Factors that Predict which Preterm Infants Benefit Most from Massage Therapy

Scafidi, Frank; Field, Tiffany; Schanberg, Saul M.

doi:10.1097/00004703-199306010-00008

Cited by 82 publications

(58 citation statements)

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“…Studies on tactile-kinesthetic stimulation in preterm neonates regarding growth suggest that it increases weight gain 7,19,[24][25][26] and decreases the length of hospital stay. 24,25 In our study, we did not find this difference in the daily weight gain when comparing both groups. Except for one study that presented that the proportion of studied SGA infants was 10.5%, 26 there is no reference about the number of SGA newborns in other studies.…”

Section: Discussionmentioning

confidence: 99%

Massage therapy reduces hospital stay and occurrence of late-onset sepsis in very preterm neonates

Mendes

Procianoy

2008

J Perinatol

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Objective: To study the effect of maternal massage therapy on hospital stay in very-low-birth-weight infants who were already submitted to skin-toskin care.Study Design: A randomized study was performed including infants of birth weight X750 and p1500 g and gestational age p32 weeks. The exclusion criteria were as follows: death before completing 48 h and presence of major malformations. Neonates were divided into intervention group (IG) (standard care plus maternal massage) and control group (CG). Anthropometric data were always verified by a person blind to the group to which the newborn belonged. Maternal massage was performed four times a day on the face and limbs. Passive exercises of upper and lower limbs were also done by the mothers.Result: A total of 104 newborns were included, 52 in each group. Both groups were similar in gestational age (IG: 29.7 ± 1.6; CG: 29.4 ± 1.6 weeks), birth weight (IG: 1186±194; CG: 1156±198 g), gender, number of small-for-gestational-age infants, SNAPPE-II, deaths, gains in weight, length and head circumference. Incidence of late-onset sepsis was significantly lower in the intervention group (IG: 10.8%, n ¼ 5; CG: 38.3%, n ¼ 18; P ¼ 0.005). IG was discharged from the hospital 7 days before CG (IG: 42, confidence interval (CI) 95%: 38 to 46; CG: 49, CI 95%: 42 to 56), and presented 1.85 hazard ratio (CI 95%: 1.09 to 3.13; P ¼ 0.023) for early discharge. Keywords: massage therapy; tactile stimulation; kinesthetic stimulation; very-low-birth-weight infants; neonatal sepsis Introduction Early interruption of gestation brings consequences that still cannot be fully avoided even in neonatal units with the most modern technological resources and best survival rates. There is a high probability of preterm infants going beyond the neonatal period before reaching a growth 1 and development 2 pattern similar to that of term newborns. In addition, the need for a long hospital stay period makes the presence of parents essential for assistance, once the parents' competence to understand and provide the premature infant's needs is consolidated as one of the main medical criteria for hospital discharge. 3 Studies involving the hospital stay period of preterm infants showed that relatively simple measures improve their prognoses, such as skin-to-skin contact reduces the painful sensation of term neonates 4 and promotes the development and parental relation of preterm infants; 5 the creation of a sleep-provoking environment increases the growth rate of very-low-birth-weight (VLBW) infants; 6 the application of tactile-kinesthetic stimulation contributes to both growth and development of preterm infants between 1000 and 2000 g, without adverse effects on physiological parameters; 7 instructions to first-child parents on how to bathe and massage favors parent-infant bonding; 8 and the participation of mothers through massage with moderate pressure improves growth and development rates of term infants. 9 Despite these evidences, in two systematic revisions, one regarding the tactile-kinesthetic s...

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Section: Discussionmentioning

confidence: 99%

Massage therapy reduces hospital stay and occurrence of late-onset sepsis in very preterm neonates

Mendes

Procianoy

2008

J Perinatol

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“…Preliminary studies have suggested that massage therapy with KS may have positive effects on preterm infants including greater weight gain, [1][2][3][4][5][6][7] improved bone mineralization, 8 earlier hospital discharge, [1][2][3] and more optimal behavioral and motor responses 2-4,9,10 compared to controls. However, there is inconsistency of these findings across studies and methodological concerns with previous trials have led some authors to caution widespread and routine use of preterm infant massage.…”

Section: Introductionmentioning

confidence: 99%

Massage with kinesthetic stimulation improves weight gain in preterm infants

et al. 2009

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Objective: The aim of this study was to evaluate the effects of massage with or without kinesthetic stimulation on weight gain and length of hospital stay in the preterm infant.Study Design: A prospective randomized clinical trial was conducted evaluating the effects of massage with or without kinesthetic stimulation (KS) on weight gain and length of stay (LOS) in medically stable premature (<1500 g and/or p32 weeks gestational age) neonates. Infants were randomized either to receive no intervention (control), massage therapy alone (massage), or massage therapy with KS (M/KS). Linear regression analysis was performed to evaluate differences in the primary outcomes between the groups after controlling for covariates. Post hoc analysis with stratification by birthweight (BW> and <1000 g) was also performed.Result: A total of 60 premature infants were recruited for this study; 20 infants in each group. Average daily weight gain and LOS were similar between the groups after controlling for covariates. For infants with BW>1000 g, average daily weight gain was increased in the intervention groups compared to control. This effect was mainly attributable to the M/KS group. Conclusion:Massage with KS is a relatively simple and inexpensive intervention that can improve weight gain in selected preterm infants. Length of hospital stay is not impacted by massage with or without KS. Further studies are needed to evaluate the effect of massage in the extremely low BW(<1000 g) infant.

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“…Furthermore, massage given to children can decrease urinary cortisol and norepinephrine levels [8]. During recent years handling of premature babies with kangaroo care [9] or massage [10,11] has been shown to have positive physiologic, metabolic, and behavioral effects, as well as to improve postnatal growth. The mechanism behind these effects is largely unknown but is likely to be induced by stimulation of somatosensory nerves as well as by other types of sensory stimuli that can cause vagal activation [12].…”

Section: Introductionmentioning

confidence: 99%

Effects of Oxytocin Treatment in Early Life on Body Weight and Corticosterone in Adult Offspring from ad libitum-Fed and Food-Restricted Rats

2000

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The aims of this study were: (1) to assess the effects of maternal undernutrition during pregnancy on adult offspring with regard to growth, body composition and plasma levels of glucose, insulin and corticosterone, and (2) to investigate whether oxytocin treatment early in life could ameliorate the adverse effects of food restriction in utero. Pups from ad libitum-fed and food-restricted (60% of ad libitum intake during pregnancy) rats were injected subcutaneously once a day with oxytocin or saline on days 1–14 after birth. At adult age (62 days), male offspring from food-restricted dams had lower body weight, less adipose tissue, lower plasma glucose but higher corticosterone levels, compared to offspring from ad libitum-fed dams. However, oxytocin-treated food-restricted males had higher body weight, higher glucose and lower corticosterone levels compared to their saline-treated counterparts. In conclusion, oxytocin treatment early in life seems to ameliorate some of the adverse effects of food restriction in utero.

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Factors that Predict which Preterm Infants Benefit Most from Massage Therapy

Cited by 82 publications

References 0 publications

Massage therapy reduces hospital stay and occurrence of late-onset sepsis in very preterm neonates

Massage therapy reduces hospital stay and occurrence of late-onset sepsis in very preterm neonates

Massage with kinesthetic stimulation improves weight gain in preterm infants

Effects of Oxytocin Treatment in Early Life on Body Weight and Corticosterone in Adult Offspring from ad libitum-Fed and Food-Restricted Rats

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