Massage and Swaddling Reduce Pain in Infants

25 may 2012, Massage can reduce the child's arms and hands and diapers clearly the painful needle sticks, two recent studies - May 2012 (Honolulu, Hawaii).

In one study, researchers massaging upper limbs of children in a neonatal intensive care unit (NICU) before administration of venipuncture for blood samples.
In the second study, wrapped in blankets researchers from the children a heel stick.
Both teams of researchers have investigated the pain of babies in the Neonatal Pain Profile (PIPP), a composite measure of heart rate, oxygen saturation, facial reactions to pain (grimacing, brow bulge, nasolabial folds and lips pursed), behavioral state and gestational age.
The researchers reported the results of both studies at the American Pain Society (APS) annual scientific meeting .. 31
Babies with
Doctors often adhere to the NICU babies with needles to test your blood or administer medication."In my clinical practice I have seen many children suffer," Yuen Mon Chik, MS, lead author of the massage parlor, told Medscape Medical News: "I wonder if there is a way to relieve pain."
It can be difficult to give babies oral analgesics, Chik said a researcher at the U.S. Christian Hospital, Hong Kong, China. "In foreign hospitals, such as the use of sucrose. It is effective in some ways, but in some babies it is not appropriate for the immature gut."
For the study of massage, Chik and his colleagues randomly 65 children with a gestational age 30 to 40 weeks divided into two groups. The 32 children in group 1 received a massage for 2 minutes before the first blood test. They have the usual treatment before his second venipuncture.
In group 2, the order reversed - the usual care following massage.
The researchers tracked babies behavior and physiological responses to an accountant in real time, right after the massage, and again in the first 30 seconds of sampling.
A nurse who did not want the child a massage before venipuncture rated videos and biometric data of children and had met in PIPP. Scores of PIPP ranging from 0 to 21, wherein higher values ​​indicate higher pain behaviors.
The average pain score in the first group was 5.84 ± 3.51 and 12.66 ± 3.10 a massage without any massage. The respective values ​​of the second group, 7.30 ± 4.43 and 11.33 ± 4.37.
The researchers concluded that the technique effectively reduces the pain of babies. "After a massage, there appears to be no sorrow," says Chik.
Kathleen Sluka, Ph.D., professor of physical therapy and rehabilitation science of pain at the University of Iowa in Iowa City, told Medscape Medical News that he was impressed that massage seems to reduce pain score as much as half.
"This is a relatively large reduction in pain for something as simple as a 2-minute massage," says Sluka, who was not involved in the study. "It's very easy to do."
She said that children who are prone to suffer from chronic pain, pain that develop in adulthood. "This can be very important from this perspective," he said.
In the second study, so researchers at the Chinese University of Hong Kong, China, the impact of diapers for newborns. They included 27 randomized 27 preterm infants with and without intervention.
They report that the average values ​​were lower in the intervention group PIPP than in the control group during, immediately after and 2, 4 and 6 minutes after a heel stick (p = 0.001).
The average heart rate and oxygen saturation was also lower in the intervention group than in the control group in all these points in time (p <.001).
Both heart rate and oxygen saturation in infants in diapers back to baseline levels in 2 minutes, but lasted for 6 to 8 minutes for these guys back to baseline in the control group.
The researchers do not show any side effects.Speculate that the proprioceptive sensory stimulation systems provide diapers, thermal and tactile pain can be achieved by control of the door to be reduced.
Wrap perhaps less practical than massage because it is difficult to access veins of babies wrapped in blankets, Chik said.
American Pain Society (APS) 31 th annual scientific meeting. Abstract # 333 and # 455th Presented at 16th May 2012.
Ms. Chik, and Ms. Sluka has NOTHING relevant financial relationships.

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