Physiotherapists' perception of changes in the autonomic system and behavioral state of newborns undergoing sensory motor stimulation procedures: cross-sectional study
DOI:
https://doi.org/10.17267/2238-2704rpf.2024.e5618Keywords:
Neonatal Intensive Care Unit, Sensory Motor Stimulation, Newborns, Physical Therapists, Synactive Theory of DevelopmentAbstract
INTRODUCTION: Sensory motor stimulation (SMS) is an early intervention used in newborns (NB) to organize their systems. The physiotherapist who uses SMS must pay careful attention to the signs presented by NB after the procedures. OBJECTIVE: To analyze the perception of physiotherapists about changes in the autonomic system and behavioral state of NB after SMS procedures. METHODS: Cross-sectional study performed with physiotherapists working in neonatal units. Data were collected by electronic questionnaire, processed in the SPSS program (version 21.0) and presented in absolute (n) and relative (%) frequency. RESULTS: 72 physiotherapists participated in this study, 48.6% had a specialist degree, 63.9% worked in Neonatal Intensive Care Unit, 38.8% lived in the southern region and 38.8% in the southeastern region of Brazil. The perception of most physiotherapists after tactile procedures was stability or decrease in heart rate (HR) and respiratory rate (RR), and stability of oxygen saturation (SpO2), and after vestibular procedures it was stability of HR, RR and SpO2. There was a perception of active sleep, drowsiness, and active alertness after all tactile and vestibular procedures. Active alertness was noticed after all procedures and intense crying was not noticed. CONCLUSION: Regarding the autonomic system, most physiotherapists noticed stable or decreased HR and RR, and stable or increased SpO2 after SMS procedures. Regarding the behavioral state, active alert was noticed more frequently among physiotherapists.
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(1) Als H. Developmental care in the newborn intensive care unit. Curr Opin Pediatrics. 998;10(2):138–42. https://doi.org/10.1097/00008480-199804000-00004
(2) D’arcadia MZ, Neri ERF, Alves SP. Neonatal stress: the impacts of noise and super auditory stimulation for newborn. Revista Movimenta [Internet]. 2012;5(3):1984–4298. Available from: https://www.revista.ueg.br/index.php/movimenta/article/view/7062
(3) Vera SO, Gouveia MTO, Dantas ALB, Rocha SS. Stressors in patients of neonatal intensive care unit. Rev Rene. 2018;19:e3478. https://doi.org/10.15253/2175-6783.2018193478
(4) Bremmer P, Byers JF, Kiehl E. Noise and the premature infant: physiological effects and practice implications. J Obstet Gynecol Neonatal Nurs. 2003;32(4):447–54. https://doi.org/10.1177/0884217503255009
(5) Peng NH, Bachman J, Jenkins R, Chen CH, Chang YC, Chang YS, et al. Relationships between environmental stressors and stress biobehavioral responses of preterm infants in NICU. J Perinat Neonatal Nurs. 2009;23(4):363–71. https://doi.org/10.1097/jpn.0b013e3181bdd3fd
(6) Cardoso MVLML, Rolim KMC, Fontenele FC, Gurgel EPP, Costa LR. Physiological and behavioral responses of newborns at risk to nurse’s care. Rev Gaucha Enferm. 2007;28(1):98–105. Available from: https://seer.ufrgs.br/index.php/rgenf/article/view/4705
(7) Als H. Toward a synactive theory of development: Promise for the assessment and support of infant individuality. Infant Ment Health J. 1982;3(4):229–43. http://dx.doi.org/10.1002/1097-0355(198224)3:4%3C229::AID-IMHJ2280030405%3E3.0.CO;2-H
(8) Otoni ACS, Grave MTQ. Assessment of the neurobehavioral signs of preterm infants admitted to Neonatal Intensive Care Unit. Revista de Terapia Ocupacional da Universidade de São Paulo. 2014;25(2):151–8. https://doi.org/10.11606/issn.2238-6149.v25i2p151-158
(9) Johnston C, Stopiglia MS, Ribeiro SNS, Baez CSN, Pereira SA. First Brazilian recommendation on physiotherapy with sensory motor stimulation in newborns and infants in the intensive care unit. Rev Bras Ter Intensiva [Internet]. 2021;33(1):12-30. Available from: https://pubmed.ncbi.nlm.nih.gov/33886850/
