- ICH GCP
- Registro de ensayos clínicos de EE. UU.
- Ensayo clínico NCT04309162
Soft Tissue Therapy in Managing Procedural Pain Among Neonates.
Soft Tissue Therapy in Managing Procedural Pain Among Neonates Admitted in Neonatal Intensive Care Unit: A Single Group, Pretest Posttest Quasi Experimental Study.
Descripción general del estudio
Estado
Condiciones
Intervención / Tratamiento
Descripción detallada
Background: Neonatal intensive care unit (NICU) is a specialized unit created for sick and premature newborns. There are various painful procedures through which neonates have to undergo during the NICU stay. The most common procedure is the blood tests for the laboratory investigations which include the heel lancing and venipuncture. Pain is the one of the cause of the development of the acute stress in neonates soft tissue therapy has considered as the major contributory factor of in reducing the procedural pain among neonates admitted NICU. There is no documentation on soft tissue therapy in managing procedural pain in neonates.
Purpose: To determine the effects of soft tissue therapy in managing procedural pain among neonates admitted in NICU.
Methods and materials: The study will recruit neonates who underwent for various painful procedures in NICU such as venous and arterial puncture, capillary puncture, pulmonary mechanical ventilation, tracheal intubation, removal of adhesive tapes, the introduction of various drains etc. Preterm, Term, Full terms Neonates Stable Neonates. The samples will be taken via stratified random sampling technique. Neonates with unstable vitals are to be excluded from the study.
Discussion: To best of our knowledge, this will be the first study determining the effects of soft tissue therapy in procedural pain on neonates admitted in NICU. The role of neonatal physiotherapist in NICU is to provide diagnosis and treatment to admitted newborns. Massage therapy is considered as an effective management technique in pain management. In this study soft tissue therapy will be applied to neonates especially in context with procedural pain. There are various painful procedures performed to check the prognosis of neonates.
Keywords: Neonatal; Newborns; Infant; NICU; Procedural pain; Massage therapy.
Tipo de estudio
Inscripción (Actual)
Fase
- No aplica
Contactos y Ubicaciones
Ubicaciones de estudio
-
-
Haryana
-
Ambala, Haryana, India, 133207
- Abhishek Sharma
-
-
Criterios de participación
Criterio de elegibilidad
Edades elegibles para estudiar
Acepta Voluntarios Saludables
Géneros elegibles para el estudio
Descripción
Inclusion Criteria:
- Neonates who underwent various painful procedures in NICU such as venous, arterial and capillary puncture, mechanical ventilation for pulmonary causes, tracheal intubation, adhesive tapes removal, insertion of various drains etc.
- Preterm, Term, Post terms Neonates
- Stable Neonates.
Exclusion Criteria:
- Post-Surgical cases
- Parents of Neonates who are not willing to enroll their infant in study.
- Neonates with congenital anomalies.
- Neonates with extreme low birth weight.
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Tratamiento
- Asignación: N / A
- Modelo Intervencionista: Asignación de un solo grupo
- Enmascaramiento: Ninguno (etiqueta abierta)
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
---|---|
Experimental: soft tissue therapy
Soft tissue therapy includes various techniques which is usually done by manipulating the soft tissues.
The techques like stroking, petrissage, percussing maniulations are proved helpful in managing various painful conditions.
The main effect of the soft tissue therapy is enhanced blood circulation to the area.
When the techniques of soft tissue therapy are applied they will results in stretching and rubbing the muscular tissue which results in increased venous flow to heart and removal of the lactic acid accumulation occurs as the fresh supply of blood to the area will increased.
Endorphins the natural pain relievers are released as there is improved oxygenation and perfusion of oxygen in tissues.
|
Soft tissue therapy consists of various soft tissue manipulating techniques which includes the stroking, percussive and tapping manipulations.
The treatment techniques are divided according to the body parts.
under this techniques are tapping, flat finger kneading, Stroking, skin rolling etc.
|
¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
---|---|---|
Change in Neonatal Infant Pain Scale (NIPS)
Periodo de tiempo: Baseline, 4 days after the intervention.
|
Neonatal Infant Pain Scale is basically a behavioral tool and can be used in preterm and full term infants.
The total score is 7. NIPS score is divided into 3 categories.
0-2 indicates no pain, 3-4 mild to moderate pain, >4 indicates severe pain.
|
Baseline, 4 days after the intervention.
|
Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
---|---|---|
Change in Neonatal Pain Agitation and sedation scale(N-PASS)
Periodo de tiempo: Baseline, 4 days after the intervention
|
N-PASS is scale which is used to assess Procedural, postoperative mechanically .
ventilated patients.
It includes variables like crying, irritability, facial expression, extremity tone and vital signs.
It is 0 to 10 scale high level of score indicates more aggression and intense behavior and low levels indicates decreased level of stimulation and deeper sedation.
|
Baseline, 4 days after the intervention
|
Colaboradores e Investigadores
Patrocinador
Investigadores
- Investigador principal: Abhishek Sharma, BPT, Maharishi Markandeshwar Institute of physiotherapy and Rehabilitation
Publicaciones y enlaces útiles
Publicaciones Generales
- Jain S, Kumar P, McMillan DD. Prior leg massage decreases pain responses to heel stick in preterm babies. J Paediatr Child Health. 2006 Sep;42(9):505-8. doi: 10.1111/j.1440-1754.2006.00912.x.
