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肌动学贴扎对吞咽困难新生儿吞咽功能的影响:一项随机对照初步研究。

Effects of kinesiology taping on swallowing functions in newborns with swallowing difficulties: a randomized controlled pilot study.

机构信息

University of Health Sciences Turkey, Ankara Bilkent City Hospital, Department of Physical Medicine and Rehabilitation - Ankara, Turkey.

University of Health Sciences Turkey, Ankara Bilkent City Hospital, Department of Pediatrics - Ankara, Turkey.

出版信息

Rev Assoc Med Bras (1992). 2023 Oct 9;69(10):e20230383. doi: 10.1590/1806-9282.20230383. eCollection 2023.

DOI:10.1590/1806-9282.20230383
PMID:37820176
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10561914/
Abstract

OBJECTIVE

This study investigated the efficacy of kinesiology taping application in premature infants with dysphagia.

METHODS

A total of 60 premature newborns (born ≤37weeks' gestational age who reached the age ≥34 weeks of postmenstrual age) with sucking and swallowing problems were randomly assigned to the kinesiology taping group [n=31; 18 males, 13 females; mean postmenstrual age 35.4 weeks (SD 0.9 weeks, range 34-38 weeks)] or control group without kinesiology taping application [n=29; 16 males, 13 females; mean postmenstrual age age 35.6 weeks (SD 1.4 weeks, range 34-40 weeks)].

RESULTS

Kinesiology taping group yielded significant improvement in the oral reflexes (p<0.001) and in the sucking functions including tongue movement, sucking power, number of sucks and sucking pause, maintenance of alertness, jaw movement, tongue cupping, and maintenance of rhythm (p<0.001, p=0.011, p=0.002, and p=0.001, respectively). There was a significant difference in favor of the taping group with respect to the number of neonates whose feeding improved (26 (84%) vs. 7 (24%), p<0.001).

CONCLUSION

The results of this study show that kinesiology taping can be applied as a safe and effective method to improve feeding functions in premature infants with sucking and swallowing difficulties.

摘要

目的

本研究旨在探讨运动贴扎对吞咽困难早产儿的疗效。

方法

共纳入 60 例有吸吮和吞咽问题的早产儿(出生胎龄≤37 周,达到的校正胎龄≥34 周),随机分为运动贴扎组(n=31;男 18 例,女 13 例;平均校正胎龄 35.4 周(标准差 0.9 周,范围 34-38 周))和未应用运动贴扎的对照组(n=29;男 16 例,女 13 例;平均校正胎龄 35.6 周(标准差 1.4 周,范围 34-40 周))。

结果

运动贴扎组口腔反射(p<0.001)和吸吮功能(包括舌运动、吸吮力、吸吮次数和吸吮暂停、警觉度、下颌运动、舌杯状、维持节律)均显著改善(p<0.001,p=0.011,p=0.002,p=0.001)。贴扎组改善喂养的新生儿比例显著高于对照组(26(84%) vs. 7(24%),p<0.001)。

结论

本研究结果表明,运动贴扎可作为一种安全有效的方法,改善有吸吮和吞咽困难的早产儿的喂养功能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2f6/10561914/afcd7c8a24d2/1806-9282-ramb-69-10-e20230383-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2f6/10561914/afcd7c8a24d2/1806-9282-ramb-69-10-e20230383-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2f6/10561914/afcd7c8a24d2/1806-9282-ramb-69-10-e20230383-gf01.jpg

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Somatosens Mot Res. 2023 Mar;40(1):39-45. doi: 10.1080/08990220.2022.2157394. Epub 2022 Dec 20.
2
Demonstration of kinesio taping effect by ultrasonography in neck pain.超声观察运动贴扎对颈痛的效果。
Rev Assoc Med Bras (1992). 2022 Nov 21;68(10):1452-1457. doi: 10.1590/1806-9282.20220668. eCollection 2022.
3
Effects of Kinesio Taping Compared with Manipulation Therapy on Drooling and Speech Intelligibility in Children with Oral Dysphagia: A Pilot Study.
肌内效贴布贴扎对比推拿疗法对口腔吞咽障碍儿童流涎和言语清晰度的影响:一项初步研究。
Altern Ther Health Med. 2022 Mar;28(3):48-51.
4
Improve the clinical effective decision of the oral feeding readiness in preterm infants: Revise and validate the TC-POFRAS.提高早产儿经口喂养准备临床有效决策:修订和验证 TC-POFRAS。
J Neonatal Perinatal Med. 2022;15(2):317-325. doi: 10.3233/NPM-210869.
5
Effect of Dysphagia Rehabilitation Using Kinesiology Taping on Oropharyngeal Muscle Hypertrophy in Post-Stroke Patients: A Double Blind Randomized Placebo-Controlled Trial.肌内效贴吞咽康复对脑卒中后患者口咽肌肥大的影响:一项双盲随机安慰剂对照试验
Healthcare (Basel). 2020 Oct 19;8(4):411. doi: 10.3390/healthcare8040411.
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Feeding and Swallowing Difficulties in Neonates: Developmental Physiology and Pathophysiology.新生儿喂养和吞咽困难:发育生理学和病理生理学。
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