Effectiveness of Oral Sensory-Motor Stimulation in Premature Infants in the Neonatal Intensive Care Unit (NICU) Systematic Review

Gonzalez, Paula Rodriguez; Pérez-Cabezas, Verónica; Chamorro-Moriana, Gema; Molinero, Carmen Ruiz; Vázquez-Casares, Ana María; González-Medina, Gloria

doi:10.3390/children8090758

Cited by 9 publications

(5 citation statements)

References 47 publications

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“…In the systemic review of Rodriguez Gonzalez P ( 12 ), oral sensorimotor stimulation did not reveal superior results on the infants' physiological data and breastfeeding skills. However, in our study, infants in the study group significantly differed in transferring to the mother's breast after discharge, even if they were not discharged.…”

Section: Discussionmentioning

confidence: 88%

“…Based on a systematic review of relevant studies ( 12 ), it was found that the implementation of oral-motor therapy for preterm infants in the NICU yields favorable outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…Previous studies have demonstrated that oromotor stimulation had benefits leads to varying conclusions in the management of premature infants ( 12 ). Our study aims to investigate the impact of oromotor exercise therapy administered in the NICU on the proficiency of transitioning to breastfeeding and improving feeding skills in early preterm infants experiencing feeding intolerance.…”

Section: Introductionmentioning

confidence: 99%

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Improving feeding skills and transition to breastfeeding in early preterm infants: a randomized controlled trial of oromotor intervention

Comuk Balci,

Takci,

Seren

2023

Front. Pediatr.

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IntroductionOromotor therapy exercises used for preterm infants in the NICU might promote oral-motor skills and shorten discharge day. This study investigates the impact of an oral-motor therapy program on the successful transition to breastfeeding (BF) and the enhancement of feeding skills in preterm infants below 30 weeks of gestational age who experience feeding intolerance.MethodsThe intervention group received oral-motor therapy programme for one month, while the control group did not. The feeding skills were evaluated by Early Feeding Skills Assessment Tool (EFS) and Preterm Oral Feeding Readiness Scales (POFRAS).ResultsThere was a significant difference in EFS and POFRAS scores, transition to bottle feeding at discharge and transition to BF after discharge between babies given oral-motor therapy programme and controls (p < 0.05). While the transition time to full enteral feeds did not vary significantly between the groups, noteworthy outcomes were observed in the intervention group, including differences in feeding type at discharge, the nature of feeds at discharge, and the success of transitioning to breastfeeding after discharge.DiscussionWe conclude that the oromotor therapy exercises in NICU improves the quality of sucking, contributes to better oromotor skills and promotes transition to enteral feeding and BF in preterm babies. Clinical Trial RegistrationClinicalTrials.gov, identifier (NCT05845684).

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Section: Discussionmentioning

confidence: 88%

“…Based on a systematic review of relevant studies ( 12 ), it was found that the implementation of oral-motor therapy for preterm infants in the NICU yields favorable outcomes.…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Improving feeding skills and transition to breastfeeding in early preterm infants: a randomized controlled trial of oromotor intervention

Comuk Balci,

Takci,

Seren

2023

Front. Pediatr.

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“…145,146 Speech-language pathologists can provide strategies to support safe oral feeding and to mitigate oral aversion, including oral sensory motor stimulation, which has been shown to support independent oral feeding in premature infants. 147 Practice recommendations for critically ill children include early mobility and rehabilitative strategies to support passive range of motion, positioning, readiness for mobility, assisted transfers, and ambulation. 148 Supporting Transition From Hospital to Home…”

Section: Habilitative Servicesmentioning

confidence: 99%

Neurodevelopmental Outcomes for Individuals With Congenital Heart Disease: Updates in Neuroprotection, Risk-Stratification, Evaluation, and Management: A Scientific Statement From the American Heart Association