- Brummelte S, Grunau RE, Chau V, Poskitt KJ, Brant R, Vinall J, Gover A, Synnes AR, Miller SP. Procedural pain and brain development in premature newborns. Ann Neurol. 2012 Mar;71(3):385-96. doi: 10.1002/ana.22267. Epub 2012 Feb 28.
- Niemi AK. Review of Randomized Controlled Trials of Massage in Preterm Infants. Children (Basel). 2017 Apr 3;4(4):21. doi: 10.3390/children4040021.
- Field T, Diego M, Hernandez-Reif M. Preterm infant massage therapy research: a review. Infant Behav Dev. 2010 Apr;33(2):115-24. doi: 10.1016/j.infbeh.2009.12.004.
Enlaces Útiles
- Preterm infants are exposed to various painful procedures in Neonatal intensive care unit. Early Procedural pain exposure results int the harmful effects on the development of brain.
- randomized controlled trials on the effects of massage in preterm infants suggest improved weight gain and shortened length of hospital stay. Improved weight gain may be mediated through increase in vagal tone but more studies are needed.
- Massage therapy is considered as the effective non pharmacological measure for reducing the procedural pain in NICU and reduces their hospital stay.
- By applying massage therapy before doing heel stick procedure pain responses are reduced in preterm infants
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio (Actual)
Finalización primaria (Actual)
Finalización del estudio (Actual)
Fechas de registro del estudio
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Actual)
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
Otros números de identificación del estudio
- MMDU/IEC/1528
- U1111-1249-2317 (Otro identificador: Universal Trial Number (UTN) by WHO ICTRP)
Plan de datos de participantes individuales (IPD)
¿Planea compartir datos de participantes individuales (IPD)?
Información sobre medicamentos y dispositivos, documentos del estudio
Estudia un producto farmacéutico regulado por la FDA de EE. UU.
Estudia un producto de dispositivo regulado por la FDA de EE. UU.
Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .
Ensayos clínicos sobre Trastorno neonatal
-
University of AarhusTerminadoHiperbilirrubinemia Neonatal No ComplicadaDinamarca
-
Guangzhou Women and Children's Medical CenterReclutamientoHiperbilirrubinemia neonatal | Ictericia neonatal | Hemólisis NeonatalPorcelana
-
HonorHealth Research InstituteNeolightTerminadoHiperbilirrubinemia neonatal | Ictericia Neonatal | Trastorno neonatalEstados Unidos
-
Muhammad ZarkAún no reclutandoIctericia neonatal fisiológica | Hiperbilirrubinemia fisiológicaPakistán
-
University College, LondonMinistry of Health and Child Welfare, Zimbabwe; Biomedical Research and Training... y otros colaboradoresReclutamientoEncefalopatía Neonatal | Precocidad | Convulsión Neonatal | Ictericia neonatal | Sepsis neonatal | Muerte Neonatal | Insuficiencia respiratoria neonatal | Hipoglucemia neonatal | Trastorno neonatal | Hipotermia NeonatalZimbabue, Malaui
-
Jip GroenInBiomeReclutamientoColonización Microbiana | Infeccion Neonatal | Sepsis Neonatal, Inicio Temprano | Enfermedad microbiana | Sepsis clínica | Sepsis neonatal con cultivo negativo | Sepsis Neonatal, Inicio Tardío | Sepsis neonatal con cultivo positivoPaíses Bajos
-
National Liver Institute, EgyptTerminadoIctericia neonatalEgipto
-
Wollo UniversityJimma UniversityReclutamientoAtención NeonatalEtiopía
-
The Hospital for Sick ChildrenAga Khan University; Grand Challenges Canada; March of Dimes; UBS Optimus Foundation y otros colaboradoresTerminado
-
Ege UniversityAssociate Professor Figen YARDIMCIAún no reclutandoIctericia fetal y neonatal no especificada
Ensayos clínicos sobre Soft tissue therapy
-
Fundação de Amparo à Pesquisa do Estado de São...Terminado
-
NeuroTronik Inc.DesconocidoInsuficiencia cardiaca | Insuficiencia cardíaca agudaParaguay
-
Decathlon SEEFOR, FranceReclutamiento
-
Neurosoft Bioelectronics SAUMC Utrecht; European Research CouncilAún no reclutandoEpilepsia Focal | Monitoreo intraoperatorioPaíses Bajos
-
Decathlon SEReclutamientoEpicondilitis | Lesión en el codo | Tendinitis codoFrancia
-
University of Roma La SapienzaTerminadoImplante dental fallido | Mucositis BucalItalia
-
NeuroTronik Inc.DesconocidoTerapia de estimulación autónoma del gasto cardíaco para la insuficiencia cardíaca aguda (COAST-AHF)Insuficiencia cardíaca agudaPanamá
-
Vårdcentralen ÅbyUniversity Hospital, Linkoeping; Vinnova; The Swedish Research Council for Environment... y otros colaboradoresTerminado
-
Vyaire MedicalAún no reclutandoSíndrome de insuficiencia respiratoria del recién nacidoItalia
-
Hiroshima Kyoritsu HospitalTerminado