Feasibility of Early Intervention Through Home-Based and Parent-Delivered Infant Massage in Infants at High Risk for Cerebral Palsy
Valentina MeniciCamilla AntonelliElena BeaniAlessandra MattiolaMatteo GiampietriGiuseppe MartiniRiccardo RizziAlessandra CecchiMaria Luce CioniGiovanni CioniGiuseppina Sgandurra
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Infant massage (IM) can be considered an early intervention program that leads to the environmental enrichment framework. The effectiveness of IM to promote neurodevelopment in preterm infants has been proved, but studies on infants with early brain damage are still lacking. The main aim of this study was to assess the feasibility, acceptability and usability of IM, carried out by parents at home, on infants at high risk for Cerebral Palsy. An IM daily diary and an ad hoc questionnaire, called Infant Massage Questionnaire Parent-Infant Experiences (IMQPE), were developed. IMQPE consisted of a total of 30 questions, divided into 5 areas. The parents were trained to carry out the IM with a home-based course, conducted by an expert therapist. The intensive IM program was set according to a defined daily length of at least 20 min, with a frequency of at least 5 days per week for a total of 8 weeks. Data collection consisted in the selection of the variables around the characteristics, both of the infants and the mothers, IM dosage and frequency, different body parts of the infants involved and IMQPE scores. Variable selection was carried out by minimizing the Bayesian Information Criteria (BIC) over all possible variable subsets. Nineteen high-risk infants, aged 4.83 ± 1.22 months, received IM at home for 8 weeks. The massage was given by the infants' mothers with a mean daily session dose of 27.79 ± 7.88 min and a total of 21.04 ± 8.49 h. 89.74% and 100% of mothers performed the IM for the minimum daily dosage and the frequency recommended, respectively. All the families filled in the IMQPE, with a Total mean score of 79.59% and of 82.22% in General Information on IM, 76.30% in Infant's intervention-related changes, 76.85% in IM Suitability, 79.07% in Infant's acceptance and 83.52% in Time required for the training. Different best predictors in mothers and in infants have been found. These data provide evidence of the feasibility of performing IM at home on infants at high risk for CP. Study registration: www.clinicaltrial.com (NCT03211533 and NCT03234959).Objective: The aim of this study was to investigate the comparison of massage therapy and routine physical therapy on patients with sub acute and chronic nonspecific low back pain. Methods and Materials: Thirty volunteer female subjects with a sub ac
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Early Intervention and Parent Counseling Give Positive Impact in Cerebral Palsy Child: A Case Report
Cerebral palsy is a neuro-development disorder, management of which requires awareness of risk factors and regular developmental assessments. Committed routine follow up is necessary for cerebral palsy patient along with parental adequate knowledge.Effective timely intervention with professional guidance along with medication could significantly improve the overall condition of cerebral palsy patient and therefore would make their living relatively meaningful.Early intervention starts withinfirst 6 months after term age. Intervention should be performed daily in home consideringthe importance of parent child relationship, training and counseling by professionalguidance. In fact, Parental knowledge of their child’s cerebral palsy is inadequate. If professionals give early intervention to the child and improve parental knowledge about cerebral palsy will empower them to help their children to overcome this chronic lifelong disorder. Bangladesh Journal of Medical Science Vol. 21 No. 04 October’22 Page : 926-930
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Abstract Introduction: Low back pain is a chronic recurrent symptom, which can lower the patient's quality of life. With technological development of automated home massage systems, now offers a promising alternative to physiotherapy. However, thus far, the effectiveness of such methods has not been evaluated. We aimed to compare the efficacy and cost-effectiveness of a massage chair with those of conventional physiotherapy for the treatment. Methods: This was a randomized controlled trial with a two-group parallel design. Following randomization and allocation, 56 participants were enrolled to receive either physiotherapy (n = 25) or mechanical massage using the massage chair (n = 31). Pain severity was measured using a visual analog scale (VAS) and satisfaction assessed with the McGill Pain Questionnaire (MPQ). Quality of life modification was analyzed using the Functional Rating Index (FRI). Cost-effectiveness was analyzed by comparing the sum of physiotherapy fees and monthly rental fees for chair massage. Results: Physiotherapy and massage chair were both effective for pain control as assessed with the VAS ( P < .001), satisfaction as assessed by MPQ ( P < .001) and life quality improvement as assessed by FRI ( P < .001) in both groups. Both VAS and FRI scores were significantly higher for physiotherapy than for massage chair ( P = .03 and P = .03, respectively). There was no significant difference in MPQ between the two groups. Massage chair therapy was more cost-effective than physiotherapy, at only 60.17% of the physiotherapy cost ( P < .001). Conclusions: The home massage chair system was cost-effective, but pain control and disability improved more with physiotherapy. However, our results showed that the massage chair is a promising treatment for pain control and quality of life modification, but efficacy is still superior in physiotherapy and the chair is not a replacement for physiotherapy. Trial registration: Clinical Research Information Service, KCT0003157. Retrospectively registered August 2, 2018.
