A Meta-Analysis of Preterm Infant Massage

Badr, Lina Kurdahi; Abdallah, Bahia; Kahale, Lara A

doi:10.1097/nmc.0000000000000177

Cited by 43 publications

(22 citation statements)

References 19 publications

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“…Further, as reported in that review, better developmental scores and immune function were also noted in several longitudinal studies on preterm infants who had been given the Field et al [8] moderate pressure massage protocol [8]. Similarly, in a meta-analysis on 34 preterm infant massage studies conducted in many countries, the massaged preterm newborns averaged significantly greater weight gain (20 versus 16 g per day) and a shorter hospital stay (27 versus 31 days) [9]. Once again, the moderate pressure Field et al [8], (1986) protocol was used in these studies.…”

Section: Preterm Newborn Massage Therapymentioning

confidence: 69%

Pediatric Massage Therapy Research: A Narrative Review

Field

2019

Children

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This narrative review on pediatric massage literature from the last decade suggests that massage therapy has positive effects on several pediatric conditions. These include preterm infant growth, psychological problems including aggression, gastrointestinal problems including constipation and diarrhea, painful conditions including burns and sickle cell, muscle tone disorders including cerebral palsy and Down syndrome, and chronic illnesses including diabetes, asthma cancer, and HIV. Potential underlying mechanisms for the massage therapy effects include increased vagal activity and decreased stress hormones. Limitations of the literature include the need for more randomized controlled trials, longitudinal studies, and underlying mechanism studies.

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Section: Preterm Newborn Massage Therapymentioning

confidence: 69%

Pediatric Massage Therapy Research: A Narrative Review

Field

2019

Children

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“…Overall the evidence remains weak, mainly due to small sample sizes, heterogeneity and poor methodology in some studies. The current level of evidence does not support wider use of infant massage without further research [17, 39]. Two key aspects of infant massage as an early intervention have received little attention.…”

Section: Introductionmentioning

confidence: 99%

PREMM: preterm early massage by the mother: protocol of a randomised controlled trial of massage therapy in very preterm infants

et al. 2016

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BackgroundPreterm infants follow an altered neurodevelopmental trajectory compared to their term born peers as a result of the influence of early birth, and the altered environment. Infant massage in the preterm infant has shown positive effects on weight gain and reduced length of hospital stay. There is however, limited current evidence of improved neurodevelopment or improved attachment, maternal mood or anxiety. The aim of this study is to investigate the effects of infant massage performed by the mother in very preterm (VPT) infants. Effects on the infant will be assessed at the electrophysiological, neuroradiological and clinical levels. Effects on maternal mood, anxiety and mother-infant attachment will also be measured.Methods/DesignA randomised controlled trial to investigate the effect of massage therapy in VPT infants. Sixty VPT infants, born at 28 to 32 weeks and 6 days gestational age, who are stable, off supplemental oxygen therapy and have normal cranial ultrasounds will be recruited and randomised to an intervention (infant massage) group or a control (standard care) group. Ten healthy term born infants will be recruited as a reference comparison group. The intervention group will receive standardised massage therapy administered by the mother from recruitment, until term equivalent age (TEA). The control group will receive care as usual (CAU). Infants and their mothers will be assessed at baseline, TEA, 12 months and 24 months corrected age (CA), with a battery of clinical, neuroimaging and electrophysiological measures, as well as structured questionnaires, psychoanalytic observations and neurodevelopmental assessments.DiscussionOptimising preterm infant neurodevelopment is a key aim of neonatal research, which could substantially improve long-term outcomes and reduce the socio-economic impact of VPT birth. This study has the potential to give insights into the mother-baby relationship and any positive effects of infant massage on neurodevelopment. An early intervention such as massage that is relatively easy to administer and could alter the trajectory of preterm infant brain development, holds potential to improve neurodevelopmental outcomes in this vulnerable population.Trial registrationAustralian New Zealand Clinical Trials Registry: ACTRN12612000335897. Date registered: 22/3/2012.

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“…As a complementary and alternative medicine, massage therapy benefits the body in a way that is quick, easy, and inexpensive. It was reported that paediatric massage therapy has been used for treating diseases in children for thousands of years [51]. In recent years, many physicians have reported that paediatric massage therapy can effectively improve the function of the spleen and stomach by stimulating some specific acupoints [19, 49].…”

Section: Discussionmentioning

confidence: 99%

Paediatric massage for treatment of acute diarrhoea in children: a meta-analysis

Gao

Jia

Huang

2018

BMC Complement Altern Med

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BackgroundMassage therapy has been used by many traditional Chinese medicine physicians to treat acute diarrhoea in children. Since no relevant systematic reviews assessed the clinical effectiveness or the risk of massage therapy, in this study, a meta-analysis was conducted to evaluate the efficacy of paediatric massage for the treatment of acute diarrhoea in children.MethodsIn this meta-analysis, paediatric patients who were diagnosed with acute diarrhoea were included. Interventions using massage therapy alone or combined with other non-pharmacological approaches were included, while in the control groups, patients received pharmacotherapy. The primary outcome was clinical effective rate. Seven databases were used in our research, and the following search terms were used: (massage OR tui na OR manipulation OR acupressure) AND (infant OR child OR baby OR paediatrics) AND (diarrhoea OR diarrhoea) AND (randomized controlled trial). The search date was up to April 30, 2018.ResultsA total of 26 studies encompassing 2644 patients were included in this meta-analysis. It was shown that paediatric massage was significantly better than pharmacotherapy in treating acute diarrhoea in children in terms of clinical effective rate (n = 2213, RR = 1.20, 95% CI: 1.14 to 1.27), clinical cure rate (n = 345, RR = 1.37, 95% CI: 1.19 to 1.57), and cure time (n = 513, MD = − 0.77, 95% CI: -0.89 to − 0.64). However, the quality of evidence for this finding was low due to high risk of bias of the included studies.ConclusionsThe present work supported paediatric massage in treating acute diarrhoea in children. More well-designed randomized controlled trials are still needed to further evaluate the efficacy of paediatric massage.Electronic supplementary materialThe online version of this article (10.1186/s12906-018-2324-4) contains supplementary material, which is available to authorized users.

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A Meta-Analysis of Preterm Infant Massage

Cited by 43 publications

References 19 publications

Pediatric Massage Therapy Research: A Narrative Review

Pediatric Massage Therapy Research: A Narrative Review

PREMM: preterm early massage by the mother: protocol of a randomised controlled trial of massage therapy in very preterm infants

Paediatric massage for treatment of acute diarrhoea in children: a meta-analysis

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