Heart rate changes in response to mild mechanical irritation of the high cervical spinal cord region in infants.
Alterations in the heart rate were monitored before, during and after the application of a unilateral mechanical impulse to the high cervical spinal cord region which was administered strictly in connection with the so called manual therapy (diagnosis= KISS). The investigation is based on a survey of 695 infants between the ages of 1 and 12 months. A notable change in the heart rate was evident in 47.2% of all examined infants (n= 695). In 40.1% of these infants, the change in heart rate was characterized by heart rate decrease of 15-83% compared to control conditions. Infants in their first 3 months of life responded more often with a severe bradycardia (50-83% decrease), older infants (7-12 months) more often with a mild bradycardia (15-49.9% decrease). This comparison revealed a significantly increased occurrence of severe bradycardia in the younger age group compared to the group of children >3 months (significance 0.0017). In 12.1% (n= 84) of the infants, the bradycardia was accompanied by an apnea. We discuss the hypothesis that mechanical irritation of the high-cervical region serves as a trigger that may be involved in sudden infant death (SID).
Koch
L E
LE
General Practitioner, Liliencronweg 6, D-24340, Eckernförde, Germany.
Koch
H
H
Graumann-Brunt
S
S
Stolle
D
D
Ramirez
J-M
JM
Saternus
K-S
KS
D001049:Apnea / Q000209:etiology; D001919:Bradycardia / Q000209:etiology; D002574:Cervical Vertebrae; D005260:Female; D006339:Heart Rate; D006801:Humans; D007223:Infant; D008297:Male; D026882:Manipulation, Chiropractic; D010812:Physical Stimulation; D013116:Spinal Cord / Q000502:physiology*; D013398:Sudden Infant Death / Q000209:etiology