Effects of Osteopathic Manual Therapy on Infant Colic
Effects of Osteopathic Manual Therapy on Infant Colic
Infant colic (CL) is a common disorder that affects approximately 8-33% of newborns during
 the first months of life. Typically defined as "crying that lasts at least 3 hours a day, and
 occurs at least 3 days a week over a 3-week period." Osteopathic manual therapy is presented
 as an effective and safe alternative to CL treatment.

 The main objective of the study is to quantify possible changes in daily crying hours and
 hours of sleep, the severity of CL, the frequency of episodes, changes in stool and possible
 adverse effects.

 The study hypothesis argues that the application of osteopathic manual therapy in babies with
 CL produces an improvement in the hours of daily crying, the frequency of episodes, the
 severity of colic and the hours of sleep. A controlled RCT will be performed where the
 evaluator and the parents will be blinded with respect to the allocation group for each
 subject. Subjects who meet the inclusion and exclusion criteria will be randomly assigned to
 the experimental group (EG), placebo group (PG) and control group (CG) using a table of
 random numbers by a person from outside the research. The EG diagnosis treatment using
 techniques of osteopathic manual therapy, vertebral mobilization, cranial techniques and
 visceral mobilization, according to the diagnostic criteria of the therapist. The PG will be
 made up of those subjects who have been randomly assigned to said group, and completed with
 those whose parents do not accept the condition of blinding. Subjects belonging to this group
 will receive the application of the turned off ultrasound applied to the abdominal region for
 10 minutes. The CG has no treatment.

 A total of 3 procedures were performed, one per week, problems with the chronology in all
 groups (days 0, 7 and 14 if required).

 The therapist in charge of performing the operations will be a Physiotherapist and Osteopath
 with more than 10 years of experience.

 The evaluations will be carried out by a healthcare professional with more than 10 years of
 experience. The evaluator will be blinded. Parents blinded with respect to the allocation
 group of each subject until the end of the study.

 To analyze the main variable of the study (total hours of excessive crying per day), use the
 crying diary completed by the parents. The Infantile Colic Severity Questionnaire (ICSQ) will
 be applied to evaluate the secondary variables (sleep, feces, frequency of episodes and
 severity of colic).
Inclusion Criteria:

 -  Inconsolable crying for more than 3 hours a day, at least 3 days a week for at least 3
 weeks.

 -  Age 2 - 12 weeks.

 -  Gestation equal to or greater than 38 weeks.

 -  Birth weight equal to or greater than 2,500 grams.

 -  Weight gain of at least 150 grams. per week.

 -  Appropriate pediatric general physical examination (height, weight, head circumference
 and psychomotor development).

 -  Sign the informed consent.

 Exclusion Criteria:

 -  Signs and / or symptoms of other pathologies.

 -  Signs of lactose intolerance.

 -  Having had benefits with the withdrawal of milk from maternal feeding or the use of
 milk with hydrolyzed casein.

 -  Having received the subjects and / or siblings, previous treatment with Osteopathy and
 / or Chiropractic.

 -  Contraindication to the treatment and / or some of its techniques; presence of
 congenital malformations.