Chiropractic management of cow's milk protein intolerance in infants with sleep dysfunction syndrome: a therapeutic trial.

OBJECTIVE: In addition to the more usual cutaneous, gastrointestinal, and respiratory problems, infants with cow's milk intolerance (CMI) may present with a disturbed sleep pattern. Frustrated mothers may turn to their doctor of chiropractic for assistance. This pilot study shows how a therapeutic t...

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Publicado en:Journal of Manipulative & Physiological Therapeutics Vol. 29; no. 6; pp. 469 - 475
Autores principales: Jamison JR, Davies NJ
Formato: clinical trial research tables/charts Journal Article
Publicado: Elsevier B.V. Jul/Aug2006
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul/Aug2006
      vid: 29
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      pub: Elsevier B.V.
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        10.1016/j.jmpt.2006.06.004
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        atl: Chiropractic management of cow's milk protein intolerance in infants with sleep dysfunction syndrome: a therapeutic trial.
      aug:
        au:
          Jamison JR
          Davies NJ
        affil: School of Chiropractic, Division of Health Sciences, Murdoch University, Perth, Western Australia
      sug:
        subj:
          Lactose Intolerance Complications
          Lactose Intolerance Therapy
          Sleep Disorders Therapy
          Clinical Trials
          Descriptive Statistics
          Funding Source
          Infant
          Infant Nutrition
          Lactose Intolerance Symptoms
          Pilot Studies
          Soy Milk Therapeutic Use
          Human
          Infant: 1-23 months
      ab: OBJECTIVE: In addition to the more usual cutaneous, gastrointestinal, and respiratory problems, infants with cow's milk intolerance (CMI) may present with a disturbed sleep pattern. Frustrated mothers may turn to their doctor of chiropractic for assistance. This pilot study shows how a therapeutic trial may offer a realistic, noninvasive approach to the chiropractic management of infants with this clinical problem. METHODS: A pilot study to describe the presentation and treatment of infants presenting with disturbed sleep patterns to a chiropractic clinic was undertaken. Infants fulfilling a clinical screening protocol for CMI were selected for a therapeutic trial. The sleep behavior of subjects was monitored over a 4-week period during which they were managed by dietary change and a high-impulse, low-amplitude whole-of-body chiropractic management protocol. RESULTS: Fifty-nine infants presented with disturbed sleep. Of these, 19 met the clinical criteria used to establish the diagnosis CMI. The mothers of breast-fed infants were counseled on how to implement a dairy-free diet, and those infants who were artificially fed were changed from cow's milk-based formulae to either a partially or wholly hydrolyzed formula. Fourteen achieved a stable sleep pattern within the study period. In 5 instances, the sleep pattern remained problematic, but other clinical evidence of hypersensitivity reactions attributable to CMI disappeared. By the end of the study, no subject had demonstrable evidence of either biomechanical derangement or functional neurologic imbalance. CONCLUSION: CMI should be considered as a possibility in infants with disturbed sleep patterns who present for chiropractic care. This study describes how a therapeutic trial involving dietary modification, parental counseling, and comprehensive chiropractic care may offer a noninvasive approach to excluding and/or managing this condition. Further research is required before definitive recommendations can be made.
      pubtype: Academic Journal
      doctype:
        clinical trial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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