Massage, Premature Birth, Premature Infant, Preterm Infant
Conditions
Keywords
Premature Infant, Massage, Tactile Kinesthetic Stimulation
Brief summary
The purpose of this study was to analyze the efficacy of massage therapy and kinesiotherapy, applied by the parents of hospitalized preterm infants, in the improvement of the biological state, neuromotor activity and other associated factors.
Detailed description
Premature infants are prematurely deprived of the cutaneous stimulation provided during intrauterine development and of the continuous contact with their parents. It has and adverse effect on both psychological and biological development of the child. Knowledge of these factors has led many neonatal units to begin to introduce therapeutic massage protocols to facilitating satisfactory neuromotor and anthropometric development of preterm infants. In this study, premature newborns were assigned to one of two groups: A: Control Group. B: Massage and kinesiotherapy Group, 15 minutes twice a day.
Interventions
BEHAVIORALProtocol of massage therapy and kinesiotherapy
Infants received massage and kinesiotherapy, applied by parents, twice a day; 15 minutes each.
Sponsors
Universidad de León
Study design
Allocation
NON_RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
TREATMENT
Masking
SINGLE (Investigator)
Intervention model description
The control group included all preterm infants from months 1-6 and 19-24 of the study. The intervention group included all the premature newborns from the 7-18 months of the study.
Eligibility
Sex/Gender
ALL
Age
26 Weeks to 37 Weeks
Healthy volunteers
No
Inclusion criteria
* Gestational age between 26 to 37 gestational weeks. * Low birth weight, less than 2249 grams. * Weight of at least 1250 grams at time of entry into study. * Must be at least 48 hours of age. * Must have hemodynamic stability. * Absence of congenital and genetic anomalies. * Absence of alterations of the central nervous system. * Intact skin. * Stable parameters (according to the neonatologist´s criteria) to participate in the intervention.
Exclusion criteria
* Family refusal to participate in the study. * High frequency mechanical ventilation. * Fraction of Inspired Oxygen (FiO2)\>70%. * Inotropic support. * Septic shock. * Persistent tachycardia. * Persistent bradycardia. * Gastrointestinal disorders.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Effect on weight | From baseline to hospital discharge, approximately 10 days | Effect of treatment on weight |
| Effect of lenght | From baseline to hospital discharge, approximately 10 days | Effect of treatment on lenght |
| Effect on head circumference | From baseline to hospital discharge, approimately 10 days | Effect of treatment on head circumference |
| Effect on neuromotor development | From baseline to up to 37 gestational weeks | Effect of treatment on neuromotor development. Neuromotor development were measured using the Spanish Premie-Neuro Scale, a scale for the neurological examination of premature babies, between 23 and 37 gestational weeks. It consists of twenty-four items divided into three factors: Neurological, movement and responsiveness, each with eight items. Each of the items is assigned a score of 1, 3 or 5. The scores for items are added up to yield a total raw score, with the possible figures for this ranging from 24 to 120 (higher values represent a better neuromotor development). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Average daily weight gain | From baseline to hospital discharge, approimately 10 days | Effect of treatment on daily weight gain during the hospitalization period |
Outcome results
None listed