Keywords
massage
kangaroo mother care
physical stimulation
respiratory therapy
chest physiotherapy
neuromotor development
How to Cite
Abstract
The physiotherapist throughout his profession has broadened the spectrum of interventions and performance scenarios, one of the most recent being the approach in the neonatal intensive care unit. Recently, different intervention strategies have been reported in the literature with the aim of achieving adequate development of the newborn, such as massage, kinesthetic stimulation, education in the kangaroo mother program, and chest maneuvers. This article aimed to review the current information from the scientific evidence available on these different intervention strategies in the neonatal intensive care unit, so a bibliographic review of the articles found between February and August 2019 in PUBMED and SCOPUS databases was carried out. 40 articles which met the eligibility criteria were obtained and included in the review. Finally, it is concluded that these physiotherapeutic intervention strategies contribute to the
achievement of an adequate integral development in the neonate. MÉD.UIS.2021;34(1): 63-72
References
Patra Barbosa A, Johnston C, Brunow de Carvalho W. Fisioterapia pediátrica y neonatal. Distribuna; 2012.
Ministerio de Salud y Protección Social: Dirección de Epidemiología y Demografía. Análisis de Situación de Salud (ASIS) Colombia, 2018. [internet] Bogotá D.C., Colombia; 2019. Disponible en: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/ED/PSP/asis-colombia-2018.pdf.
Marrugo-Arnedo CA, Arrieta-Arrieta A, Herrera-Malambo D, DíazVargas LC, Pérez-Yepes C, Dueñas-Castell C, et al. Determinantes de estancia prolongada de neonatos en una unidad de cuidados intensivos. Rev. cienc. salud (Bogotá). 2019;17(2):259-75.
Peña CB, Pinzón YA, Forero YJ, Pantoja JA, Giraldo LF, Bastidas AR, et al. Características de pacientes ingresados a la unidad de cuidado intensivo neonatal en la Clínica Universidad de La Sabana. Rev. Univ. Ind. Santander, Salud. 2016;48(4):480-5.
Chokshi T, Alaparthi GK, Krishnan S, Vaishali K, Zulfeequer CP. Practice patterns of physiotherapists in neonatal intensive careunits: A national survey. Indian J Crit Care Med. 2013;17(6):359-66.
Byrne E, Garber J. Physical therapy intervention in the neonatal intensive care unit. Phys Occup Ther Pediatr. 2013;33(1):75-110.
Sweeney JK, Heriza CB, Blanchard Y. Neonatal physical therapy. Part I: Clinical competencies and neonatal intensive care unit clinical training models. Pediatr Phys Ther. 2009;21(4):296-307.
Sweeney JK, Heriza CB, Blanchard Y, Dusing SC. Neonatal physical therapy. Part II: Practice frameworks and evidencebased practice guidelines. Pediatr Phys Ther. 2010;22(1):2- 6.
Byrne E, Campbell SK. Physical therapy observation and assessment in the neonatal intensive care unit. Phys Occup Ther Pediatr. 2013;33(1):39-74.
Álvarez MJ, Fernández D, Gómez-Salgado J, Rodríguez-GonzálezD, Rosón M, Lapeña S. The effects of massage therapy in hospitalized preterm neonates: A systematic review. Int J Nurs Stud. 2017;69:119-36.
Taheri PA, Goudarzi Z, Shariat M, Nariman S, Matin EN. glocity and length of NICU stay in preterm infants. Infant Behav Dev. 2018;50:22-7.
Kumar J, Upadhyay A, Dwivedi AK, Gothwal S, Jaiswal V, Aggarwal S. Effect of oil massage on growth in preterm neonates less than 1800 g: a randomized control trial. Indian J Pediatr. 2013;80(6):465-9.
World Health Organization: WHO. Nacimientos prematuros [Internet]. Who.int. World Health Organization: WHO; 2018. Disponible en: https://www.who.int/es/news-room/fact-sheets/detail/preterm-birth#:~:text=Los%20ni%C3%B1os%20prematuros%20se%20dividen,tard%C3%ADos%20(32%20a%2037%20semanas.
Massaro AN, Hammad TA, Jazzo B, Aly H. Massage with kinesthetic stimulation improves weight gain in preterm infants. J Perinatol. 2009;29(5):352-7.
