Application of the Philippi scale for monitoring infants with infantile postural asymmetry during targeted physiotherapy: a case series
Authors:
B. Vlčková 1; L. Pospíšilová 2; M. Šafářová 1; A. Carbajo 1; J. Jačisko 1; A. Kobesová 1
Authors place of work:
Klinika rehabilitace a tělovýchovného lékařství 2. LF UK a FNMH, Praha
1; RL–Corpus s. r. o., Olomouc
2
Published in the journal:
Rehabil. fyz. Lék., 33, 2026, No. 1, pp. 29-35.
Category:
Kazuistika
doi:
https://doi.org/10.48095/ccrhfl202629
Summary
Infantile postural asymmetry (IPA) is a common disorder of early motor development, characterized mainly by asymmetrical positioning of the head and trunk. Therapeutic management is based on various approaches, including positioning, manual therapy, osteopathy, and neurodevelopmental methods. The aim of this case series was to describe the potential use of the Philippi scale for monitoring changes in postural asymmetry in infants with IPA during targeted physiotherapy using Vojta’s reflex locomotion (VRL). Four infants aged 6–10 weeks, referred by a paediatrician for rehabilitation due to asymmetrical head and trunk posture, were included in the study. Assessments were performed three times: before therapy, after 6 weeks of therapy, and immediately after the final therapeutic intervention. The Philippi scale assesses asymmetry using a six-point scale in four items; total scores range from 4 points, corresponding to symmetry, and to 24 points, corresponding to maximum asymmetry. All infants showed a trend toward a reduction in total Philippi scores. Score reductions were 9 points (16 → 7), 8 points (21 → 13), 18 points (23 → 5), and 10 points (15 → 5). Observed changes were reflected in reduced head and trunk asymmetry, improved quality of upper limb support, and overall postural stability. Due to the case-series design, small sample size, absence of a control group, and multifactorial nature of the intervention, the observed changes cannot be interpreted as evidence of a causal effect of VRL alone. Findings suggest that the Philippi scale may be a suitable tool for systematic monitoring of changes in postural asymmetry in infants with IPA in clinical practice.
Keywords:
infantile postural asymmetry – Vojta’s reflex locomotion – Philippi scale
Zdroje
1. Philippi H, Faldum A, Jung T et al. Patterns of postural asymmetry in infants: a standardized video-based analysis. Eur J Pediatr 2006; 165(3): 158–164. doi: 10.1007/s00431-005-0027-6.
2. Boere-Boonekamp MM, van der Linden-Kuiper LT. Positional preference: prevalence in infants and follow-up after two years. Pediatrics 2001; 107(2): 339–343. doi: 10.1542/peds.107.2.339.
3. Tatli B, Aydinli N, Çalıskan M et al. Congenital muscular torticollis: evaluation and classification. Pediatr Neurol 2006; 34(1): 41–44. doi: 10.1016/j.pediatrneurol.2005.06.010.
4. Cheng JC, Au AW. Infantile torticollis: a review of 624 cases. J Pediatr Orthop 1994; 14(6): 802–808.
5. Kim MY, Kwon DR, Lee HI. Therapeutic effect of microcurrent therapy in infants with congenital muscular torticollis. PM R 2009; 1(8): 736–739. doi: 10.1016/j.pmrj.2009.06.008.
6. Van Vlimmeren LA, van der Graaf Y, Boere-
-Boonekamp MM et al. Effect of pediatric physical therapy on deformational plagiocephaly in children with positional preference: a randomized controlled trial. Arch Pediatr Adolesc Med 2008; 162(8): 712–718. doi: 10.1001/archpedi.162.8.712.
7. Bullinger HM, Sacher R, Wuttke M. Die manualmedizinische Behandlung von Haltungs - und Bewegungsasymmetrien im Säuglingsalter: Eine praxisbegleitende Therapiestudie. Manuelle Medizin 2012; 50(5): 401–404. doi: 10.1007/s00337-012-0949-9.
8. Öhman AM. The immediate effect of kinesiology taping on muscular imbalance for infants with congenital muscular torticollis. PM R 2012; 4(7): 504–508. doi: 10.1016/j.pmrj.2012.04.006.
9. Philippi H, Faldum A, Schleupen A et al. Infantile postural asymmetry and osteopathic treatment: a randomized therapeutic trial. Dev Med Child Neurol 2006; 48(1): 5–9. doi: 10.1017/S001216220600003X.
10. Jung MW, Landenberger M, Jung T et al. Vojta therapy and neurodevelopmental treatment in children with infantile postural asymmetry: a randomised controlled trial. J Phys Ther Sci 2017; 29(2): 301–306. doi: 10.1589/jpts.29.301.
11. Ledwoń D, Danch-Wierzchowska M, Doroniewicz I et al. Automated postural asymmetry assessment in infants neurodevelopmental evaluation using novel video-based features. Comput Methods Programs Biomed 2023; 233 : 107455. doi: 10.1016/j.cmpb.2023.107455.
12. Philippi H, Faldum A, Bergmann H et al. Idiopathic infantile asymmetry, proposal of a measurement scale. Early Hum Dev 2004; 80(2): 79–90. doi: 10.1016/j.earlhumdev.2004.05.008.
13. Vojta V. Mozkové hybné poruchy v kojeneckém věku: včasná diagnóza a terapie. Praha: Grada, Avicenum 1993.
14. Carenzio G, Carlisi E, Morani I et al. Early rehabilitation treatment in newborns with congenital muscular torticollis. Eur J Phys Rehabil Med 2015; 51(5): 539–545.
15. Sánchez-González JL, Sanz-Esteban I, Menéndez-Pardiñas M et al. Critical review of the evidence for Vojta Therapy: a systematic review and meta-analysis. Front Neurol 2024; 15 : 1391448. doi: 10.3389/fneur.2024.1391448.
16. Ha SY, Sung YH. Effects of Vojta approach on diaphragm movement in children with spastic cerebral palsy. J Exerc Rehabil 2018; 14(6): 1005–1009. doi: 10.12965/jer.1836498.249.
Štítky
Fyzioterapie Rehabilitační a fyzikální medicína Tělovýchovné lékařstvíČlánek vyšel v časopise
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