Neurobehavioral Responses to Multisensory Stimulation Module in Preterm Neonates
NCT ID: NCT05957900
Last Updated: 2023-07-27
Study Results
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Basic Information
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COMPLETED
NA
60 participants
INTERVENTIONAL
2022-09-01
2023-02-28
Brief Summary
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Detailed Description
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A sample of 60 preterm neonates.The study subjects will be randomly assigned into two equal groups (control and multi-sensory stimulation groups) using random number table. Each group will be comprised of 30 neonates. The first neonate will be assigned to the control group and the second neonate will be assigned to the multi-sensory stimulation group.
Control group: Preterm neonates will receive only routine care of the unit. Multi-Sensory Stimulation group: Preterm neonates will receive multi-sensory stimulation intervention beside routine care of the unit.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
SUPPORTIVE_CARE
SINGLE
Study Groups
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Control group
Preterm neonates will receive only routine care of the unit.
No interventions assigned to this group
Multi-Sensory Stimulation group
In the present study, it is defined as the application of tactile, visual, vestibular, kinesthetic, olfactory, auditory and oral stimulation to preterm neonates to enhance their development.
The intervention will be provided daily in mourning, quiet alert state of neonate, before feeding for 30 min., 5 days per week for two weeks.
Multisensory stimulation module
* Tactile Stimulation; Gentle stroking massage with moderate pressure, with warm palms for 3 min in a sequence of chest, upper limbs, and lower limbs in supine position.
* Visual Stimulation; Black and white visual stimulation card hung at 8-10 in. from the neonate for 3 min.
* Vestibular Stimulation; neonates placed in a hammock for 3 min.
* Kinesthetic stimulation: It consist of passive exercises (flexion and extension) of upper and lower limbs; one of the hands support the stimulated limb, whereas the other hand will perform the movements for 3 min. in supine position.
* Oral stimulation: the perioral structures will stroke by gently tapping the cheeks, lips and jaw by the index and middle finger for 2 min and stroking the intraoral structures by rubbing the gum and applying downward pressure of the tongue for 2 min. Non-nutritive sucking for 8 minutes.
* Olfactory Stimulation for 3 min. using mother's milk.
* Auditory Stimulation listening to mother's heart beats for 3 min.
Interventions
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Multisensory stimulation module
* Tactile Stimulation; Gentle stroking massage with moderate pressure, with warm palms for 3 min in a sequence of chest, upper limbs, and lower limbs in supine position.
* Visual Stimulation; Black and white visual stimulation card hung at 8-10 in. from the neonate for 3 min.
* Vestibular Stimulation; neonates placed in a hammock for 3 min.
* Kinesthetic stimulation: It consist of passive exercises (flexion and extension) of upper and lower limbs; one of the hands support the stimulated limb, whereas the other hand will perform the movements for 3 min. in supine position.
* Oral stimulation: the perioral structures will stroke by gently tapping the cheeks, lips and jaw by the index and middle finger for 2 min and stroking the intraoral structures by rubbing the gum and applying downward pressure of the tongue for 2 min. Non-nutritive sucking for 8 minutes.
* Olfactory Stimulation for 3 min. using mother's milk.
* Auditory Stimulation listening to mother's heart beats for 3 min.
Eligibility Criteria
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Inclusion Criteria
* The preterm infant's 5 min Apgar is 6 and more.
Exclusion Criteria
* History of intraventricular hemorrhage grade II and above.
* Major congenital malformations
ALL
Yes
Sponsors
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Alexandria University
OTHER
Responsible Party
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Locations
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Arafa
Alexandria, , Egypt
Countries
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References
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Teng X, Liang J, Tan J, Sun J, Liang H, Qin S, et al. A Randomized Controlled Study of Multisensory Interventions in Promoting Brain Function Development in Premature Infants. Chinese General Practice. 2023;26(2):168-74.
Nagaty Aboelmagd A, Shaban Mohamed S, Hamed Tawfik A. Effect of Sensory Motor Stimulation on Enhancing Oral Feeding Readiness of Preterm Neonates. Egyptian Journal of Health Care. 2022;13(3):1322-34.
Rodovanski GP, Reus BAB, Neves Dos Santos A. The effects of multisensory stimulation on the length of hospital stay and weight gain in hospitalized preterm infants: A systematic review with meta-analysis. Braz J Phys Ther. 2023 Jan-Feb;27(1):100468. doi: 10.1016/j.bjpt.2022.100468. Epub 2022 Dec 20.
Nasimi FS, Zeraati H, Shahinfar J, Boskabadi H, Ghorbanzade M. The effect of multisensory stimulation on weight gain of preterm infants. Journal of Babol University of Medical Sciences. 2016;18:13-8.
Other Identifiers
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MSSM
Identifier Type: -
Identifier Source: org_study_id
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