Hydrotherapy in neonatology. A systematic review

Authors

  • Galaad Torró Ferrero University of Murcia image/svg+xml
  • Francisco Javier Fernández Rego Universidad de Murcia Centro de Desarrollo Infantil y Atención Temprana Fina Navarro López de Lorca

DOI:

https://doi.org/10.21134/riaa.v4i7.1717

Keywords:

Physical therapy modalities, premature infants, hydrotherapy, neonatal intensive care

Abstract

Introduction: Improvements in neonatal care have increased the survival rate of preterm and low birth weight infants, however, the incidence of developmental and motor disorders in these infants has remained almost unchanged. Physiological alterations in this population contribute to their developmental problems.

Objetives: Hydrotherapy may show some benefits in improving the development of preterm infants, hospitalised in neonatal units, by providing desgravitated tactile and kinesthetic stimulation.

Method: A systematic review was conducted between September and November 2019 to determine what benefits can be obtained from hydrotherapy in preterm infants admitted to neonatal units following PRISMA criteria. The databases consulted were PubMed, PEDro, Web of Science, CINHAL, SciELO, Cochrane Library and PsycINFO.

Results: After following the identification, screening and suitability criteria, a total of 4 articles were included in our review for analysis. The following variables were analysed: pain, quality and duration of deep sleep, oxygen saturation, heart and respiratory rate, cortisol levels in saliva and neurological prognosis assessed with general movements (GM).

Conclusions: Hydrotherapy may contribute to the reduction of the harmful effects of neonatal units on infants, promoting their neurological development. In this sense, it could be introduced in the physiotherapy protocols of intervention and management of premature babies in neonatal units.

Key words: Physical therapy modalities, premature infants, hydrotherapy, neonatal intensive care.

Downloads

Download data is not yet available.

Author Biographies

  • Galaad Torró Ferrero, University of Murcia

    Fisioterapeuta pediátrico

    Máster Oficial de Fisioterapia en el abordaje neurológico del niño y del adulto. Universidad de Murcia

     

  • Francisco Javier Fernández Rego, Universidad de Murcia Centro de Desarrollo Infantil y Atención Temprana Fina Navarro López de Lorca

    Fisioterapeuta pediatrico en el Centro de Desarrollo Infantil y Atención Temprana Fina Navarro López de Lorca

    Profesor asociado. Departamento de Fisioterapia. Universidad de Murcia

    Doctor en Fisioterapia por la Universidad de Murcia

    Máster Oficial de Fisioterapia el abordaje neurológico del niño y del adulto. Universidad de Murcia

    Máster oficial en intervencion e investigación en ejercicio físico, salud y dependencia. Universidad de Murcia

References

Allievi, A. G., Arichi, T., Tusor, N., Kimpton, J., Arulkumaran, S., Counsell, S. J., … Burdet, E. (2016). Maturation of Sensori-Motor Functional Responses in the Preterm Brain. Cerebral Cortex, 26(1), 402–413. https://doi.org/10.1093/cercor/bhv203

Álvarez, M. J., Fernández, D., Gómez-Salgado, J., Rodríguez-González, D., Rosón, M., & Lapeña, S. (2017). The effects of massage therapy in hospitalized preterm neonates: A systematic review. International Journal of Nursing Studies, 69, 119–136. https://doi.org/10.1016/j.ijnurstu.2017.02.009

Armijo-Olivo, S., da Costa, B. R., Cummings, G. G., Ha, C., Fuentes, J., Saltaji, H., & Egger, M. (2015). PEDro or Cochrane to Assess the Quality of Clinical Trials? A Meta-Epidemiological Study. PloS One, 10(7), e0132634. https://doi.org/10.1371/journal.pone.0132634

Bhogal, S. K., Teasell, R. W., Foley, N. C., & Speechley, M. R. (2005). The PEDro scale provides a more comprehensive measure of methodological quality than the Jadad Scale in stroke rehabilitation literature. Journal of Clinical Epidemiology, 58(7), 668–673. https://doi.org/10.1016/J.JCLINEPI.2005.01.002

Blencowe, H., Lee, A. C., Cousens, S., Bahalim, A., Narwal, R., Zhong, N., … Lawn, J. E. (2013). Preterm birth–associated neurodevelopmental impairment estimates at regional and global levels for 2010. Pediatric Research, 74(S1), 17–34. https://doi.org/10.1038/pr.2013.204

Bouyssi-Kobar, M., Du Plessis, A. J., McCarter, R., Brossard-Racine, M., Murnick, J., Tinkleman, L., … Limperopoulos, C. (2017). Third Trimester Brain Growth in Preterm Infants Compared with in Utero Healthy Fetuses. Obstetrical and Gynecological Survey, 72(3), 145–146. https://doi.org/10.1097/01.ogx.0000513225.92648.a4

Connolly, B. H. (1985). Neonatal assessment: an overview. Physical Therapy, 65(10), 1505–1513.

