Manual Therapy for Infants with Suboptimal Breastfeeding: Key Insights

Written By Magen Henry

By Cheryl Hawk, DC, PhD, Amy Minkalis, DC, MS, Carol Webb, MA, MLIS, Olivia Hogan, and Sharon Vallone, DC
Published in: Journal of Evidence-Based Integrative Medicine

Breastfeeding is highly recommended for infants’ early development, yet many families face challenges. This scoping review assesses whether musculoskeletal issues in infants might contribute to suboptimal breastfeeding, and if manual therapy can help address these issues. With 27 articles reviewed, including randomized controlled trials, cohort studies, and case reports, the study suggests that manual interventions like chiropractic care may positively impact breastfeeding outcomes.

Key Findings

  • Conditions Impacted: The study identified musculoskeletal dysfunctions in areas such as the cervicocranial junction and neck muscles, which can influence an infant's ability to breastfeed effectively.

  • Efficacy of Manual Therapy: Evidence suggests moderate effectiveness of manual therapy in addressing breastfeeding issues related to musculoskeletal dysfunctions, with improvements observed in latch and nursing ability.

  • Safety: No serious adverse events were reported, underscoring manual therapy’s safety when performed by trained practitioners.

Detailed Summary
Manual therapy may address underlying physical issues affecting breastfeeding. The scoping review revealed that certain conditions, including congenital torticollis and cranial asymmetry, could disrupt an infant's latch and nursing success. The reviewed studies indicated that chiropractic adjustments and osteopathic manipulation can improve musculoskeletal function, facilitating better breastfeeding outcomes.

Recommendations for Parents and Healthcare Providers
Healthcare providers, including chiropractors and lactation consultants, are encouraged to consider musculoskeletal evaluations for infants struggling with breastfeeding. While further research is needed, early interventions may help prevent breastfeeding challenges from persisting.

Full Article
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Citation
Hawk, C., Minkalis, A., Webb, C., Hogan, O., & Vallone, S. (2018). Manual interventions for musculoskeletal factors in infants with suboptimal breastfeeding: A scoping review. Journal of Evidence-Based Integrative Medicine, 23, 1-12. https://doi.org/10.1177/2515690X18816971

Magen Henry
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