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Preterm neonates who receive multi-sensory stimulation exhibit more neurobehavioral development than those who don't.
This study will be conducted at Neonatal Intensive Care Unit (NICU) of Alexandria University Children's Hospital (AUCH) at Smouha, Alexandria, egypt.
A sample of 60 preterm neonates.The study subjects will be randomly assigned into two equal groups (control and multi-sensory stimulation groups) using random number table. Each group will be comprised of 30 neonates. The first neonate will be assigned to the control group and the second neonate will be assigned to the multi-sensory stimulation group.
Control group: Preterm neonates will receive only routine care of the unit. Multi-Sensory Stimulation group: Preterm neonates will receive multi-sensory stimulation intervention beside routine care of the unit.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control group | No Intervention | Preterm neonates will receive only routine care of the unit. | |
| Multi-Sensory Stimulation group | Experimental | In the present study, it is defined as the application of tactile, visual, vestibular, kinesthetic, olfactory, auditory and oral stimulation to preterm neonates to enhance their development. The intervention will be provided daily in mourning, quiet alert state of neonate, before feeding for 30 min., 5 days per week for two weeks. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Multisensory stimulation module | Behavioral |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change of Neurobehavioral responses of preterm neonates will be assessed after two weeks. | It was monitored using Neonatal Neurobehavioral Examination Scale (NNE). it is reliable and valid scale for assessing neurobehavioral development of neonates.It includes three main categories: tone and motor patterns, primitive reflexes, and behavioral responses. the total items of scale were 27, with total score ranged between 27 to 81, which high score means a better outcome and low score means a worse outcome. | It will be assessed "baseline, pre-intervention within 24 hours. of admission and after two weeks of study to identify change. |
| Measure | Description | Time Frame |
|---|---|---|
| Birth weight of preterm neonate | In kilograms | It will assessed initially before conducting the study. |
| Gestational age | / weeks. by new ballard scale. |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Arafa | Alexandria | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| Background | Teng X, Liang J, Tan J, Sun J, Liang H, Qin S, et al. A Randomized Controlled Study of Multisensory Interventions in Promoting Brain Function Development in Premature Infants. Chinese General Practice. 2023;26(2):168-74. | ||
| Background | Nagaty Aboelmagd A, Shaban Mohamed S, Hamed Tawfik A. Effect of Sensory Motor Stimulation on Enhancing Oral Feeding Readiness of Preterm Neonates. Egyptian Journal of Health Care. 2022;13(3):1322-34. | ||
| 36689887 | Background | Rodovanski GP, Reus BAB, Neves Dos Santos A. The effects of multisensory stimulation on the length of hospital stay and weight gain in hospitalized preterm infants: A systematic review with meta-analysis. Braz J Phys Ther. 2023 Jan-Feb;27(1):100468. doi: 10.1016/j.bjpt.2022.100468. Epub 2022 Dec 20. | |
| Background | Nasimi FS, Zeraati H, Shahinfar J, Boskabadi H, Ghorbanzade M. The effect of multisensory stimulation on weight gain of preterm infants. Journal of Babol University of Medical Sciences. 2016;18:13-8. |
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|
| It will assessed initially before conducting the study. |
| Apgar score at 1 and 5 minutes. | score | It will assessed initially before conducting the study. |
| Neonate's weight | n kilograms. | It will assessed initially before conducting the study. |
| Type of feeding. | NPO, oral, orogastric feeding | It will assessed initially before conducting the study. |
| amount of feeding. | / ml. | It will assessed initially before conducting the study. |
| Length of NICU stay | in days (date of discharge-date of admission). | It will assessed initially before conducting the study. |
| Neonate mother's age | in years. | It will assessed initially before conducting the study. |
| Residence. | Rural, urban areas | It will assessed initially before conducting the study. |
| Type of delivery. | Cesarean section, Normal Vaginal Delivery | It will assessed initially before conducting the study. |
| Number of gravida. | number | It will assessed initially before conducting the study. |
| Number of para. | number | It will assessed initially before conducting the study. |
| Number of abortion. | number | It will assessed initially before conducting the study. |
| Plurality. | number | It will assessed initially before conducting the study. |