Effect of physiotherapy on the promotion of bone mineralization in preterm infants: a randomized controlled trial

Abstract Preterm infants have a low level of bone mineralization compared to those born at term. The purpose of the present study was to investigate the effect of reflex locomotion therapy (RLT) on bone mineralization and growth in preterm infants and compare its effect to other physiotherapy proced...

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Main Authors: Galaad Torró-Ferrero, Francisco Javier Fernández-Rego, Juan José Agüera-Arenas, Antonia Gomez-Conesa
Format: Article
Language:English
Published: Nature Portfolio 2022-07-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-022-15810-6
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author Galaad Torró-Ferrero
Francisco Javier Fernández-Rego
Juan José Agüera-Arenas
Antonia Gomez-Conesa
author_facet Galaad Torró-Ferrero
Francisco Javier Fernández-Rego
Juan José Agüera-Arenas
Antonia Gomez-Conesa
author_sort Galaad Torró-Ferrero
collection DOAJ
description Abstract Preterm infants have a low level of bone mineralization compared to those born at term. The purpose of the present study was to investigate the effect of reflex locomotion therapy (RLT) on bone mineralization and growth in preterm infants and compare its effect to other physiotherapy procedures. Forty-six preterm infants born at 29–34 weeks were randomized into three groups: one group received RLT (n = 17); the other group received passive movements with gentle joint compression (n = 14); and the control group received massages (n = 15). All the treatments were performed at the neonatal unit for one month. The main outcome measure was bone mineralization, which was measured using the tibial speed of sound (Tibial-SOS). All the groups were similar in terms of gestational age (31.8 ± 1.18), birth weight (1,583.41 ± 311.9), and Tibia-SOS (1,604.7 ± 27.9) at the beginning of the intervention. At the end of the study, significant differences were found among the groups in the Tibial-SOS [F(4,86) = 2.77, p = 0.049, ηp 2 = 0.114] in terms of the benefit to the RLT group. In conclusion, RLT has been effective at improving Tibial-SOS levels and has been more effective than other physical therapy modalities; therefore, it could be considered an effective physiotherapeutic modality for the prevention and treatment of osteopenia from prematurity.
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spelling doaj.art-1ae4f82cb7d24960ad5f71d4488dc6642022-12-22T01:00:09ZengNature PortfolioScientific Reports2045-23222022-07-0112111010.1038/s41598-022-15810-6Effect of physiotherapy on the promotion of bone mineralization in preterm infants: a randomized controlled trialGalaad Torró-Ferrero0Francisco Javier Fernández-Rego1Juan José Agüera-Arenas2Antonia Gomez-Conesa3International School of Doctorate of the University of Murcia (EIDUM), University of MurciaDepartment of Physical Therapy, Faculty of Medicine, University of MurciaNeonatal Intensive Care Unit, Clinic Hospital University Virgen de La ArrixacaResearch Group Research Methods and Evaluation in Social Sciences, Mare Nostrum Campus of International Excellence, University of MurciaAbstract Preterm infants have a low level of bone mineralization compared to those born at term. The purpose of the present study was to investigate the effect of reflex locomotion therapy (RLT) on bone mineralization and growth in preterm infants and compare its effect to other physiotherapy procedures. Forty-six preterm infants born at 29–34 weeks were randomized into three groups: one group received RLT (n = 17); the other group received passive movements with gentle joint compression (n = 14); and the control group received massages (n = 15). All the treatments were performed at the neonatal unit for one month. The main outcome measure was bone mineralization, which was measured using the tibial speed of sound (Tibial-SOS). All the groups were similar in terms of gestational age (31.8 ± 1.18), birth weight (1,583.41 ± 311.9), and Tibia-SOS (1,604.7 ± 27.9) at the beginning of the intervention. At the end of the study, significant differences were found among the groups in the Tibial-SOS [F(4,86) = 2.77, p = 0.049, ηp 2 = 0.114] in terms of the benefit to the RLT group. In conclusion, RLT has been effective at improving Tibial-SOS levels and has been more effective than other physical therapy modalities; therefore, it could be considered an effective physiotherapeutic modality for the prevention and treatment of osteopenia from prematurity.https://doi.org/10.1038/s41598-022-15810-6
spellingShingle Galaad Torró-Ferrero
Francisco Javier Fernández-Rego
Juan José Agüera-Arenas
Antonia Gomez-Conesa
Effect of physiotherapy on the promotion of bone mineralization in preterm infants: a randomized controlled trial
Scientific Reports
title Effect of physiotherapy on the promotion of bone mineralization in preterm infants: a randomized controlled trial
title_full Effect of physiotherapy on the promotion of bone mineralization in preterm infants: a randomized controlled trial
title_fullStr Effect of physiotherapy on the promotion of bone mineralization in preterm infants: a randomized controlled trial
title_full_unstemmed Effect of physiotherapy on the promotion of bone mineralization in preterm infants: a randomized controlled trial
title_short Effect of physiotherapy on the promotion of bone mineralization in preterm infants: a randomized controlled trial
title_sort effect of physiotherapy on the promotion of bone mineralization in preterm infants a randomized controlled trial
url https://doi.org/10.1038/s41598-022-15810-6
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