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Introduction: Low back pain is often intense pain in the lumbar vertebrae of the lower back. It has a wide variety of causes and can have serious consequences. Objective: The aim of this intervention study was to evaluate the cumulative effects of massage and physical exercise on low back pain in women in the city of Yaoundé.Methods: Thirty (30) women suffering from low back pain divided into three (03) groups of ten (10) participated in a 21-day micro-program of physical activity combined with localized massage. Group 1 (G1) was made up of women who did only physical exercise. Group 2 (G2) consisted of women who had only undergone Swedish massage sessions. Group 3 (G3) was made up of women who had undergone both physical exercise and Swedish massage. The variables were measured at the beginning and end of the physical exercise program.Results: The results showed a significant decrease in body mass (p˂ 0.01) and fat mass (p˂ 0.01) in all three groups. The study also revealed that massage and physical exercise induced a significant reduction in the intensity and appreciation of discomfort caused by pain in women in all groups. This reduction in pain intensity and discomfort was more marked in G3 (p˂ 0.001) than in the first two groups G2 and G1 (p˂ 0.01).Conclusion: It is suggested that physical exercise combined with Swedish massage tends to have more marked positive effects on the risk factors associated with low back pain than physical activity or Swedish massage used separately.
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In recent years, the survival rate of premature infants is increased, but the incidence of cerebral palsy did not decrease, instead, there was a tendency of increase. The incidence of cerebral palsy of premature infants was 29.13 per thousand in 7 provinces in China in an investigation of over 30,000 children 1 - 6 years of age in 1997, which is 25.16 times higher than that of full term infants. Each year, about 1 million premature infants are born in China, which may include an increase of approximately 29,000 cerebral palsy infants. The rehabilitation expense of cerebral palsy infants is high, older patients cannot be cured; only improved life quality is possible. Therefore, we carried out this research from March 1, 2000 to the end of February 2003 to explore the effects of early intervention in lowering the incidence of cerebral palsy among premature infants.A total of 1053 cases of survived premature infants, gestational age under 37 weeks, excluding those with congenital deformity and hereditary metabolic diseases, born or treated in all collaborative units were classified into 2 groups: early intervention group (551 cases) and routine care group (502 cases). Method of classification: all premature infants born within 1 year before beginning of the study and premature infants born after beginning of the study whose parents did not want to receive early intervention were included in the routine care group; all premature infants born after beginning of the study whose family intended to actively participate in early intervention were included in the intervention group. The numbers of infants in the two groups were quite close in each collaborative unit. In the intervention group, the premature infants received early intervention after discharge from hospital, in addition to routine care, once a month before corrected age of 6 months and once every two months after 6 months. The parents were instructed to cultivate the infant's cognition, language, emotion and communication ability, and the infants were given massage, subjected to exercise and received active motor training. All infants with abnormal motor manifestations were given appropriate rehabilitation training. In the routine care group, infants received similar routine care only.In the 2 groups, no significant differences (P > 0.05) were found in complications of pregnant mothers, average gestational age and birth weight, proportion of small for gestational age (SGA), proportion of single and multiple births, fetal stress, postnatal asphyxia, incidence of neonatal hypoxic inschemic encephalopathy (HIE) and intracranial hemorrhage, Apgar Score and Neonatal Behavioral Neurological Assessment Score at 40 weeks of gestational age. These indicate that the two groups were comparable. At 1 year of age, the incidence of cerebral palsy was 0.91% (5/551) in the intervention group and 3.19% (16/502) in the routine care group (P < 0.01). Of the 5 cases with cerebral palsy in the interventional group, 3 were mild and 2 severe. Of the 16 cases in the routine care group, 7 were moderate and 9 severe.Early intervention can reduce the incidence of cerebral palsy of premature infants. This conclusion awaits confirmation from studies with larger sample size.
