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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.

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

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