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It gave a clinical trial which will be included in the 60 infants, aged up to 24 months, diagnosed with congenital's population will be divided by simple randomization into three groups: 20 infants in the intervention group, 20 infants in the control group, not receive the RTA technique and another 20 infants in a placebo group, we just get the support manual therapist for 5 minutes. Initially the data will be collected cardio heart rate, respiratory rate and oxygen saturation. Then the researcher will apply three specific rating scales, based on clinical presentation and behavior of infants. Hypothesis: The RTA improves cardiorespiratory parameters and reduces signs of discomfort and pain of infants with congenital heart acyanogenic.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| placebo group | No Intervention | not receive physical therapy intervention, there will only support the achievement of a handbook on the abdomen of the baby. | |
| control group | No Intervention | not receive any type of intervention, and infants remain at rest | |
| Thoracoabdominal rebalancing | Experimental | infants who receive physical therapy through the application of the handlings of the RTA. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Thoracoabdominal rebalancing | Procedure | In this group the infants received four handlings thoracoabdominal rebalancing, in order: 1) 5min support thoracoabdominal, in which the therapist leaned one hand on the lower chest and upper abdomen of the newborn, with some of its fingers on the ribs, pulling them gently down and keeping them in that position during inspiration, 2) more than 5 minutes of abdominal support, carried by hand in the lower abdomen of the newborn, applying light pressure during inspiration enough to be beaten by the diaphragm of the newborn and not to increase the use of accessory muscles of inspiration, 3) 5min support ileo-costal, by a slight manual pressure of the physiotherapist on the lateral chest and abdomen of the newborn, maintained throughout inspiration and 4) finally ran up 5min ginga thoracic maneuver slight manual pressure on the lower chest of newborns, directing the costal movement during expiration, now an then the other hemithorax. |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in cardiorespiratory parameters | 15 minutes after the end of the intervention | |
| Pain Scales (NIPS, PIPP, NFCS) | Immediately after intervention and 15 minutes after the end of the intervention |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Camila Schivinski, Doctor | Professor of Universidade do Estado de Santa Catarina | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Joana de Gusmão Children's Hospital | Florianópolis | Santa Catarina | Brazil |
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