Abdallah B, Badr LK, Hawwari M. The efficacy of massage on short and long term outcomes in preterm infants. Infant Behav Dev. 2013;36(4):662-9.
Ho YB, Lee RSY, Chow CB, Pang MYC. Impact of massage therapy on motor outcomes in very low-birthweight infants: randomized controlled pilot study. Pediatr Int. 2010;52(3):378-85.
Yates CC, Mitchell AJ, Booth MY, Williams DK, Lowe LM, Whit Hall R. The effects of massage therapy to induce sleep in infants born preterm. Pediatr Phys Ther. 2014;26(4):405-10.
Ang JY, Lua JL, Mathur A, Thomas R, Asmar BI, Savasan S, et al. A randomized placebo-controlled trial of massage therapy on the immune system of preterm infants. Pediatrics. 2012;130(6):e1549-58.
Choi HJ, Kim SJ, Oh J, Lee MN, Kim SH, Kang KA. The effects of massage therapy on physical growth and gastrointestinal function in premature infants: A pilot study. J Child Health Care. 2016;20(3):394-404.
Saeadi R, Ghorbani Z, Shapouri Moghaddam A. The effect of massage with medium-chain triglyceride oil on weight gain in premature neonates. Acta Med Iran. 2015;53(2):134-8.
Field T, Diego M, Hernandez-Reif M. Potential underlying mechanisms for greater weight gain in massaged preterm infants. Infant Behav Dev. 2011;34(3):383-9.
Allen KA. Promoting and protecting infant sleep. Adv Neonatal Care. 2012;12(5):288-91.
Smith SL, Lux R, Haley S, Slater H, Beachy J, Beechy J, et al. The effect of massage on heart rate variability in preterm infants. J Perinatol. 2013;33(1):59-64.
Vignochi CM, Teixeira PP, Nader SS. Effect of aquatic physical therapy on pain and state of sleep and wakefulness among stable preterm newborns in neonatal intensive care units. Rev Bras Fisioter. 2010 May-Jun;14(3):214-20.
McGrath JM. Touch and massage in the newborn period: effects on biomarkers and brain development. J Perinat Neonatal Nurs. 2009;23(4):304-6.
Lobo MA, Harbourne RT, Dusing SC, McCoy SW. Grounding early intervention: physical therapy cannot just be about motor skills anymore. Phys Ther. 2013;93(1):94-103.
Tekgündüz KŞ, Gürol A, Apay SE, Caner I. Effect of abdomen massage for prevention of feeding intolerance in preterm infants. Ital J Pediatr. 2014;40:89.
Pepino VC, Mezzacappa MA. Application of tactile/kinesthetic stimulation in preterm infants: a systematic review. J Pediatr (Rio J). 2015;91(3):213-33.
Oberg GK, Campbell SK, Girolami GL, Ustad T, Jørgensen L, aaresen PI. Study protocol: an early intervention program to improve motor outcome in preterm infants: a randomized controlled trial and a qualitative study of physiotherapy performance and parental experiences. BMC Pediatr. 2012;12:15.
Puccini FRS, Berretin-Felix G. Gastroesophageal reflux and swallowing in newborns and infants: Integrative review of literature. Rev CEFAC. 2015;17(5):1664-73.
ameshkumar R, Bansal A. Approach and Management of Children with Raised Intracranial Pressure. J Pediatr Crit Care. 2015;2:13.
Charpak N, Ruiz JG, Angel MI, Duque JS, Garcia C. Lineamientos tecnicos para la implementacion de Programas Madre Canguro en Colombia. Ministerio de Proteccion Social Republica de Colombia; 2009.
Zhang SH, Yip WK, Lim PF, Goh MZ. Evidence utilization project: implementation of kangaroo care at neonatal ICU. Int J Evid Based Healthc. 2014;12(2):142-50.
Bera A, Ghosh J, Singh AK, Hazra A, Mukherjee S, Mukherjee R. Effect of kangaroo mother care on growth and development of low birthweight babies up to 12 months of age: a controlled clinical trial. Acta Paediatr. 2014;103(6):643-50.