Sood,

Newburger,

Anixt

et al. 2024

Circulation

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Over the past decade, new research has advanced scientific knowledge of neurodevelopmental trajectories, factors that increase neurodevelopmental risk, and neuroprotective strategies for individuals with congenital heart disease. In addition, best practices for evaluation and management of developmental delays and disorders in this high-risk patient population have been formulated based on literature review and expert consensus. This American Heart Association scientific statement serves as an update to the 2012 statement on the evaluation and management of neurodevelopmental outcomes in children with congenital heart disease. It includes revised risk categories for developmental delay or disorder and an updated list of factors that increase neurodevelopmental risk in individuals with congenital heart disease according to current evidence, including genetic predisposition, fetal and perinatal factors, surgical and perioperative factors, socioeconomic disadvantage, and parental psychological distress. It also includes an updated algorithm for referral, evaluation, and management of individuals at high risk. Risk stratification of individuals with congenital heart disease with the updated categories and risk factors will identify a large and growing population of survivors at high risk for developmental delay or disorder and associated impacts across the life span. Critical next steps must include efforts to prevent and mitigate developmental delays and disorders. The goal of this scientific statement is to inform health care professionals caring for patients with congenital heart disease and other key stakeholders about the current state of knowledge of neurodevelopmental outcomes for individuals with congenital heart disease and best practices for neuroprotection, risk stratification, evaluation, and management.

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“…Preterm newborns frequently experience delays in the development of their oral feeding and motor abilities because they don't get the same in-utero oral motor practice that comes from swallowing amniotic fluid [ 28 ]. Because of their underdeveloped reflexes, reduced muscle tone around the mouth, and diminished sensitivity and strength in their tongue, preterm newborns frequently have impaired oral motor control [ 19 , 29 ].…”

Section: Reviewmentioning

confidence: 99%

Promoting Survival and Primitive Reflexes to Prevent Brain Imbalance in Premature Infants: A Scoping Review of New Insights by Physiotherapists on Developmental Disorders

Harjpal,

Kovela,

Qureshi

2023

Cureus

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Survival reflexes, originating from the brainstem, are involuntary motor responses that are present at birth and facilitate the survival of the neonate. The age of the baby is critical enough to give information about the maturation of these reflexes. In the case of preterm babies, the delayed maturity of these reflexes may pose a threat to the life of the newborn. One can perceive what the baby can feel, taste, smell, see, and hear through reflex maturation. The objective was to identify and understand the role of survival reflexes and primitive reflexes and their importance in premature children. PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), ProQuest, The Cochrane Library, Scopus, and Web of Science were the electronic databases used from January 2017 until November 2022. We included the original articles, reviews, and randomized clinical trials that focused on the importance of survival reflexes. Later on, all the articles were systematically arranged as per the information they provided, and 101 titles were selected, of which 32 met the inclusion criteria. Various articles were written regarding the present literature about primitive reflexes, but none promoted them in the neonatal intensive care unit (NICU). This review is regarding the use of survival reflexes to improve the outcomes of neonates, specifically in the NICU. Simple interactions with the environment are made possible by primitive reflexes, which also serve as the foundation for early movement. This review presents a better understanding of the maturation of survival reflexes and primitive reflexes and provides further insight into how a physiotherapist can concentrate on the early identification and development of these reflexes to prevent further complications. Assessing the primitive reflex in the NICU will help in the early identification of developmental delay and further help us predict reflex maturation. Promoting them will provide positive outcomes in terms of neonatal development. A physiotherapist can play a vital role starting from the NICU to get the baby into an environment similar to the mother’s womb and therapy to get the early maturation of the reflex.

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Effectiveness of Oral Sensory-Motor Stimulation in Premature Infants in the Neonatal Intensive Care Unit (NICU) Systematic Review

Cited by 9 publications

References 47 publications

Improving feeding skills and transition to breastfeeding in early preterm infants: a randomized controlled trial of oromotor intervention

Improving feeding skills and transition to breastfeeding in early preterm infants: a randomized controlled trial of oromotor intervention

Neurodevelopmental Outcomes for Individuals With Congenital Heart Disease: Updates in Neuroprotection, Risk-Stratification, Evaluation, and Management: A Scientific Statement From the American Heart Association

Promoting Survival and Primitive Reflexes to Prevent Brain Imbalance in Premature Infants: A Scoping Review of New Insights by Physiotherapists on Developmental Disorders

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