90 minute workshop aims to explore how to exploit all aspects of the consultation process in the management of infantile colic in the most effective manner. Notwithstanding the importance of osteopathic techniques, we aim to delve further into other important elements at play to enhance the osteopathic consult and maximize our opportunities to achieve the greatest outcome for unsettledness in infants. We will use interactive methods such as case studies and roll play, in an all-inclusive way, which aims to be informative, thought-provoking, challenging and fun.

D_ Gianni Marangelli - Differential diagnosis, evaluation and measurement of deformational plagiocephaly in infants.

Prevalence of Positional Skull Deformities (PSD) is growing since twenty years and the back to sleep campaign, which helped to reduce the risk of Sudden Infant Death Syndrome (SIDS). According to recent studies, about 40% of infants are concerned by PSD at 2 months in western countries. We have to differentiate types of skull deformities : PSD which includes deformational plagiocephaly (DP) and deformational brachycephaly (DB), dolichocephaly, and skull malformations due to craniosynostosis, which are differential diagnosis. We will see that clinical examination is generally sufficient to assess PSD and eliminate craniosynostosis. The etiology of PSD seems to be a lack of mobility, which, associated to the supine position, leads to the skull deformation. Most of the time, this problem of mobility is functional, for example due to infantile postural asymmetry and/or lack of environmental stimulation. It may also be due to congenital muscular torticollis, a unilateral shortening of the sternocleidomastoid muscle. But this lack of mobility can have other causes, and linked to different pathologies. Osteopaths have to realize a rigorous clinical examination in order to confirm a functional diagnosis, whose treatment can be osteopathic, and rule out a medical pathology, which need above all a medical care. The literature and the recommendations evoke the need to objectively evaluate the deformation, and to follow its evolution over time. We will practice with different measurement tools, and discuss how osteopaths can include these measurements in their clinical practice. We will discuss about international severity scales, indications for cranial orthosis, and how osteopaths fit into multi-disciplinary care. This workshop will cover 1) diagnostic criteria of PSD, what elements of the osteopathic clinical examination are important and how to assess infant torticollis, and 2) measurement, how osteopaths can measure PSD in clinic, monitor progress, and redirect if necessary.

E_ Andrea Manzotti - The respiratory system as a central element in preterms: clinical consideration and manual approach.

The participants will learn about the anatomical-functional relationships in the premature child and how pathologies affecting it can influence the physiology of the respiratory system but also influence other systems, i.e. oro-facial functions, and not least sociality.
Attendees will learn the manual osteopathic approach to the respiratory function and to the related areas.

17.30 Closing ceremony

Registration fee:

150,00€ Osteopathie.be Members, COME Members, Students

220,00€ Non-members

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