Davanzo R, Brovedani P, Travan L, Kennedy J, Crocetta A, Sanesi C, Strajn T, De Cunto A. Intermittent kangaroo mother care: a NICU protocol. J Hum Lact. 2013;29(3):332-8.
Callister LC. Kangaroo mother care for preterm infants globally. MCN Am J Matern Child Nurs. 2015;40(3):198.
Head LM. The effect of kangaroo care on neurodevelopmental outcomes in preterm infants. J Perinat Neonatal Nurs. 2014;28(4):290-9; quiz E3-4.
Bloch-Salisbury E, Zuzarte I, ndic P, Bednarek F, Paydarfar D. angaroo care: cardio-respiratory relationships between the infant and caregiver. Early Hum Dev. 2014;90(12):843-50.
Baley J; COMMITTEE ON FETUS AND NEWBORN. Skin-toSkin Care for Term and Preterm Infants in the Neonatal ICU. Pediatrics. 2015;136(3):596-9.
Ghavane S, Murki S, Subramanian S, Gaddam P, Kandraju H, Thumalla S. Kangaroo Mother Care in Kangaroo ward for improving the growth and breastfeeding outcomes when reaching term gestational age in very low birth weight infants. Acta Paediatr. 2012;101(12):e545-9.
Hatfield LA. Neonatal pain: What’s age got to do with it? Surg Neurol Int. 2014;5(Suppl 13):S479-89.
Cong X, Cusson RM, Hussain N, Zhang D, Kelly SP. Kangaroo care and behavioral and physiologic pain responses in very-low-birthweight twins: a case study. Pain Manag Nurs. 2012;13(3):127-38.
Zhang F, Liu S. Kangaroo mother care may help oral growth and development in premature infants. Fetal Pediatr Pathol. 2012;31(4):191-4.
Baird D, Bybel M. Effectiveness of Skin-to-Skin Care for Procedure-Related Pain in Newborns. Am Fam Physician. 2018;97(3):170-1.
Carducci B, Bhutta ZA. Care of the growth-restricted newborn. Best Pract Res Clin Obstet Gynaecol. 2018;49:103-16.
Samra HA, Dutcher J, McGrath JM, Foster M, Klein L, Djira G, et al. Effect of Skin-to-Skin Holding on Stress in Mothers of LatePreterm Infants: A Randomized Controlled Trial. Adv Neonatal Care. Adv Neonatal Care. 2015;15(5):354-64.
Giannantonio C, Papacci P, Ciarniello R, Tesfagabir MG, Purcaro V, Cota F, et al. Chest physiotherapy in preterm infants with lung diseases. Ital J Pediatr. 2010;36:65.
Sant’Anna GM, Keszler M. Weaning infants from mechanical ventilation. Clin Perinatol. 2012;39(3):543-62.
de Abreu LC, Valenti VE, de Moura Filho OF, Vanderlei LCM, de Carvalho TD, Vertamatti MAF, et al. Chest associated to motor physiotherapy acutely improves oxygen saturation, heart rate and respiratory rate in premature newborns with periventricularintraventricular hemorrhage. HealthMED. 2011;5(6):1381-8.
Perrone S, Bracciali C, Di Virgilio N, Buonocore G. Oxygen use in neonatal care: a two-edged sword. Front Pediatr. 2016;4:143.
Santos AK, Silveira J, Neves VC, Zotz TGG, Motter AA, Andreazza MG. Atelectasis and lung changes in preterm neonates in the neonatal period: a blind radiological report and clinical findings. Rev Bras Ter Intensiva. 2019;31(3):347-53.
de Paula LCS, Siqueira FC, Juliani RCTP, de Carvalho WB, CecconMEJR, Tannuri U. Post-extubation atelectasis in newborns with surgical diseases: a report of two cases involving he use of a highflow nasal cannula. Rev Bras Ter Intensiva. 2014;26(3):317-20.
Dominguez MC, Alvares BR. Pulmonary atelectasis in newborns with clinically treatable diseases who are on mechanical ventilation: clinical and radiological aspects. Radiol bras. 2018;51(1):20-5.
