Soft Tissue Therapy in Managing Procedural Pain Among Neonates.
NCT ID: NCT04309162
Last Updated: 2021-04-13
Study Results
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Basic Information
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COMPLETED
NA
7 participants
INTERVENTIONAL
2020-08-03
2021-03-31
Brief Summary
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Detailed Description
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Purpose: To determine the effects of soft tissue therapy in managing procedural pain among neonates admitted in NICU.
Methods and materials: The study will recruit neonates who underwent for various painful procedures in NICU such as venous and arterial puncture, capillary puncture, pulmonary mechanical ventilation, tracheal intubation, removal of adhesive tapes, the introduction of various drains etc. Preterm, Term, Full terms Neonates Stable Neonates. The samples will be taken via stratified random sampling technique. Neonates with unstable vitals are to be excluded from the study.
Discussion: To best of our knowledge, this will be the first study determining the effects of soft tissue therapy in procedural pain on neonates admitted in NICU. The role of neonatal physiotherapist in NICU is to provide diagnosis and treatment to admitted newborns. Massage therapy is considered as an effective management technique in pain management. In this study soft tissue therapy will be applied to neonates especially in context with procedural pain. There are various painful procedures performed to check the prognosis of neonates.
Keywords: Neonatal; Newborns; Infant; NICU; Procedural pain; Massage therapy.
Conditions
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Study Design
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NA
SINGLE_GROUP
TREATMENT
NONE
Study Groups
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soft tissue therapy
Soft tissue therapy includes various techniques which is usually done by manipulating the soft tissues. The techques like stroking, petrissage, percussing maniulations are proved helpful in managing various painful conditions. The main effect of the soft tissue therapy is enhanced blood circulation to the area. When the techniques of soft tissue therapy are applied they will results in stretching and rubbing the muscular tissue which results in increased venous flow to heart and removal of the lactic acid accumulation occurs as the fresh supply of blood to the area will increased. Endorphins the natural pain relievers are released as there is improved oxygenation and perfusion of oxygen in tissues.
Soft tissue therapy
Soft tissue therapy consists of various soft tissue manipulating techniques which includes the stroking, percussive and tapping manipulations. The treatment techniques are divided according to the body parts. under this techniques are tapping, flat finger kneading, Stroking, skin rolling etc.
Interventions
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Soft tissue therapy
Soft tissue therapy consists of various soft tissue manipulating techniques which includes the stroking, percussive and tapping manipulations. The treatment techniques are divided according to the body parts. under this techniques are tapping, flat finger kneading, Stroking, skin rolling etc.
Eligibility Criteria
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Inclusion Criteria
2. Preterm, Term, Post terms Neonates
3. Stable Neonates.
Exclusion Criteria
2. Parents of Neonates who are not willing to enroll their infant in study.
3. Neonates with congenital anomalies.
4. Neonates with extreme low birth weight.
1 Day
28 Days
ALL
Yes
Sponsors
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Asir John Samuel
OTHER
Responsible Party
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Asir John Samuel
Associate Professor Maharishi Markandeshwar (Deemed to be university)
Principal Investigators
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Abhishek Sharma, BPT
Role: PRINCIPAL_INVESTIGATOR
Maharishi Markandeshwar institute of Physiotherapy and Rehabilitation
Asir J Samuel, MPT, PhD
Role: STUDY_CHAIR
Maharishi Markandeshwar institute of Physiotherapy and Rehabilitation
Neha Sharma, MPT
Role: STUDY_DIRECTOR
Maharishi Markandeshwar institute of Physiotherapy and Rehabilitation
Locations
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Abhishek Sharma
Ambāla, Haryana, India
Countries
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References
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Brummelte S, Grunau RE, Chau V, Poskitt KJ, Brant R, Vinall J, Gover A, Synnes AR, Miller SP. Procedural pain and brain development in premature newborns. Ann Neurol. 2012 Mar;71(3):385-96. doi: 10.1002/ana.22267. Epub 2012 Feb 28.
Niemi AK. Review of Randomized Controlled Trials of Massage in Preterm Infants. Children (Basel). 2017 Apr 3;4(4):21. doi: 10.3390/children4040021.
Field T, Diego M, Hernandez-Reif M. Preterm infant massage therapy research: a review. Infant Behav Dev. 2010 Apr;33(2):115-24. doi: 10.1016/j.infbeh.2009.12.004.
Jain S, Kumar P, McMillan DD. Prior leg massage decreases pain responses to heel stick in preterm babies. J Paediatr Child Health. 2006 Sep;42(9):505-8. doi: 10.1111/j.1440-1754.2006.00912.x.
Related Links
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Preterm infants are exposed to various painful procedures in Neonatal intensive care unit. Early Procedural pain exposure results int the harmful effects on the development of brain.
randomized controlled trials on the effects of massage in preterm infants suggest improved weight gain and shortened length of hospital stay. Improved weight gain may be mediated through increase in vagal tone but more studies are needed.
Massage therapy is considered as the effective non pharmacological measure for reducing the procedural pain in NICU and reduces their hospital stay.
By applying massage therapy before doing heel stick procedure pain responses are reduced in preterm infants
Other Identifiers
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U1111-1249-2317
Identifier Type: OTHER
Identifier Source: secondary_id
MMDU/IEC/1528
Identifier Type: -
Identifier Source: org_study_id
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