Frequency-modulated orocutaneous stimulation promotes non-nutritive suck development in preterm infants with respiratory distress syndrome or chronic lung disease

Barlow, Steven M.; Lee, Jae‐Hoon; Wang, Jingyan; Oder, Austin; Hall, Sue; Knox, Kendi; Weatherstone, Kathleen; Thompson, Diane

doi:10.1038/jp.2013.149

Cited by 35 publications

(19 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In general newborns in NNS and pre-feeding oral stimulation groups discharged sooner than control group. This findings (although not statistically significant) agree with Fucile et al ( 19 ) and is in contrast to previous studies, which reported that oral stimulation decreased length of hospital stay ( 15 , 20 ). Our study had several power and weakness.…”

Section: Discussionsupporting

confidence: 81%

The Effects of Non-Nutritive Sucking and Pre-Feeding Oral Stimulation on Time to Achieve Independent Oral Feeding for Preterm Infants

et al. 2015

View full text Add to dashboard Cite

Background:The survival rates of preterm infants has increased over the last years, but oral feeding difficulties are the most common problems encountered by them Objectives:This study aimed at comparing the effects of non-nutritive sucking (NNS) and pre-feeding oral stimulation on feeding skills, length of hospital stay and weight gain of 26-32 weeks gestational age preterm infants in NICU, to determine the more effective intervention.Patients and Methods:Thirty-two preterm infants were assigned randomly into three groups. One intervention group received pre-feeding oral stimulation program and the other received non-nutritive sucking stimulation, while the control group received a sham intervention. Gestational age of infants was calculated during 1, 4 and 8 oral feeding and discharge time from NICU. The infants’ weights were measured weekly from birth and at discharge time.Results:Mean gestational age on 8 time oral feeding per day, in 3 groups was not significant (P = 0.282). Although NNS and pre-feeding oral stimulation groups has fulfilled this criterion 7.55 and 6.07 days sooner than the control group, respectively (a result which is of great clinical and economic importance), but the difference did not reach statistical significance. Weight gaining at discharge time in NNS group was significantly higher than control and pre-feeding oral stimulation groups (P < 0.05).Conclusions:This study revealed that pre-feeding oral stimulation and NNS programs both were effective on oral feeding skills and weight gaining of the immature newborns. Yet, it seems that NNS program was more effective than pre-feeding oral stimulation on weight gaining.

show abstract

Section: Discussionsupporting

confidence: 81%

The Effects of Non-Nutritive Sucking and Pre-Feeding Oral Stimulation on Time to Achieve Independent Oral Feeding for Preterm Infants

et al. 2015

View full text Add to dashboard Cite

show abstract

“…This minimal frequency adaptation is likely due to the reflexive nature of NNS and the health status of our subjects. Previous research by Barlow and colleagues found that healthy preterm infants manifested significantly longer NNS burst structure with different NNS burst formation compared to premature infants with respiratory distress syndrome (22). …”

Section: Discussionmentioning

confidence: 95%

Patterned auditory stimulation and suck dynamics in full‐term infants

Zimmerman

Foran

2017

Acta Paediatrica

View full text Add to dashboard Cite

Aim To determine if patterned auditory stimuli, designed to mimic the natural burst-pause pattern evident in non-nutritive suck (NNS) with variations to the intra-burst frequency, alter infants’ NNS and cardiorespiratory patterning. Methods Sixteen healthy full-term infants participated in this study. Infants were fitted with electrocardiogram electrodes and a respiratory belt to measure cardiorespiratory patterning. Infants were offered a custom pacifier attached to a pressure transducer to measure NNS. Prior to the start of the study, a two-minute NNS and cardiorespiratory baseline was attained. Next, three auditory stimulation conditions were presented in the form of sucking clicks at inter-burst frequencies of 1, 2, and 4 Hz. Each of the three frequencies was played for two minutes. Results Separate repeated measures ANOVAs revealed significant differences in NNS burst duration (p=.013), NNS cycles/burst (p=.010), and NNS bursts/min (p=.005) across auditory stimulation conditions. No significant differences were evident in the cardiorespiratory outcomes. Conclusion We found that patterned auditory stimulation significantly reduced NNS dynamics and had no effect on cardiorespiratory patterning. The findings further suggest that infants attempted to modulate their suck pattern to the patterned acoustic stimuli by shortening their burst durations with fewer cycles per burst.