Walsh BK, Hood K, Merritt G. Pediatric airway maintenance and clearance in the acute care setting: how to stay out of trouble. Respir Care. 2011; 56(9):1424-40;discussion 1440-4. 55. Brunherotti MAA, Martinez FE. Response of oxygen saturation in preterm infants receiving rib cage stabilization with an elastic band in two body positions: a randomized clinical rial. Braz J Phys Ther. 2013;17(2):105-11.
Pandya YS, Shetye J, Nanavati R, Mehta A. Resolution of lung collapse in a preterm neonate following chest physiotherapy. Indian J Pediatr. 2011;78(9):1148-50.
Goldsmith JP, Karotkin E, Suresh G, Keszler M. Assisted ventilation of the neonate E-book. 6th ed. Elsevier Health Sciences; 2016.
Christian PS. Chest physiotherapy for infants. Int J Physiother Res. 2014;2(5):699-705.
Rocha G, Soares P, Gonçalves A, Silva AI, Almeida D, Figueiredo S, et al. Respiratory Care for the Ventilated Neonate. Can Respir J. 2018;2018:7472964.
Sánchez IP, Leal-Esteban LC, Orrego-Arango JC, Garcés-Samudio G, Gómez-Arias RD, Franco JL, et al. Variaciones en el número y función de los linfocitos asesinos naturales durante infecciones recurrentes o graves. Biomédica. 2014;34(1):118-31.
Rangey PS, Sheth M. Comparative Effect of Massage Therapy versus Kangaroo Mother Care on Body Weight and Length of Hospital Stay in Low Birth Weight Preterm Infants. Int J Pediatr. 2014;2014:434060.
Neu M, Robinson J, Schmiege SJ. Influence of holding practice on preterm infant development. MCN Am J Matern Child Nurs. 2013;38(3):136-43.
Azevedo VMG de O, Xavier CC, Gontijo F de O. Safety of Kangaroo Mother Care in intubated neonates under 1500 g. J Trop Pediatr. 2012;58(1):38-42.
Mehta Y, Shetye J, Nanavati R, Mehta A. Physiological effects of a single chest physiotherapy session in mechanically ventilated and extubated preterm neonates. J Neonatal Perinatal Med.2016;9(4):371-6.
DiBlasi R, Gallagher JT. 27 - Respiratory Care of the Newborn. In: Goldsmith JP, Karotkin EH, Keszler M, Suresh GK. Assisted Ventilation of the Neonate. 6th ed. Elsevier Health Sciences; 2016. p. 291-309.e4.
West MP. Chapter 22 – Postural Drainage. En: C. Paz, JC. & West, MP. (Eds). Acute Care Handbook for Physical Therapists. 4º ed. St. Louis: W.B. Saunders; 2014. 467-70.
Shannon H, Stocks J, Gregson RK, Dunne C, Peters MJ, Main E. Clinical effects of specialist and on-call respiratory physiotherapy treatments in mechanically ventilated children: A randomised crossover trial. Physiotherapy. 2015;101(4):349-56.
Chaves GS, Fregonezi GAF, Dias FA, Ribeiro CT, Guerra RO, Freitas DA, et al. Chest physiotherapy for pneumonia in children.Cochrane Database Syst Rev. 2013;(9):CD010277.
Roqué i Figuls M, Giné-Garriga M, Granados Rugeles C, Perrotta C, Vilaró J. Chest physiotherapy for acute bronchiolitis in paediatric patients between 0 and 24 months old. Cochrane Database Syst Rev. 2016;2(2):CD004873.
Postiaux G, Maffei P, Villiot-Danger JC, Dubus JC. La kinésithérapie respiratoire dans la bronchiolite virale aiguë du nourrisson. Arguments pour/contre [Respiratory physiotherapy in acute viral bronchiolitis in the newborn. Pro/con arguments]. Rev Mal Respir. 2018;35(4):403-15.
Gajdos V, Katsahian S, Beydon N, Abadie V, De Pontual L, Larrar S, et al. Effectiveness of chest physiotherapy in infants hospitalized with acute bronchiolitis: a multicenter, randomized, controlled trial. PLoS Med. 2010;7(9):e1000345.
Gomes EL, Postiaux G, Medeiros DR, Monteiro KK, Sampaio LM, Costa D. Chest physical therapy is effective in reducing the clinical score in bronchiolitis: randomized controlled trial. Rev Bras Fisioter. 2012;16(3):241-7.
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