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R
E S E A R C H
Multi-Sensory
Stimulation Helps Infants with Brain Injuries
A combination of tactile,
visual, auditory and vestibular (rocking) interventions prove beneficial
for pre-term infants diagnosed with prenatal brain injury, according
to the study "Developmental Intervention for Preterm Infants
Diagnosed with Periventricular Leukomalacia." The multi-sensory
interventions were found to increase the infants' heart and respiratory
rates, and decrease their average hospital stays.
The study was conducted by researchers
at the University of Illinois' College of Nursing, and was first
published in the journal Research in Nursing & Health
in 1999. Periventricular leukomalacia (PVL) is an injury to the
immature brain, the result of an interruption in blood flow to brain
tissues during or after delivery. It puts infants at risk of cerebral
palsy and can lead to a delay in infant development and behavioral
response changes.
Thirty infants diagnosed with PVL, at
gestational ages (the age of the child from the mother’s last
menstrual period) of 24 to 33 weeks, were randomly placed in either
a control group or an experimental group. The control-group infants
received the same developmentally supportive care that was provided
for all infants.
Infants in the experimental group received
twice-daily multi-sensory stimulation (tactile, auditory, visual
and vestibular) for 15 minutes, five days a week for one month,
or until discharge from the hospital. The first 10 minutes consisted
of light massage, which was followed by five minutes of rocking.
While administering the massage, a research assistant would also
speak to the infant and give eye-to eye contact, thereby providing
both auditory and visual stimuli. The interventions were tailored
to individual infant behavior and responsiveness.
Assessments included measurements of heart
and respiratory rate, body temperature and muscle tone; the Brazelton
neonatal behavioral assessment scale which measures short-term behavioral
responses; and the Bayley scales of infant development, which assess
sensory-perceptual abilities.
Study results indicated that infants
receiving the multi-sensory interventions experienced increases
in heart and respiratory rate, indicating that they learned how
to respond to environmental challenges more quickly, as compared
with the control group. They were also more alert and active than
those in the control group, and were discharged an average of nine
days earlier from the hospital than control-group infants, who stayed
in the hospital for 32 days. Researchers surmised that the early
discharge might have been the result of infants being more alert
(and thus more efficient) during feedings, which followed the interventions.
"Future research on post-intervention
feeding and efficiency might further document beneficial effects"
of multi-sensory interventions, the study authors concluded.
- Source: Rosemary
C. White-Traut, R.N. Originally reported in Research in Nursing
& Health, 1999, Vol. 22, pp. 131-143.
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