Effect of passive mobilization on the cardiorespiratory parameters of premature neonates

Authors

DOI:

https://doi.org/10.33448/rsd-v11i9.32203

Keywords:

Premature birth; Physiotherapy; Intensive care units; Infant, premature; Motor activity.

Abstract

Objectives: To evaluate the effect of passive mobilization on the cardiorespiratory parameters of preterm neonates in a neonatal intensive care unit (NICU). Methods: Preoperative intervention study evaluating 27 preterm infants admitted to NICU in a teaching hospital in the city of Santa Cruz do Sul – RS, from September 2016 to May 2017. The intervention consisted of 15 minutes of passive mobilization with flexion and extension of upper and lower limbs, and dissociation of pelvic girdle. Heart rate (HR), respiratory rate (RR) and peripheral oxygen saturation (SpO2) were assessed before and after each intervention, and pain intensity was evaluated through the Neonatal Infant Pain Scale (NIPS) and respiratory distress through the Silverman Andersen respiratory severity score (SAS). Results: Preterm neonates (n= 27; males, n= 16) with a gestational age of 30.3 ± 2.8 weeks, corrected gestational age of 34.5±1.6 weeks, weight of 1.62±0.4 kg and height of 40 (39-43) cm. There was a reduction in HR (p= 0.006) and an increase in SpO2 (p<0.001) without pain, respiratory discomfort and change in RR after passive mobilization. Conclusion: Passive mobilization significantly reduced heart rate, increased peripheral oxygenation and did not cause respiratory pain or discomfort in the evaluated neonates.

References

Alvarez M. J., Fernández, D., Gómez-Salgado, J., Rodrígues-Gonzáles, D., Rosón, M., & Lapeña, S. (2017). The effects of massage therapy in hospitalized preterm neonates: a systematic review. Int J Nurs Stud, Apr;69:119-136.

Amaral, M. F. (2014). O efeito de um programa de fisioterapia na estabilização do prematuro. Saúde & Tecnologia. 12:17-23. http://dx.doi.org/10.25758/set.1114

Beltramini, A., Milojevic, K., & Pateron, D. (2017). Pain assessment in newborns, infants, and children. Pediatr ann. 1: 46(10):e387-e395. https ://doi.org/10.3928/19382359-20170921-03

Boyle, E. M., Johnson, S., Manktelow, B., Seaton, S. E., Draper, E. S., Smith, L. K., et al. (2015). Neonatal outcomes and delivery of care for infants born late preterm or moderately preterm: a prospective population-based study. Arch Dis Child Fetal and Neonatal Ed. 100(6):F479–F485. http://dx.doi.org/10.1136/archdischild-2014-307347

Cardoso, S. M. S., Kozlowski, L. C., Lacerda, A. B. M., Marques, J. M., & Ribas, A. (2015). New born physiological responses to noise in the neonatal unit. Braz J Otorhinolaryngol. 81(6):583-588. https://doi.org/10.1016/j.bjorl.2014.11.008

Costa, A. L. R. R., Júnior, E. A., Lima, J. W. O., & Costa, F. S. (2014). Fatores de risco materno associados à necessidade de unidade de terapia intensiva neonatal. Rev Bras Ginecol Obstet. 36(1):29-43. https://doi.org/10.1590/S0100-[72032007000900010

Diego, M. A., Field, T., & Hernandez-Reif, M. (2014). Preterm infant weight gain is increased by massage therapy and exercise via different underlying mechanisms. Early Human Development. 90(3):137-140. http://dx.doi.org/10.1016/j.earlhumdev.2014.01.009

Frey, H. A., & Klebanoff, M. A. (2016). The epidemiology, etiology, and costs of preterm birth. Semin Fetal Neonatal Med. 21(2):68-73. https://doi.org/10.1016/j.siny.2015.12.011

Harrison, M. S., & Goldenberg, R. L. (2016). Global burden of prematurity. Semin Fetal Neonatal Med. 21(2):74-79. http://dx.doi.org/10.1016/j.siny.2015.12.007

Jordão, K. R., Pinto, L. A. P., Machado, L. R., Costa, L. B. V. L., & Trajano, E. T. L0 (2016). Possíveis fatores estressantes na unidade de terapia intensiva neonatal em hospital universitário. Rev Bras Ter Intensiva. 28(3):310-314. https://doi.org/10.5935/0103-507X.20160041

Moreno, J., Fernandes, L. V., & Guerra, C. C. (2011). Fisioterapia motora no tratamento do prematuro com doença metabólica óssea. Rev Paul Pediatr. 29(1):21-117. https://doi.org/10.1590/S0103-05822011000100018

Ramada, N. C. O., Almeida, F. A., & Cunha, M. L. R. (2013). Toque terapêutico: influência nos parâmetros vitais de recém-nascidos. Einstein. 11(4):5-421. https://doi.org/10.1590/S1679-45082013000400003

Ream, M. A., & Lehwald, L. (2018). Neurologic consequences of preterm birth. Curr Neurol Neurosci Rep. 16;18(8):48. https://doi.org/10.1007/s11910-018-0862-2.