Craciunoiu, O., & Holsti, L. (2017). A Systematic Review of the Predictive Validity of Neurobehavioral Assessments During the Preterm Period. Physical & Occupational Therapy In Pediatrics, 37(3), 292–307. https://doi.org/10.1080/01942638.2016.1185501

de Oliveira Tobinaga, W. C., de Lima Marinho, C., Abelenda, V. L. B., de Sá, P. M., & Lopes, A. J. (2016). Short-Term Effects of Hydrokinesiotherapy in Hospitalized Preterm Newborns. Rehabilitation Research and Practice, 2016, 1–8. https://doi.org/10.1155/2016/9285056

Einspieler, C., & Prechtl, H. F. R. (2005). Prechtl’s assessment of general movements: A diagnostic tool for the functional assessment of the young nervous system. Mental Retardation and Developmental Disabilities Research Reviews, 11(1), 61–67. https://doi.org/10.1002/mrdd.20051

Fagard, J., Esseily, R., Jacquey, L., O’Regan, K., & Somogyi, E. (2018). Fetal origin of sensorimotor behavior. Frontiers in Neurorobotics, 12(MAY), 1–7. https://doi.org/10.3389/fnbot.2018.00023

George, J. M., Boyd, R. N., Colditz, P. B., Rose, S. E., Pannek, K., Fripp, J., … Bandaranayake, S. E. (2015). PPREMO: A prospective cohort study of preterm infant brain structure and function to predict neurodevelopmental outcome. BMC Pediatrics, 15(1), 1–17. https://doi.org/10.1186/s12887-015-0439-z

Gianfaldoni, S., Tchernev, G., Wollina, U., Roccia, M. G., Fioranelli, M., Gianfaldoni, R., & Lotti, T. (2017). History of the baths and thermal medicine. Open Access Macedonian Journal of Medical Sciences, 5(4 Special Issue GlobalDermatology), 566–568. https://doi.org/10.3889/oamjms.2017.126

Graca, A. M., Cardoso, K. R. V., da Costa, J. M. F. P., & Cowan, F. M. (2013). Cerebral volume at term age: Comparison between preterm and term-born infants using cranial ultrasound. Early Human Development, 89(9), 643–648. https://doi.org/10.1016/j.earlhumdev.2013.04.012

Hawkins, E., & Jones, A. (2015). What is the role of the physiotherapist in paediatric intensive care units? A systematic review of the evidence for respiratory and rehabilitation interventions for mechanically ventilated patients. Physiotherapy, 101(4), 303–309. https://doi.org/10.1016/j.physio.2015.04.001

Henderson, K. G., Wallis, J. A., & Snowdon, D. A. (2018). Active physiotherapy interventions following total knee arthroplasty in the hospital and inpatient rehabilitation settings: a systematic review and meta-analysis. Physiotherapy, 104(1), 25–35. https://doi.org/10.1016/j.physio.2017.01.002

Husby, I. M., Skranes, J., Olsen, A., Brubakk, A.-M., & Evensen, K. A. I. (2013). Motor skills at 23years of age in young adults born preterm with very low birth weight. Early Human Development, 89(9), 747–754. https://doi.org/10.1016/j.earlhumdev.2013.05.009

Kinney, M. V, Lawn, J. E., Howson, C. P., & Belizan, J. (2012). 15 million preterm births annually: what has changed this year? Reproductive Health, 9(1), 28. https://doi.org/10.1186/1742-4755-9-28

Luhmann, H. J., Sinning, A., Yang, J. W., Reyes-Puerta, V., Stüttgen, M. C., Kirischuk, S., & Kilb, W. (2016). Spontaneous neuronal activity in developing neocortical networks: From single cells to large-scale interactions. Frontiers in Neural Circuits, 10(MAY), 1–14. https://doi.org/10.3389/fncir.2016.00040

