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Infants were included if they could be categorised using clinical signs and symptoms into one of the three classification groups; infant colic, irritable Infant syndrome of musculoskeletal origin (IISMO) or inefficient feeding crying infant with disordered sleep (IFCIDS).
The colic category accounted for 77 (49%), IISMO 56 (35%) and IFCIDS 25 (16%) of the total study population respectively.
Although cervical and thoracic problems were identified most commonly across groups, IFCIDS and IISMO babies had a greater range of other musculoskeletal problems than colic babies (Table 3).
A between group analysis showed significant differences (p < 0.001) with colic showing significantly fewer treatment sessions than IISMO or IFCIDS categories.
For changes in both sleep and crying scales, the IFCIDS group displayed significantly poorer change scores than both colic and IISMO subgroups.
Those infants categorised as IFCIDS at presentation improved less so in comparison to colic babies and IISMO babies, who improved the most, relative to the treatment outcomes.
All three categories of irritable babies in this study shared a propensity for a higher than average rate of birth interventions, ranging from 65% in colic infants to 84% in IFCIDS in comparison to the average rate of interventions in the local area hospitals (which birth approximately 5000 babies yearly) of 34.8% (13) This is consistent with various studies that found an association between type of birth and the excessively crying baby.
There were significant differences between groups in the number of treatments received, with the colic group receiving the fewest average number of treatments and the IFCIDS group receiving the most.
Upon further retrospection, we would also include the diagnosis of irritable infant syndrome of musculoskeletal origin (IISMO) and infant-cry-irritability with sleep disorder syndrome (IFCIDS).
IFCIDS and IISMO are descriptive terms only and thus too general to perform a review of the literature in the context of chiropractic care.
Disorder Table 3 Diagnostic Criteria for IFCIDS in the context of the patient presented (15) IFCIDS Patient Characteristics Patient Characteristics 1-6 months of age (seen less Patient was 3 months of age frequently 7-12 months of age) Gender: male predominant (60:40) Female gender Paroxysmal fuss, cry patterns The patient's crying described which are not easily consoled as not easily consoled.