Comuk Balci Nilay, Anuk Ince Deniz, Ecevit Ayşe, Erdoğan Balkar, Doğan Ilknur Ezgi, Turan Ozden, Tarcan Aylin
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Ondokuz Mayıs University, 55270 Samsun, Türkiye.
Department of Pediatrics, Division of Neontology, Faculty of Medicine, Baskent University, 06790 Ankara, Türkiye.
Children (Basel). 2025 Mar 15;12(3):369. doi: 10.3390/children12030369.
: Feeding difficulties in late preterm infants are a major factor contributing to prolonged hospitalization and re-admission. Early support for the sucking and swallowing muscles may accelerate their maturation, facilitating safe and early discharge. This study aims to evaluate the effects of the Kinesio-taping technique on feeding muscles and assess feeding and swallowing function in late preterm infants through the acoustic analysis of swallowing sounds. Seventy-four late preterm infants (mean gestational age 35.30 ± 0.81 weeks) were randomly assigned to either a Kinesio-taping group or a control group. A single physiotherapist applied Kinesio taping to support the masseter and hyoid muscles, using a facilitatory technique to enhance muscle function. The Kinesio taping was removed two days after its application. The amount of milk intake, the time for milk intake, oxygen saturation during milk intake, the number of days required for transition to full oral feeding, the length of hospital stay, the duration of oxygen requirement, the maximum number of rhythmic swallows, and the heart rate during milk intake were recorded using a digital stethoscope before and two days after Kinesio-taping application. The collected data were assessed through acoustic analysis. No statistically significant differences were observed between the Kinesio-taping and control groups regarding milk intake amount, feeding duration, oxygen saturation during feeding, the transition time to full oral feeding, the length of hospital stay, or the duration of oxygen support ( > 0.05). However, a significant difference was found between the groups in the maximum number of rhythmic swallows during feeding and the heart rate during milk intake ( < 0.05). The application of the Kinesio-taping technique showed no adverse effects on preterm infants in the NICU during the feeding skills intervention. The assessment of acoustic analysis revealed a significant difference in the maximum number of rhythmic swallows and heart stabilization during feeding in the Kinesio-taping group. Further studies are warranted, incorporating different application types and techniques with larger sample sizes, especially among preterm infants with an early gestational age in the NICU, to stabilize the suck and swallow muscles.
晚期早产儿的喂养困难是导致住院时间延长和再次入院的主要因素。对吸吮和吞咽肌肉的早期支持可能会加速其成熟,促进安全和早期出院。本研究旨在评估肌内效贴布技术对喂养肌肉的影响,并通过吞咽声音的声学分析评估晚期早产儿的喂养和吞咽功能。74名晚期早产儿(平均胎龄35.30±0.81周)被随机分为肌内效贴布组或对照组。一名物理治疗师采用促进技术应用肌内效贴布来支持咬肌和舌骨肌,以增强肌肉功能。肌内效贴布在应用两天后移除。在应用肌内效贴布前和应用两天后,使用数字听诊器记录牛奶摄入量、牛奶摄入时间、牛奶摄入期间的血氧饱和度、过渡到完全经口喂养所需的天数、住院时间、吸氧时间、有节奏吞咽的最大次数以及牛奶摄入期间的心率。通过声学分析对收集的数据进行评估。在牛奶摄入量、喂养持续时间、喂养期间的血氧饱和度、过渡到完全经口喂养的时间、住院时间或吸氧支持时间方面,肌内效贴布组和对照组之间未观察到统计学上的显著差异(>0.05)。然而,两组在喂养期间有节奏吞咽的最大次数和牛奶摄入期间的心率方面存在显著差异(<0.05)。在喂养技能干预期间,肌内效贴布技术的应用对新生儿重症监护病房中的早产儿没有不良影响。声学分析评估显示,肌内效贴布组在喂养期间有节奏吞咽的最大次数和心率稳定方面存在显著差异。有必要进行进一步的研究,纳入不同的应用类型和技术,并扩大样本量,特别是在新生儿重症监护病房中对孕周较小的早产儿进行研究,以稳定吸吮和吞咽肌肉。