Ross, K., Heiny, E., Conner, S., Spner, P., & Pineda, R. (2017). Occupational therapy, physical therapy and speech-language pathology in the neonatal intensive care unit: patterns of therapy usage in a level IV NICU. Res Dev Disabil. 64:108-117. https://doi.org/10.1016/j.ridd.2017.03.009

Roussenq, K. R., Scalco, J. C., Rosa, G. J., Honório, G. J. S., & Schivinsk, C. S. I. (2013). Reequilíbrio toracoabdominal em recém-nascidos prematuros: efeitos em parâmetros cardiorrespiratórios, no comportamento, na dor e no desconforto respiratório. Acta Fisiátrica. 20(3):118-123. https://doi.org/10.5935/0104-7795.20130019

Santos, L. C. W., Mendonça, K. M., Alberton, K. M., Marques, F. C., Merey, L. S. F., & Santos, M. L. M. S. (2012). Avaliação da dor em recém-nascidos pré-termo submetidos à estimulação sensório-motora. Fisioterapia Brasil. 13(5):342-347. http://dx.doi.org/10.33233/fb.v13i5.563

Schulzke, S. M., Kaempfen, S., Trachsel, D., & Patole, S. K. (2014). Physical activity programs for promoting bone mineralization and growth in preterm infants. Cochrane Database Syst Rev. 22(4). https://doi.org/10.1002/14651858.CD005387.pub3

Seethamraju, R. R., Kharidehal, N., & Rayudu, V. K. (2018). Late and moderately preterm babies in a Tertiary Childrens' Hospital in India: Its time we took a closer look. J Clin Neonatol, 7(2):75-79. http://dx.doi.org/10.4103/jcn.JCN518

Selestrin, C. C., Oliveira A. G., Ferreira, C., et al. (2007). Avaliação dos parâmetros fisiológicos em recém-nascidos pré-termo em ventilação mecânica após procedimentos de fisioterapia neonatal. Rev Bras Crescimento Desenvolv Hum, 17(1):146-155. https://doi.org/10.7322/jhgd.19823

Sharma, N., Samuel, A. J., & Aranha, V. P. (2018). Pediatric physiotherapists’ role in the neonatal intensive care unit: parent and health-care providers’ perspectives. J Clin Neonatol. 7:111–5.

Sharma, N., Omar, K., Gupta, N., & Samuel, A. J. (2020). Facebook and whatsapp in identifying current practices of neurological physiotherapy intervention in neonatal intensive care units: in Indian scenario. J Pediatr Neurosci, 15(2):90–93. https://doi.org/10.4103/jpn.JPN_175_18

Silveira, R. C., Mendes, E. W., Fuentefria, R. N., Valentini, N. C., & Procianoy, R. S. (2018). Early intervention program for very low birth weight preterm infants and their parents: a study protocol. BMC Pediatr. 18(1):268. https://doi.org/10.1186/s12887-018-1240-6

Theis, R. C. S. R., Gerzson, L. R., & Almeida, C. S. A. (2016). Atuação do profissional fisioterapeuta em unidades de terapia intensiva neonatal. Cinergis. 2(2):01-09. http://dx.doi.org/10.17058/cinergis.v17i2.7703

Vogel, J. P., Chawanpaiboon, S., Moller, A. B., Watananirun, K., Bonet, M., & Lumbiganon, P. (2018). The global epidemiology of preterm birth. Best Pract Res Clin Obstet Gynaecol. 52:3-12. https://doi.org/10.1016/j.bpobgyn.2018.

Downloads

Published

20/07/2022

How to Cite

HOPP, M. S.; SILVEIRA, E. C.; WAGNER, L. E.; EMMANOUILIDIS, A.; MANSOUR, K. M. K. .; CARDOSO, D. M.; MARINHO, P. E. de M.; PAIVA, D. N. Effect of passive mobilization on the cardiorespiratory parameters of premature neonates. Research, Society and Development, [S. l.], v. 11, n. 9, p. e59511932203, 2022. DOI: 10.33448/rsd-v11i9.32203. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/32203. Acesso em: 22 dec. 2024.

Issue

Vol. 11 No. 9

Section

Health Sciences

License

Copyright (c) 2022 Marciele Silveira Hopp; Eduarda Chaves Silveira; Litiele Evelin Wagner; Alessandra Emmanouilidis; Kamila Mohammad Kamal Mansour; Dannuey Machado Cardoso; Patricia Erika de Melo Marinho; Dulciane Nunes Paiva

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Authors who publish with this journal agree to the following terms:

1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.