Extremity Strengthening Exercise on Neonates Receiving Phototherapy

Eni Rahmawati, Dian Susmarini, Meivita Dewi Purnamasari

Abstract

Neonatal jaundice is a clinical condition in infants characterized by yellow staining of the skin and sclera due to the accumulation of unconjugated bilirubin excess. This is the leading cause of deathin 60% -80% of newborns. This research was aimed to investigate the effects of exercise on neonates with nutritional status and vital signs who were receiving phototherapy. In this quasi experimental study, 34 full term neonates with jaundice admitted for phototherapy were selected through quota sampling. Subjects were assigned to exercise and control groups. Neonates in exercise group received a passive extremities exercise for 15 to 20 minutes on extremities twice a day for 3 days, while the control group did not received any exercise. Statistics analysis used independent t test and mann-whitney test. Demographic and clinical characteristics, the defecation frequency, vital sign, total feeding amount and body weight were identified and compared between two groups.On the third day, the exercise group showed a significantly higher defecation frequency (p=0.000) and significant in respiration rate (p=0.029); not significant in vital signs (heart rate p=0.583 and temperature p=0.807;) enteral feeding (p=0.202) and body weight (p=0.181). Exercise could increase defecation frequency in neonates with jaundice receiving phototherapy.The effect of exercise was limited to stabilize temperature and heart rate.

Keywords

exercise, neonates, phototherapy, hyperbilirubinemia

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References

Abdallah, B., Badr, L. K., & Hawwari, M. (2013). The efficacy of massage on short and long term outcomes in preterm infants. Infant Behavior and Development. https://doi.org/10.1016/j.infbeh.2013.06.009

Anggraeni, M. D., Aji, B., Setiyani, R., Kartikasari, A., & Rahmawati, E. (2018). How do modern parents deal with cultural beliefs about breastfeeding? A qualitative study. British Journal of Midwifery. https://doi.org/10.12968/bjom.2018.26.9.605

Bal Y?lmaz, H., & Conk, Z. (2009). The effect of massage by mothers on growth in healthy full term infants. International Journal of Human Sciences.

Basiri-Moghadam, M., Basiri-Moghadam, K., Kianmehr, M., & Jani, S. (2015). The effect of massage on neonatal jaundice in stable preterm newborn infants: A randomized controlled trial. Journal of the Pakistan Medical Association.

Chen, J., Sadakata, M., Ishida, M., Sekizuka, N., & Sayama, M. (2011). Baby Massage Ameliorates Neonatal Jaundice in Full-Term Newborn Infants. The Tohoku Journal of Experimental Medicine. https://doi.org/10.1620/tjem.223.97

Dalili, H., Sheikhi, S., Shariat, M., & Haghnazarian, E. (2016). Effects of baby massage on neonatal jaundice in healthy Iranian infants: A pilot study. Infant Behavior and Development. https://doi.org/10.1016/j.infbeh.2015.10.009

Eghbalian, F., Rafienezhad, H., & Farmal, J. (2017). The lowering of bilirubin levels in patients with neonatal jaundice using massage therapy: A randomized, double-blind clinical trial. Infant Behavior and Development. https://doi.org/10.1016/j.infbeh.2017.05.002

Field, T., Diego, M., Hernandez-Reif, M., Dieter, J. N. I., Kumar, A. M., Schanberg, S., & Kuhn, C. (2008). Insulin and insulin-like growth factor-1 increased in preterm neonates following massage therapy. Journal of Developmental and Behavioral Pediatrics. https://doi.org/10.1097/DBP.0b013e3181856d3b

H.S., S., D.M., Y., A.S., S., R., E.-B., & L.M., S. (2016). High-intensity light-emitting diode vs fluorescent tubes for intensive phototherapy in neonates. Paediatrics and International Child Health. https://doi.org/10.1179/2046905515Y.0000000006

Karbandi, S., Boskabadi, H., Esmaeily, H., & Kalateh Molaee, M. (2016). Effects of massage on duration of phototherapy in premature infants admitted to a neonatal intensive care unit. Journal of Babol University of Medical Sciences.

Lin, C.-H., Yang, H.-C., Cheng, C.-S., & Yen, C.-E. (2015). Effects of infant massage on jaundiced neonates undergoing phototherapy. Italian Journal of Pediatrics, 41, 94. https://doi.org/10.1186/s13052-015-0202-y

Lin, C. H., Yang, H. C., Cheng, C. S., & Yen, C. E. (2015). Effects of infant massage on jaundiced neonates undergoing phototherapy. Italian Journal of Pediatrics. https://doi.org/10.1186/s13052-015-0202-y

Moran, C. A., Cacho, R. de O., Cacho, E. W. A., Sousa, K. G., de Souza, J. C., Filho, G. G. da F., & Pereira, S. A. (2015). Use of music during physical therapy intervention in a neonatal intensive care unit: A randomized controlled trial. Journal of Human Growth and Development. https://doi.org/10.7322/jhgd.103004

Moyer-Mileur, L. J., Haley, S., Slater, H., Beachy, J., & Smith, S. L. (2013). Massage improves growth quality by decreasing body fat deposition in male preterm infants. Journal of Pediatrics. https://doi.org/10.1016/j.jpeds.2012.08.033

Muchowski, K. E. (2014). Evaluation and treatment of neonatal hyperbilirubinemia. American Family Physician, 89(11), 873–878.

Olusanya, B. O., Ogunlesi, T. A., & Slusher, T. M. (2014). Why is kernicterus still a major cause of death and disability in low-income and middle-income countries?. Archives of Disease in Childhood, 99(12), 1117–1121. https://doi.org/10.1136/archdischild-2013-305506

Rahmawati, E., Susmarini, D., Lestari, P., & Putri, A. D. (2019). Physical Stimulation For Hiperbilirubin. IOP Conference Series: Earth and Environmental Science. https://doi.org/10.1088/1755-1315/255/1/012001

Rahmawati, E., Susmarini, D., Lestari, P., & Utami, A. (2018). Psysical Stimulation For Hyperbilirubinemia. In 1st International Conference on Multidisciplinary Approaches for Sustainable Rural Development (ICMA-SURE). Purwokerto: Research and Public Service Institute, Jenderal Soedirman University.

Reis, E. M. A., Nogueira, M., Silva, C. T., Rosário, M., Silva, J. S., Silva, G., & Guimarães, H. (2017). Neonatal jaundice and its main risk factors - A cross-sectional study. Cogent Medicine. https://doi.org/10.1080/2331205X.2017.1408251

Smith, S. L., Lux, R., Haley, S., Slater, H., Beechy, J., & Moyer-Mileur, L. J. (2013). The effect of massage on heart rate variability in preterm infants. Journal of Perinatology. https://doi.org/10.1038/jp.2012.47

Trivedi, D. (2015). Cochrane Review Summary: Massage for promoting mental and physical health in typically developing infants under the age of six months. Primary Health Care Research & Development. https://doi.org/10.1017/S1463423614000462

Wells, C., Ahmed, A., & Musser, A. (2013). Strategies for Neonatal Hyperbilirubinemia : A LITERATURE REVIEW. The American Journal of Maternal Child Nursing, 38(December), 377–382. https://doi.org/10.1097/NMC.0b013e3182a1fb7a

WHO. (2017). Care of the preterm and low-birth-weight newborn. WHO.

Yatin Verma, D. (2015). Neonatal Jaundice. YUVA Journal of Medical Sciences. https://doi.org/10.1093/tropej/fms051

DOI: http://dx.doi.org/10.20884/1.jks.2020.15.1.1223

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