Paediatric Osteopathic Integration

Aeroparc Gilze-Rijen Coffee/tea, lunch & syllabus English

Sensory and Gi Integration in Children and a Possible Osteopathic Approach

Presenter: Dr Ioná Bramati-Castellarin Ph.D, B.Sc.(Hons) Ost Med D.O, N.D.

Date: 13-15th June 2019


About Dr Bramati

Dr Bramati graduated from the British College of Osteopathy in 2001 and for the past 18 years is practicing in London at IBCcare.  She is the only known specialist with a doctorate on clinical osteopathy in autistic children suffering from gastrointestinal dysfunction. Dr Bramati was awarded a Ph.D by the University of Westminster – London and recently published her research on the effects of visceral osteopathy in autistic children. Dr Bramati’s research project was approved for collaboration with King’s College Hospital, London and endorsed by the National Autistic Society and sponsored by BCOM – London via a grant from the British Naturopathic and Osteopathic Association. Dr Bramati is committed to helping improve the quality of life and wellbeing of children on the spectrum using a non-invasive form of therapy – Visceral Osteopathy.

Dr Bramati will be sharing information on the practicalities of using osteopathic techniques in patients suffering from ASD, Sensory Integration Deficit. She will be also sharing information on recent research as well as the results of her publications – Repeat-measures longitudinal study evaluating behavioural and gastrointestinal symptoms in children with autism before, during and after visceral osteopathic technique (VOT) (Bramati-Castellarin et al., 2016).

BRAMATI-CASTELLARIN, I., PATEL, V. B. & DRYSDALE, I. P. 2016. Repeat-measures longitudinal study evaluating behavioural and gastrointestinal symptoms in children with autism before, during and after visceral osteopathic technique (VOT). J Bodyw Mov Ther, 20, 461-70.


Course Description:

The course aims to analyse the impact of lack of sensory integration in the paediatric population as well as behavioural and gastrointestinal dysfunction affecting autistic children. The course aims to also give an overview of the signs and symptoms of Sensory Processing Disorders and Autism Spectrum Disorders as well as evidence-based in both subjects. The course will explore how osteopathy may potentially influence the well-functioning of the disrupted senses and the disrupted gut-brain axis. It will also explore evidence of therapeutic manual techniques that may be used to assess and treat Praxis dysfunctions and gastrointestinal symptoms in children. The course aims to help your understanding and improve your skills in the possible application of general osteopathic approach to sensory integration and visceral osteopathic techniques on autistic children suffering from gastrointestinal symptoms. There will be an opportunity for hands-on practical skills.


Proposed curriculum delivered in 3 days:



Use of the senses



  • Tactile
    • Identifying stimulus
    • Planning movements
    • Shape recognition
    • Fine motor control & objects manipulation
    • Reflection on
      • Emotional reactions
      • Social Skills
    • Body Positioning – Proprioception
      • Body Awareness
      • Motor control and motor planning
      • How this affects emotional security
    • The vestibular system
      • Physical activities
      • Coordination (bilaterally)
      • Seeing clearly while moving
    • Sense of Sight
      • Following objects with eyes
      • Hand eye coordination
    • Sense of Sound
      • Sound discrimination
      • Speaking and articulation
    • Sense of Smell
    • Sense of Taste


The role of oral processing in dynamic sensory perception

  • sensory perception of solid foods
  • texture perception
  • mastication
    • poor mastication and poor digestion
  • swallowing





Normal Sensory integration and movement (PRAXIS)

  • Sensory Processing of movement
    • Having the Thought
    • Motor Planning
    • Execution


Disorders of the PRAXIS

  • Dyspraxia (Sensory-based motor disorder)
    • Difficulty with bilateralism
    • Poor vestibular & Proprioception processing

Sensory Processing Disorders

  • Difficulty in engaging daily activities
  • Poor attention
  • Poor praxis
  • Poor modulation


Sensory integration Treatment


Osteopathic Approach


Reaching a diagnosis

Working in conjunction with other professionals

Possible findings

Examples of cases

Sensory Processing what to expect

How to measure progress

Case presentation

Practical class

Technique practice


Autism Spectrum Disorder

Background and Definition

Social Communication; Social Interaction & Social imagination

Normal development x Autism

Evidence Base GI dysfunction in Autism

Gut– Brain connection

Important information for Case History Taking

Introduction to practical

GI anatomy and Landmarks

Case presentation

Practical class

Palpation – Landmarks identification

Technique practice

Examination and possible treatment of one or two autistic patients at Panta Rhei clinic.

Please note that this section of the class is highly dependent on the patient and on the case presentation. It is also dependent on the behaviour displayed by the autistic child. The students may only observe how the patient is treated and may not interact with the patient as this may disrupt the session and may cause distress to the patient and the parents. If the practitioner feels that the patient is in distress the session will be discontinued.

Dr Iona Bramati has been awarded a PhD in recognition of her work on the ‘Effects of Visceral Osteopathic Techniques on the behaviour and Gastrointestinal function of autistic children”.

Her PhD was awarded by the University of Westminster in collaboration with King’s College Hospital, endorsed by the National Autistic Society (NAS) supported by the British College of Osteopathy Medicine (BCOM) and sponsored via the British Naturopathic and Osteopathic Association (BNOA) grant.

Dr Bramati, PhD, was recognised at the ICAOR10 for her outstanding research on the treatment of gastrointestinal symptoms in autism using visceral osteopathy. She was honoured with the Elsevier/International Conference on the Advancement of Osteopathic Research – New Researcher Prize.

Dr Bramati sees a wide variety of patients with a particular focus on paediatrics and autistic children. She is the only professional in the world with a PhD in the effects of Visceral Osteopathic Technique applied to autistic children, and is incredibly passionate about integrating and elevating the services provided to the children, their parents and carers.

Paediatric Osteopathic Integration
€ 695.00

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Course Dates

13 Jun 2019 until 15 Jun 2019 09:00 - 17:30


No self-study necessary


Maximum points: 21 Total hours: 21
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Maximum points: - Total hours: -
Maximum points: 21 Total hours: 21