Luu, T. M., Rehman Mian, M. O., & Nuyt, A. M. (2017). Long-Term Impact of Preterm Birth. Clinics in Perinatology, 44(2), 305–314. https://doi.org/10.1016/j.clp.2017.01.003

Ma, L., Yang, B., Meng, L., Wang, B., Zheng, C., & Cao, A. (2015). Effect of early intervention on premature infants’ general movements. Brain and Development, 37(4), 387–393. https://doi.org/10.1016/j.braindev.2014.07.002

Marder, E., & Bucher, D. (2001). Central pattern generators and the control of rhythmic movements. Current Biology, 11(23), R986–R996.

McManus, B. M., & Kotelchuck, M. (2007). The effect of aquatic therapy on functional mobility of infants and toddlers in early intervention. Pediatric Physical Therapy, 19(4), 275–282. https://doi.org/10.1097/PEP.0b013e3181575190

Milh, M., Kaminska, A., Huon, C., Lapillonne, A., Ben-Ari, Y., & Khazipov, R. (2007). Rapid cortical oscillations and early motor activity in premature human neonate. Cerebral Cortex, 17(7), 1582–1594. https://doi.org/10.1093/cercor/bhl069

Miyaoka, Y., Haishima, K., Takagi, M., Haishima, H., Asari, J., & Yamada, Y. (2006). Influences of thermal and gustatory characteristics on sensory and motor aspects of swallowing. Dysphagia, 21(1), 38–48. https://doi.org/10.1007/s00455-005-9003-6

Neelapala, Y. V. R., Attal, R., & Tandale, S. (2019). Aquatic exercise for persons with haemophilia: A review of literature. Complementary Therapies in Clinical Practice, 34, 195–200. https://doi.org/10.1016/j.ctcp.2018.12.004

Padilla, N., Alexandrou, G., Blennow, M., Lagercrantz, H., & Ådén, U. (2015). Brain Growth Gains and Losses in Extremely Preterm Infants at Term. Cerebral Cortex, 25(7), 1897–1905. https://doi.org/10.1093/cercor/bht431

Peterson, B. S., Anderson, A. W., Ehrenkranz, R., Staib, L. H., Tageldin, M., Colson, E., … Ment, L. R. (2003). Regional brain volumes and their later neurodevelopmental correlates in term and preterm infants. Pediatrics, 111(5 I), 939–948. https://doi.org/10.1542/peds.111.5.939

Pitcher, J. B., Riley, A. M., Doeltgen, S. H., Kurylowicz, L., Rothwell, J. C., McAllister, S. M., … Ridding, M. C. (2012). Physiological Evidence Consistent with Reduced Neuroplasticity in Human Adolescents Born Preterm. Journal of Neuroscience, 32(46), 16410–16416. https://doi.org/10.1523/JNEUROSCI.3079-12.2012

Prechtl, H. F. R. (1997). State of the art of a new functional assessment of the young nervous system. An early predictor of cerebral palsy. Early Human Development, 50(1), 1–11. https://doi.org/10.1016/S0378-3782(97)00088-1

Saigal, S., & Doyle, L. W. (2008). An overview of mortality and sequelae of preterm birth from infancy to adulthood. The Lancet, 371(9608), 261–269. https://doi.org/10.1016/S0140-6736(08)60136-1

Scholz, K., & Samuels, C. A. (1992). Neonatal Bathing and Massage intervention with fathers, behavioural effects 12 weeks after birth of the first baby: The Sunraysia Australia Intervention Project. International Journal Of Behavioral Development, 15(1), 67–81.

