Effect of tactile-kinesthetic stimulation on weight gain and neuromuscular maturity in preterm neonates

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Author: 
Rajalakshmi, R., Vetriselvi, P. and Nivedita Mondal
Subject Area: 
Health Sciences
Abstract: 

Background and Purpose: The purpose of the present study is to assess the effectiveness of tactile-kinesthetic stimulation on weight gain & neuromuscular maturity in preterm neonates – a Randomized controlled trial in NICU, JIPMER, Puducherry. Material and Methods: A Randomized controlled trial was adapted for this study. The study setting was Neonatal Intensive Care Unit, Women and Children Hospital, JIPMER, Puducherry. 96 samples (48 in each group) who satisfied the inclusion criteria were selected using simple random sampling technique by means of computer generated random numbers sealed in opaque envelops. After obtaining formal permission from the institution and written informed consent from the mothers, neonates were allocated to control and interventional group by block randomization technique. Interventional group received 10 days of tactile kinesthetic stimulation for 15 minutes each twice a day. The study outcome was assessed by a person who was not aware of the groups at the end of 10th day of intervention and at Corrected Gestational Age (CGA) week 40. Results: At the end of day 10 - no statistical difference was found in weight, score of total neuromuscular maturity and its components like square window, arm recoil, popliteal angle, scarf sign; whereas at Corrected Gestational Age Week 40 – weight, total neuromuscular maturity scores and its components like posture, popliteal angle, scarf sign and heel to angle scores difference were statistically significant. Conclusions: The present study showed that tactile kinesthetic stimulation is more effective in improving the weight and neuromuscular maturity of the preterm neonates.

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