(10) Miot HA. Sample size in clinical and experimental. J Vasc Bras. 2011;10(4):275–8. https://doi.org/10.1590/S1677-54492011000400001
(11) Marques JBV, Freitas D. The DELPHI method: characterization and potentialities for educational research. Pro-Posições. 2018;29(87):389–415. http://dx.doi.org/10.1590/1980-6248-2015-0140
(12) Lima SC, Ribeiro SNS, Oliveira NF, Miranda CM, Britto RR, Montemezzo D. Identification of equipment and procedures used by Brazilian physical therapists for inspiratory muscle endurance tests. Fisioter. Pesqui. 2018;25(3):269–77. https://doi.org/10.1590/1809-2950/17014925032018
(13) Pereira SA, Rodrigues BA, Cunha LS, Pereira ARR, Dantas DS. Spatial distribution of number of Neonatal Intensive Care Units beds in Brazil and its association with child mortality rate. Saúde e pesqui. 2021;14(4):e8442. https://doi.org/10.17765/2176-9206.2021v14n4e8442
(14) Kanagasabai PS, Mohan D, Lewis LE, Kamath A, Rao BK. Effect of multisensory stimulation on neuromotor development in preterm infants. Indian J Pediatr. 2013;80(6):460–4. https://doi.org/10.1007/s12098-012-0945-z
(15) White-Traut R, Norr KF, Fabiyi C, Rankin KM, Li Z, Liu L. Mother-infant interaction improves with a developmental intervention for mother-preterm infant dyads. Infant Behav Dev. 2013;36(4):694–706. https://doi.org/10.1016/j.infbeh.2013.07.004
(16) White-Traut R, Rankin KM, Yoder JC, Liu L, Vasa R, Geraldo V, et al. Influence of H-HOPE intervention for premature infants on growth, feeding progression and length of stay during initial hospitalization. J Perinatol. 2015;35(8):636–41. https://doi.org/10.1038/jp.2015.11
(17) Medoff-Cooper B, Rankin K, Li Z, Liu L, White-Traut R. Multisensory intervention for preterm infants improves sucking organization. Adv Neonatal Care. 2015;15(2):142–9. https://doi.org/10.1097%2FANC.0000000000000166
(18) White-Traut R, Rankin KM, Pham T, Li Z, Liu L. Preterm infants’ orally directed behaviors and behavioral state responses to the integrated H-HOPE intervention. Infant Behav Dev. 2014;37(4):583–96. https://doi.org/10.1016/j.infbeh.2014.08.001
(19) Santos LM, Pereira MP, Santos LFN, Santana RCB. Pain assessment in the premature newborn in Intensive Care Unit. Rev Bras Enferm. 2012;65(1):27–33. https://doi.org/10.1590/S0034-71672012000100004
(20) Ferreira AM, Bergamasco NHP. Behavioral analysis of preterm neonates included in a tactile and kinesthetic stimulation program during hospitalization. Rev Bras Fisioter. 2010;14(2):141–8. https://doi.org/10.1590/S1413-35552010005000002
(21) Franco RC, Franção P, Fonseca Junior PR, Menezes V, Leite BCL, Morales Junior RN, et al. Sensory-motor intervention strategies for premature infants in neonatal intensive care: a systematic review. Brazilian Journal of Development. 2020;6(7):41708–18. http://dx.doi.org/10.34117/bjdv6n7-586
(22) Sadek BN, Abdelhamed T. Effect of Sensory Stimulation Interventions on Physiological Stability and Neurobehavioral Outcomes of Premature Neonates. Journal of Nursing and Health Science [Internet]. 2020;9(4):48–61. Available from: https://www.researchgate.net/publication/359245921_Effect_of_Sensory_Stimulation_Interventions_on_Physiological_Stability_and_Neurobehavioral_Outcomes_of_Premature_Neonates
(23) Khurana S, Kane AE, Brown SE, Tarver T, Dusing SC. Effect of neonatal therapy on the motor, cognitive, and behavioral development of infants born preterm: a systematic review. Dev Med Child Neurol. 2020;62(6):684–692. https://doi.org/10.1111/dmcn.14485
(24) Silva MVS, Oliveira AV, Santos RSL, Leal SS. Efeito da Estimulação Sensório-Motora sobre os parâmetros de dor e estresse em neonatos pré-termos: um ensaio clínico. Revista Ft. 2023;27(128):1–20. http://doi.org/10.5281/zenodo.10202397
(25) Reco MON, Soares-Marangoni DA. Randomized Controlled Trial Protocol on the Effects of a Sensory Motor Intervention Associated with Kangaroo Skin-to-Skin Contact in Preterm Newborns. Int J Environ Res Public Health. 2024;21(5):538. https://doi.org/10.3390/ijerph21050538
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