Spittle, A., & Treyvaud, K. (2016). The role of early developmental intervention to influence neurobehavioral outcomes of children born preterm. Seminars in Perinatology, 40(8), 542–548. https://doi.org/10.1053/j.semperi.2016.09.006

Steuer, I., & Guertin, P. A. (2018). Central pattern generators in the brainstem and spinal cord: An overview of basic principles, similarities and differences. Reviews in the Neurosciences. https://doi.org/10.1515/revneuro-2017-0102

Stevens, B. J., Gibbins, S., Yamada, J., Dionne, K., Lee, G., Johnston, C., & Taddio, A. (2014). The premature infant pain profile-revised (PIPP-R): initial validation and feasibility. Clin J Pain, 30(3), 238–243. Retrieved from

http://dx.doi.org/10.1097/AJP.0b013e3182906aed

Stevens, B., Johnston, C., Taddio, A., Gibbins, S., & Yamada, J. (2010). The premature infant pain profile: Evaluation 13 years after development. Clinical Journal of Pain, 26(9), 813–830. https://doi.org/10.1097/AJP.0b013e3181ed1070

Sweeney, J. K. (1983). Neonatal Hydrotherapy. An Adjunct to Develompmental Intervention in an Intensive Care Nursery Setting. The Haworth Press, 39–52.

Sweeney, J. K., Heriza, C. B., & Blanchard, Y. (2009). Neonatal physical therapy. Part I: Clinical competencies and neonatal intensive care unit clinical training models. Pediatric Physical Therapy, 21(4), 296–307. https://doi.org/10.1097/PEP.0b013e3181bf75ee

Sweeney, J. K., Heriza, C. B., Blanchard, Y., & Dusing, S. C. (2010). Neonatal Physical Therapy. Part II: Practice Frameworks and Evidence-Based Practice Guidelines. Pediatric Physical Therapy, 22(1), 2–16. https://doi.org/10.1097/PEP.0b013e3181cdba43

Valizadeh, L., Sanaeefar, M., Hosseini, M. B., Asgari Jafarabadi, M., & Shamili, A. (2017). Effect of Early Physical Activity Programs on Motor Performance and Neuromuscular Development in Infants Born Preterm: A Randomized Clinical Trial. Journal of Caring Sciences, 6(1), 67–79. https://doi.org/10.15171/jcs.2017.008

Vignochi, C. M., Teixeira, P. P., & Nader, S. S. (2010). Effect of aquatic physical therapy on pain and state of sleep and wakefulness among stable preterm newborns in neonatal intensive care units. Revista Brasileira de Fisioterapia (Sao Carlos (Sao Paulo, Brazil)), 14(3), 214–220. https://doi.org/ISNN: 1413-3555

Walsh, J. M., Doyle, L. W., Anderson, P. J., Lee, K. J., & Cheong, J. L. Y. (2014). Moderate and late preterm birth: Effect on Brain size and maturation at term-equivalent age. Radiology, 273(1), 232–240. https://doi.org/10.1148/radiol.14132410

Wang, S., Fan, P., Xiong, D., Yang, P., Zheng, J., & Zhao, D. (2018). Assessment of neonatal brain volume and growth at different postmenstrual ages by conventional MRI. Medicine (United States), 97(31). https://doi.org/10.1097/MD.0000000000011633

Wilson-Costello, D., Friedman, H., Minich, N., Siner, B., Taylor, G., Schluchter, M., & Hack, M. (2007). Improved Neurodevelopmental Outcomes for Extremely Low Birth Weight Infants in 2000-2002. PEDIATRICS, 119(1), 37–45. https://doi.org/10.1542/peds.2006-1416

Wood, J. D. (2018). Enteric Nervous System: Brain-in-the-Gut. In Physiology of the Gastrointestinal Tract (Sixth, Vol. 2, pp. 361–372). Elsevier Inc. https://doi.org/10.1016/B978-0-12-809954-4.00015-3

Zhao, S., Xie, L., Hu, H., Xia, J., Zhang, W., Ye, N., & Chen, B. (2005). A study of neonatal swimming (water therapy) applied in clinical obstetrics. Journal of Maternal-Fetal and Neonatal Medicine, 17(1), 59–62. https://doi.org/10.1080/14767050400028782

Zoia, S., Blason, L., D’Ottavio, G., Biancotto, M., Bulgheroni, M., & Castiello, U. (2013). The development of upper limb movements: From fetal to post-natal life. PLoS ONE, 8(12), 1–9. https://doi.org/10.1371/journal.pone.0080876

Downloads

Published

2020-01-31

How to Cite

Hydrotherapy in neonatology. A systematic review. (2020). Research Journal in Aquatic Activities, 4(7), 10-17. https://doi.org/10.21134/riaa.v4i7.1717

Similar Articles

1-10 of 54

You may also start an advanced similarity search for this article.