KiSS syndrome

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KISS stands for K opfgelenk- i nduzierte S ymmetrie- S törung. The existence of a KiSS syndrome in the sense of a clinical picture that is clinically believed to primarily lead to posture disorders in infants and toddlers or to be responsible for a number of behavioral disorders has not been proven. While some alternative medicine often KiSS diagnose and manual therapy recommend that recognizes evidence-based medicine , the diagnosis not because the pathophysiological concept is undetectable and scientific studies have not yet been submitted to the recommended therapy methods. That is why the KiSS is not given any importance in the scientific community. In Germany, the treatment of the KiSS syndrome is usually not covered by health insurance companies.

Origin of the term

According to the manual physician and surgeon Heiner Biedermann, to whom the term KiSS syndrome goes back, KiSS is a misalignment in children in the area of ​​the upper cervical spine , which can lead to the development of the KiDD syndrome ( head joint-induced dyspraxis / dysgnosia ) . This diagnosis is also rejected by evidence-based medicine. Biedermann cites birth-trauma events and the strain on the cervical spine during childbirth as the cause of the misalignment of the cervical spine . Accidents in the first few months of life, such as falling from the changing table, should also lead to such a misalignment. According to Biedermann, among other things, babies who cry excessively (colloquially: "crawling babies ") should be examined to see whether their difficulties stem from the cervical spine.

The KiSS syndrome is a postural asymmetry . However, evidence-based medicine only knows the following postural asymmetries:

Effectiveness and evaluation

In randomized studies, which are very rare on this topic, no superior effectiveness could be demonstrated for manual therapy. Nevertheless, treatment techniques such as B. manual therapy , Feldenkrais method , osteopathy , cranio-sacral therapy or Atlas therapy are recommended.

The Society for Neuropediatrics states that manipulations in the area of ​​the cervical spine for the treatment of symmetry disorders or motor coordination disorders are generally not recommended.

Ralf Stücker, associate professor and head physician in the children's orthopedics department at the Altona Children's Hospital , states that the "(...) under the label (of) the KISS syndrome, however, in no way justifies the X-ray examination and treatment of the head joints of innumerable infants and toddlers based on current knowledge" be. Dieter Karch, professor and medical director of the Clinic for Child Neurology and Social Pediatrics in Maulbronn criticized the verifiability of the diagnosis with the words: “You cannot propagate something for years without submitting studies during this time.” According to the professor and head of the Pediatric Orthopedics Section Spinal surgery at Heidelberg University Hospital , Claus Carstens, "KiSS does not stand up to a scientific test." The diagnosis of the syndrome also carries the risk of overlooking existing serious diseases.

Individual evidence

  1. ↑ D. Karch, E. Boltshauser, G. Groß-Selbeck, J. Pietz, H.-G. Schlack: Manual medical treatment of the KiSS syndrome and Atlas therapy according to Arlen. (PDF file; 44 kB). Statement by the Society for Neuropediatry eV, Commission on treatment methods for developmental disorders and cerebral movement disorders
  2. ↑ H. Biedermann: Head joint-induced symmetry disorders in small children. In: the pediatrician. 22, 1991, pp. 1475-1482.
  3. ↑ Angela Heller: After the birth: puerperium and regression , Thieme, 2002, ISBN 978-3-13-125041-4 , pp. S185-187 .
  4. ↑ E. Olafsdottir, S. Forshei, G. Fluge, T. Markestad: Randomized controlled trial of infantile colic treated with chiropractic spinal manipulation. In: Arch Dis Child . 84, 2001, pp. 138-141.
  5. ↑ D. Karch, G. Gross-Selbeck, HG Schlack, A. Ritz, F. Hanefeld: Treatment of motor disorders with manual therapy (including the Kozijavkin approach). Opinion of the Society for Pediatric Neurology. ( Memento from December 2, 2013 in the Internet Archive ) 2000. (PDF file; 40 kB)
  6. ↑ R. Stücker: THE KISS syndrome - fact or fiction? In: pediatrics up close. 12/2000.
  7. ↑ a b J. Schweitzer: Finally really sick - The KiSS syndrome - Or how doctors turn healthy children into paying patients. In: The time. 35/2000.
  8. ^ V. Hackenbroch, J. Koch: Biedermanns schiefe Kinder. In: Der Spiegel . 12, 2009, March 16, 2009.

literature

  • Heiner Biedermann: KISS children: causes, (late) consequences and manual therapeutic treatment of early childhood asymmetry . Thieme, Stuttgart 2007.
  • D. Karch, E. Boltshauser, G. Gross-Selbeck, J. Pietz, H.-G. Schlack: Manual medical treatment of the KiSS syndrome and Atlas therapy according to Arlen. Statement of the Society for Neuropediatrics e. V. Commission on Treatment Methods for Developmental Disorders and Cerebral Movement Disorders. 2005. ( PDF, 44 kB )
  • Ch. Bollmann, Th. Wirth: The importance of the KiSS syndrome among postural asymmetries. In: pediatrics up close. 5, 2005, pp. 244-249. ( PDF, 122 kB )
  • DGMM opinion on manual medicine in childhood - DGMM consensus on symptom complexes, diagnostics and therapy. In: Manual Medicine. 51, 2013, pp. 414-425.