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Is massage therapy effective for people with musculoskeletal disorders compared to any other treatment or no treatment?Systematic review of randomised clinical trials.People with musculoskeletal disorders.Massage therapy (manual manipulation of the soft tissues) as a stand-alone intervention.The primary outcomes were pain and function.The 26 eligible randomised trials involved 2565 participants. The mean sample size was 95 participants (range 16 to 579) per study; 10 studies were considered to be at low risk of bias. Overall, low-to-moderate-level evidence indicated that massage reduces pain in the short term compared to no treatment in people with shoulder pain and osteoarthritis of the knee, but not in those with low back pain or neck pain. Furthermore, low-to-moderate-level evidence indicated that massage improves function in the short term compared to no treatment in people with low back pain, knee arthritis or shoulder pain. Low-to-very-low-level evidence from single studies indicated no clear benefits of massage over acupuncture, joint mobilisation, manipulation or relaxation therapy in people with fibromyalgia, low back pain and general musculoskeletal pain.Massage therapy, as a stand-alone treatment, reduces pain and improves function compared to no treatment in some musculoskeletal conditions. When massage is compared to another active treatment, no clear benefit was evident.
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Effectiveness of massage chair and classic massage in recovery from physical exertion: a pilot study
Quick and cost-effective recovery is foundational to high-quality training and good competition results in today’s sports. The aim of the research was to elucidate the effects of hand and massage chair massage on the biomechanical parameters of muscles of lower limbs and back, indicators of Pain Pressure Thresholds (PPT) and subjectively perceived fatigue. A total of 32 female recreational athletes (18 – 50 years old) were assigned to a hand massage, massage chair, or lying down the group. They were measured for muscle biomechanical properties (MyotonPro), PPT (Wagner Instruments) and subjectively perceived fatigue (VAS scale) before and after fatigue tests and treatment. The recovery procedure and subjective satisfaction with treatment were rated on a Likert scale. Changes in the median value of m. rectus femoris and m. gastrocnemius stiffness with treatment showed that hand massage could be more effective in reducing stiffness, as compared to chair massage. Hand massage may have benefits for recovery from physical exertion, but due to the individuality of subjects, detailed methodological studies are needed to evaluate the effects of massage chair vs. hand massage.
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Massage is the manipulation of the body's soft tissues. Massage techniques are commonly applied with hands, fingers, elbows, knees, forearms, feet, or a device. The purpose of massage is generally for the treatment of body stress or pain. A person professionally trained to give massages is traditionally known as a masseur (male) or a masseuse (female) in European countries.
In the United States, these individuals are often referred to as massage therapists because they must be certified and licensed as Licensed Massage Therapists.In professional settings, clients are treated while lying on a massage table, sitting in a massage chair, or lying on a mat on the floor.
There are many different modalities in the massage industry including but not limited to: Swedish, deep tissue, structural integration, trigger point, manual lymphatic drainage, sports massage, Thai massage, and medical massage.
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