Massage with kinesthetic stimulation improves weight gain in preterm infants

A N Massaro, T A Hammad, B Jazzo,  H Aly

Objective:

The aim of this study was to evaluate the effects of massage with or without kinesthetic stimulation on weight gain and length of hospital stay in the preterm infant.

Study Design:

A prospective randomized clinical trial was conducted evaluating the effects of massage with or without kinesthetic stimulation (KS) on weight gain and length of stay (LOS) in medically stable premature (<1500 g and/or 32 weeks gestational age) neonates. Infants were randomized either to receive no intervention (control), massage therapy alone (massage), or massage therapy with KS (M/KS). Linear regression analysis was performed to evaluate differences in the primary outcomes between the groups after controlling for covariates. Post hoc analysis with stratification by birthweight (BW> and <1000 g) was also performed.

Result:

A total of 60 premature infants were recruited for this study; 20 infants in each group. Average daily weight gain and LOS were similar between the groups after controlling for covariates. For infants with BW>1000 g, average daily weight gain was increased in the intervention groups compared to control. This effect was mainly attributable to the M/KS group.

Conclusion:

Massage with KS is a relatively simple and inexpensive intervention that can improve weight gain in selected preterm infants. Length of hospital stay is not impacted by massage with or without KS. Further studies are needed to evaluate the effect of massage in the extremely low BW(<1000 g) infant.

Journal of Perinatology (2009) 29, 352–357  – abstract

doi:10.1038/jp.2008.230

Preterm infant massage elicits consistent increases in vagal activity and gastric motility that are associated with greater weight gain

MA Diego, T Field, Maria Hernandez-Reif, Osvelia Deeds, Angela Ascencio, Gisela Begert

Aim: To determine whether preterm infant massage leads to consistent increases in vagal activity and gastric motility and whether these increases are associated with greater weight gain.Methods: EKG and EGG were recorded in 80 preterm infants randomly assigned to a moderate pressure massage therapy group or to a standard care control group to assess vagal activity and gastric motility responses to massage therapy.Results: Massaged infants exhibited consistent short-term increases in vagal activity and gastric motility on both the first and the last days of the 5-day study that were associated with weight gain during the 5-day treatment period. No changes in basal vagal activity or gastric motility were noted across the 5-day treatment period.

Conclusion: Preterm infant massage is consistently associated with increases in vagal activity and gastric motility that may underlie the effects of massage therapy on preterm infant weight gain.

Acta Paediatr. 2007 Nov;96(11):1588-91

DOI: 10.1111/j.1651-2227.2007.00476.x