{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T22:21:57Z","timestamp":1777674117191,"version":"3.51.4"},"reference-count":57,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T00:00:00Z","timestamp":1770249600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Registry of Osteopaths of Italy"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>Background: Congenital heart diseases are the most common congenital malformations, affecting 4 to 9 per 1000 children, with increasing global prevalence. As surgical mortality rates decline, the focus has shifted toward improving the quality of life and perioperative outcomes for pediatric patients. Multidisciplinary rehabilitation, including osteopathic care, is increasingly incorporated into recovery programs. Osteopathic manipulative treatment combines manual techniques with lifestyle guidance to alleviate postoperative pain and promote recovery. This project report describes the impact of osteopathic manipulative treatment (OMT) on pain and somatic dysfunctions in hospitalized pediatric cardiac patients, using validated pain assessment tools. It presents a retrospective analysis of data collected as part of a humanitarian volunteer project. Methods: The project report follows a retrospective descriptive study design, using patient note forms from children aged 0\u201318 years undergoing cardiac surgery at the Sri Sathya Sai Sanjeevani Center in India between October 2023 and March 2024. A total of 29 experienced osteopaths recorded pain assessments at three time points\u2014pre-surgery, post-surgery, and pre-discharge\u2014using age-appropriate pain scales (FLACC, Wong-Baker Faces, and Numerical Rating Scale). Somatic dysfunctions were evaluated and classified using ICD-10 M99 codes. Data analysis involved descriptive statistics and pre-post comparisons using statistical software (Excel and OPENEPI). Results: The study included 564 children (60.5% male, mean age 5.8 \u00b1 4.3 years). The most common congenital defects were ventricular septal defects (38.5%) and tetralogy of Fallot (21.6%). The average hospital stay was 15.9 \u00b1 11.1 days. Significant reductions in pain scores were observed from the Intensive Care Unit to the postoperative ward (p &lt; 0.001). Similarly, somatic dysfunction severity decreased significantly across hospitalization phases (p &lt; 0.001). The thoracic region and rib cage were the most frequently affected areas. No adverse events related to osteopathic manipulative treatments were reported. Conclusions: This project report indicates that osteopathic manipulative treatment is safe and feasible for pediatric patients undergoing surgery for congenital heart disease. Pain scores and somatic dysfunction severity decreased during hospitalization. However, the lack of a control group, the heterogeneity of the patient population, and the short observation period limit the ability to draw causal conclusions. These findings provide a descriptive framework for integrating OMT into multidisciplinary pediatric cardiac care. Future studies should involve prospective, multicenter designs with control groups and longer follow-up periods to assess clinical, functional, developmental, and quality-of-life outcomes.<\/jats:p>","DOI":"10.3390\/children13020228","type":"journal-article","created":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T15:24:19Z","timestamp":1770305059000},"page":"228","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Osteopathic Manipulative Treatment in 564 Children with Congenital Heart Disease: A Project Report"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1352-2804","authenticated-orcid":false,"given":"Marco","family":"Petracca","sequence":"first","affiliation":[{"name":"Registry of Osteopaths of Italy, 20149 Milan, Italy"},{"name":"Osteopathic Service, Osteobimbo Paediatric Clinic, 00188 Rome, Italy"},{"name":"Neonatology and Pediatric Unit, San Pietro FBF Hospital, 00189 Roma, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matteo","family":"Turinetto","sequence":"additional","affiliation":[{"name":"Registry of Osteopaths of Italy, 20149 Milan, Italy"},{"name":"Education Department of Osteopathy, Istituto Superiore di Osteopatia, 20126 Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paola","family":"Sciomachen","sequence":"additional","affiliation":[{"name":"Registry of Osteopaths of Italy, 20149 Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5083-989X","authenticated-orcid":false,"given":"Francesca","family":"Baroni","sequence":"additional","affiliation":[{"name":"Registry of Osteopaths of Italy, 20149 Milan, Italy"},{"name":"BMS Formation, 75116 Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0673-6241","authenticated-orcid":false,"given":"Christian","family":"Lunghi","sequence":"additional","affiliation":[{"name":"Registry of Osteopaths of Italy, 20149 Milan, Italy"},{"name":"BMS Formation, 75116 Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4682-9335","authenticated-orcid":false,"given":"Alessandro","family":"Accorsi","sequence":"additional","affiliation":[{"name":"Registry of Osteopaths of Italy, 20149 Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3270-4016","authenticated-orcid":false,"given":"Mauro","family":"Longobardi","sequence":"additional","affiliation":[{"name":"Registry of Osteopaths of Italy, 20149 Milan, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ragini","family":"Pandey","sequence":"additional","affiliation":[{"name":"Department of Paediatric Cardiac Surgery, Sri Sathya Sai Sanjeevani Center for Child Heart Care, Atal Nagar (Naya Raipur) 492101, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco","family":"Pozzi","sequence":"additional","affiliation":[{"name":"Department of Paediatric and Congenital Cardiac Surgery and Cardiology, Ospedali Riuniti, 60126 Ancona, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2026,2,5]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"2241","DOI":"10.1016\/j.jacc.2011.08.025","article-title":"Birth prevalence of congenital heart disease worldwide: A systematic review and meta-analysis","volume":"58","author":"Konings","year":"2011","journal-title":"J. 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