The effects of multisensory stimulation in preterm infants with brain injury: A systematic review

Q2 Nursing

Journal of Neonatal Nursing Pub Date : 2025-04-24 DOI:10.1016/j.jnn.2025.101678

Bruna Silva Costa , Mário Esteves , Andreia Castro , Clarinda Festas , Rui Viana , Fátima Santos

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引用次数: 0

Abstract

Background

Brain injury can result from intraventricular hemorrhage (IVH) or periventricular leukomalacia (PVL).

Aim

To analyze the effects of multisensory stimulation in preterms with brain injury.

Methods

A computerized search was conducted in PubMed, Web of Science, Physiotherapy Evidence-Based Database (PEDro), and EBSCOhost in January of 2023 and in May of 2024 to identify clinical trials evaluating the effects of multisensory stimulation in preterms diagnosed with brain injury.

Results

Four studies were identified, involving a total of 101 preterms diagnosed with IVH and/or PVL. The risk of bias was high in two studies, low in one study, and raised some concerns in another, while the mean methodological quality was 5.75. Multisensory stimulation increased HR, RR, and the mean LF/HF ratio, increased alertness, and reduced the number of days spent in the hospital.

Conclusion

Multisensory stimulation induces some physiological instability, but it increases alertness and shortens the hospital stay of preterms with IVH and/or PVL.

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多感觉刺激对早产儿脑损伤的影响：一项系统综述

脑损伤可由脑室内出血（IVH）或脑室周围白质软化（PVL）引起。目的分析多感觉刺激对早产儿脑损伤的影响。方法于2023年1月和2024年5月在PubMed、Web of Science、物理治疗循证数据库（PEDro）和EBSCOhost中进行计算机检索，以确定评估多感觉刺激对诊断为脑损伤的早产儿效果的临床试验。结果共纳入4项研究，涉及101例被诊断为IVH和/或PVL的早产儿。两项研究的偏倚风险高，一项研究的偏倚风险低，另一项研究的偏倚风险引起了一些关注，而平均方法学质量为5.75。多感觉刺激增加HR、RR和平均LF/HF比值，提高警觉性，减少住院天数。结论多感觉刺激对IVH和（或）PVL早产儿有一定的生理不稳定性，但能提高警觉性，缩短住院时间。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Neonatal Nursing Nursing-Pediatrics

CiteScore

2.00

自引率

0.00%

发文量

143

期刊介绍： Aims & Scope: This is the practical, bimonthly, research-based journal for all professionals concerned with the care of neonates and their families, both in hospital and the community. It aims to support the development of the essential practice, management, education and health promotion skills required by these professionals. The JNN will provide a forum for the exchange of ideas and information between the range of professionals working in this field; promote cooperation between these professionals; facilitate partnership care with families; provide information and informed opinion; promote innovation and change in the care of neonates and their families; and provide an education resource for this important rapidly developing field.