show abstract

“…The oral phase of swallowing has been well characterized, as have the effects of oral stimulation and non‐nutritive sucking on continuing development of oral skills . The current study suggests that the presence of oral stimulation with either pacifier intervention, or taste intervention may not significantly or acutely modify pharyngo‐esophageal motility, respiration, or impedance characteristics of swallowing.…”

Section: Discussionmentioning

confidence: 73%

“…For example, patterned orocutaneous therapy using a pacifier has been associated with nonnutritive suck development and enhanced feeding performance, 12 in addition to decreased length of hospitalization. 13 Activation of music by infant sucking patterns has been associated with increased feeding rates and earlier achievement of full oral feeding in preterm infants. 14,15 The use of textured pacifiers has been shown to disrupt and reorganize suck central pattern generation.…”

Section: Introductionmentioning

confidence: 99%

“…Modification of the pacifier with added stimulus has been explored. For example, patterned orocutaneous therapy using a pacifier has been associated with non‐nutritive suck development and enhanced feeding performance, in addition to decreased length of hospitalization . Activation of music by infant sucking patterns has been associated with increased feeding rates and earlier achievement of full oral feeding in preterm infants .…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Effects of pacifier and taste on swallowing, esophageal motility, transit, and respiratory rhythm in human neonates

Shubert

Sitaram

Jadcherla

2016

Neurogastroenterology Motil

View full text Add to dashboard Cite

Background Pacifier use is widely prevalent globally despite hygienic concerns and uncertain mechanistic effects on swallowing or airway safety. Aims The effects of pacifier and taste interventions on pharyngo-esophageal motility, bolus transit and respiratory rhythms were investigated by determining the upper esophageal sphincter (UES), esophageal body, esophagogastric junction (EGJ) motor patterns as well as deglutition apnea, respiratory rhythm disturbances and esophageal bolus clearance. Methods Fifteen infants (6 males; median gestation 31 wks and birth weight 1.4 kg) underwent high resolution impedance manometry at 43 (41-44) weeks post-menstrual age. Manometric, respiratory, and impedance characteristics of spontaneous swallows, pacifier associated dry swallowing and taste (pacifier dipped in 3% sucrose) associated swallowing were analyzed. Linear mixed and generalized estimating equation models were used. Data are presented as mean ± SEM, %, or median (IQR). Key Results Pharyngo-esophageal motility, respiratory, and impedance characteristics of 209 swallows were analyzed (85 spontaneous swallows, 63 pacifier associated dry swallows, 61 taste associated swallows). Basal UES and EGJ pressures decreased upon pacifier (P<0.05) and taste interventions (P<0.05); however, esophageal motility, respiratory rhythm, and impedance transit characteristics were similar with both interventions. Conclusions and Inferences Oral stimulus with pacifier or taste interventions decreases UES and EGJ basal pressure, but has no effects on pharyngo-esophageal motility, airway interactions, or esophageal bolus transit. A decrease in central parasympathetic-cholinergic excitatory drive is likely responsible for the basal effects.

show abstract

Frequency-modulated orocutaneous stimulation promotes non-nutritive suck development in preterm infants with respiratory distress syndrome or chronic lung disease

Cited by 35 publications

References 37 publications

The Effects of Non-Nutritive Sucking and Pre-Feeding Oral Stimulation on Time to Achieve Independent Oral Feeding for Preterm Infants

The Effects of Non-Nutritive Sucking and Pre-Feeding Oral Stimulation on Time to Achieve Independent Oral Feeding for Preterm Infants

Patterned auditory stimulation and suck dynamics in full‐term infants

Effects of pacifier and taste on swallowing, esophageal motility, transit, and respiratory rhythm in human neonates

Contact Info

Product

Resources

About