Neonates Post Hypoxic Ischemic Encephalopathy
Conditions
Keywords
Neonates, Hypoxic ischemic encephalopathy, Sensorimotor stimulation
Brief summary
Background: Perinatal asphyxia and the resulting hypoxic-ischemic encephalopathy (HIE) are significant causes of irreversible adverse neurodevelopmental outcomes in children. Neonates and infants with HIE commonly experience difficulties in learning the oromotor skills of sucking, swallowing, and breathing. These feeding problems can lead to severe complications such as weight loss, dehydration, malnutrition, and developmental deficits. Objective: The study aims to assess the efficacy of sensorimotor stimulation intervention on oral skills in neonates with post-hypoxic ischemic encephalopathy in the neonatal intensive care unit (NICU). Methods: The study will include thirty infants with hypoxic-ischemic encephalopathy. They will be divided into two equal groups: The study group receive traditional medical treatment as well as a sensorimotor stimulation program, whereas the control group receive only traditional medical treatment
Interventions
OTHERsensorimotor stimulation program sessions
The study group, consisting of 15 neonates, received traditional medical treatment along with sensorimotor stimulation program sessions. These sessions included oral stimulation protocol, Tactile/Kinesthetic (T/K) intervention, feeding position, and oral support.
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
1 Days to 120 Days
Healthy volunteers
No
Inclusion criteria
* neonates, diagnosed with post-hypoxic ischemic encephalopathy
Exclusion criteria
* Neonates with congenital anomalies affecting the oral-facial area, * or syndromes associated with developmental delays, * chronic medical complications
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Transition time from tube to full oral feeding | - At least one-time breast feeding in a 24-hour period (Fucile et al., 2013). - Consuming eight feedings per day for two consecutive days. - Capable of consuming orally over 80% of the recommended total fluid intake within a 24-hour period (Premji et | the number of days from the commencement of the intervention to the first day of exclusive oral feeding. |
| Time taken to accomplish exclusive oral feeding | At least one-time breast feeding in a 24-hour period (Fucile et al., 2013). - Consuming eight feedings per day for two consecutive days. - Capable of consuming orally over 80% of the recommended total fluid intake within a 24-hour period (Premji et a | this is the number of days from the beginning of oral feeding until discharge. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Total hospital stay | At least one-time breast feeding in a 24-hour period (Fucile et al., 2013). - Consuming eight feedings per day for two consecutive days. - Capable of consuming orally over 80% of the recommended total fluid intake within a 24-hour period | this is the number of days from the start of the oral stimulation program until discharge from the NICU. |
Contacts
Primary ContactAhmed fekry Salman, PhD
Outcome results
None listed