STUDY OF THE EFFECTIVENESS OF A CRANIO SACRAL PROTOCOL WITH DEJARNETTE'S BLOCKS IN SMALL CHILDREN WITH DISFUNCIÓN OF THE CENTRAL NERVOUS SYSTEM

Item

Title
STUDY OF THE EFFECTIVENESS OF A CRANIO SACRAL PROTOCOL WITH DEJARNETTE'S BLOCKS IN SMALL CHILDREN WITH DISFUNCIÓN OF THE CENTRAL NERVOUS SYSTEM
Title
ESTUDIO DE LA EFICACIA DE UN PROTOCOLO CRÁNEO SACRO CON CUÑAS DE DEJARNETTE EN NIÑOS PEQUEÑOS CON DISFUNCIÓN DEL SISTEMA NERVIOSO CENTRAL
Author(s)
Olga LLORENTE DEL VALLE
Abstract
In this research, I try to prove that one osteopathic treatment based on a cranio sacral technique and blocks of Dejarnette, is effective on a group of babies and little children with diseases of the Central Nervous System (CNS).
The principal aim for this group, was improving children's supports while they were lying in prone position. This subject worries child therapist greatly because it's a crucial pattern in the psychomotor development of the child, stating later motor patterns which are essentials like cephalic control and manipulation.

The selected group is composed of thirty children between five years and three months of age. In all of them, exists a central nervous disorder which causes and abnormal development. Along this case study, disease of CNS, is made evident through the analysis of the ventral position in every child.

Therefore, to include a case in the sample was necessary for him to have a developmental state, lower than ten months in the standard motor development, that is to say, without the ability of standing up by himself. So, I could work without the influence of the compensations due to the gravity.

In the experimental group, was applied the treatment protocol I'd proposed to research (cranio sacral technique plus Dejarnette's blocking), during three weeks. The another group called control group, was treated for the same time, with Vojta Therapy, which looks for the same objectives but the neurophysiologic principle is quite different than the osteopathic technique. Each week, supports in prone position were measured in every child, by several photographies which show the spontaneous position of the child, before and after the treatment. At the end of the research, each case had at least twelve photographies to analyze. By this way, to obtain the results, 360 photographies were analyzed according to some lookup tables made following the normal and abnormal neuromotor development. In addition, other aspects like postural reactibility and strengthening of the posture were studied in every child to look for the change due to the therapy.

The final results show that in a higher percentage (77%) respect the control group, children from the experimental group, achieve an important change in their supports on prone position. This means, the adjustments for the postural control improve, so they accepted better this position. In addition, other effects were found after the treatment sessions, like a great relaxation or activation, a better axial activity and an improvement on manipulation. Besides, evolutionary levels in experimental group were better than control group.

Furthermore, it's worth to say that experimental group values in relation with upper members were higher in all subgroups, respect control subgroups. The same results were for the position of the head and the trunk. At the end, the postural reactibility was also better in every experimental subgroups.

So, it's possible to say the cranio sacral technique with blocks, it's very successful in the treatment of little children with central nervous diseases, because allows a better postural control on prone position.
Abstract
En este estudio trato de demostrar la eficacia del abordaje terapéutico osteopático con un protocolo de terapia cráneo sacra y cuñas de Dejarnette, sobre un grupo de bebés con disfunciones de distinta índole del sistema nervioso central.

El objetivo principal planteado para este grupo, fue la mejora mediante el tratamiento, de los apoyos del niño en la posición de decúbito prono. Esto es algo que preocupa enormemente al terapeuta infantil, ya que este patrón es crucial en el desarrollo psicomotor del bebé, determinando posteriores adquisiciones motrices fundamentales como el control cefálico y la manipulación.

El grupo seleccionado consta de treinta niños de edades cronológicas comprendidas entre los cinco años y medios y los tres meses, pero con el denominador común de no haber alcanzado la verticalidad y de padecer una alteración neurológica central, que propicia un desarrollo anormal En el estudio, dicha patología se hace patente en el análisis de su posición en decúbito ventral. Por lo tanto, se exigía para su inclusión, un estado de desarrollo inferior a los diez meses, es decir, la ausencia de puesta en pie autónoma, con el fin de trabajar sobre cuerpos en los que no existe todavía la influencia de las cadenas cinéticas ascendentes y descendentes propias de la bipedestación.

En el grupo experimental(quince niños), se aplicó el protocolo de tratamiento osteopático propuesto para este estudio, y el grupo control(otros quince) se trató con terapia Vójta de Locomoción refleja, que persigue los mismos objetivos que se plantean, con un enfoque neurofisiológico diferente.

Los resultados muestran, que en un alto porcentaje (77 %), los niños del grupo experimental, alcanzan variaciones significativas en sus apoyos, optimizando así su posición prona, y con ello, la inclusión de la misma en su repertorio motor .Además, se observaron otros efectos colaterales como la mejora del tono axial, la relajación del niño tras la terapia y una mayor eficacia manipulativa. Además, pudo apreciarse que las tasas evolutivas en todos los subgrupos experimentales, fueron superiores durante las tres semanas de tratamiento, que las que se registraron en el grupo control.

Otros de los aspectos relacionados con la postura, fueron la posición de la cabeza y del tronco. En ambos casos, la evolución fue mayor en los sujetos experimentales (66,67%), que en los del grupo control (33,33%). Por último, hay que señalar que la mejora de la reactibilidad postural mostrada por los tres subgrupos experimentales, fue superior a la de sus homólogos del grupo control.

En definitiva, se puede afirmar en base a los resultados obtenidos, que la técnica cráneo sacra con cuñas en niños pequeños con trastornos del sistema nervioso central, es eficaz favoreciendo un mejor control sobre la postura del decúbito ventral.
Date Accepted
0
Date Submitted
8.9.2008 00:00:00
Type
osteo_thesis
Language
English
Submitted by:
62
Pub-Identifier
14221
Inst-Identifier
1037
Recommended
0
Item sets
Thesis

Olga LLORENTE DEL VALLE, “STUDY OF THE EFFECTIVENESS OF A CRANIO SACRAL PROTOCOL WITH DEJARNETTE'S BLOCKS IN SMALL CHILDREN WITH DISFUNCIÓN OF THE CENTRAL NERVOUS SYSTEM”, Osteopathic Research Web, accessed May 1, 2025, https://www.osteopathic-research.org/s/orw/item/985