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Clinical Practice Protocol of Creative Music Therapy for Preterm Infants and Their Parents in the Neonatal Intensive Care Unit
Published on: January 7, 2020
Dynamic touch reduces physiological arousal in preterm infants: A role for c-tactile afferents?
Andrea Manzotti1, Francesco Cerritelli2, Jorge E Esteves3
1RAISE Lab, Clinical-Based Human Research Department, Foundation COME Collaboration, Pescara, Italy; Division of Neonatology, "V. Buzzi" Children's Hospital, ASST-FBF-Sacco, Milan, Italy; Research Department, SOMA, Istituto Osteopatia Milano, Milan, Italy.
Insights
Gentle stroking touch, activating specific nerve fibers, significantly improved preterm infants' heart rate and oxygen levels. This finding supports the use of targeted tactile interventions in neonatal care.
Area of Science:
- Neuroscience
- Developmental Pediatrics
- Human Physiology
Background:
- Preterm birth poses long-term health risks.
- Tactile interventions are common in perinatal care, but their neurobiological underpinnings are poorly understood.
- C-Tactile afferents (CTs) are nerve fibers activated by gentle, dynamic touch, potentially mediating interoceptive and affective responses.
Purpose of the Study:
- To investigate the neurobiological effects of CT-optimal touch versus static touch on preterm infants.
- To compare the impact of different tactile stimulation types on physiological parameters in neonates.
Main Methods:
- A study involving preterm infants (28-37 weeks gestational age).
- Comparison of 5-minute CT-optimal velocity stroking touch versus 5-minute static touch.
- Measurement of heart rate and blood oxygen saturation levels during and after touch interventions.
Main Results:
- CT-optimal touch significantly decreased heart rate and increased blood oxygenation in preterm infants.
- These physiological improvements were sustained for 5 minutes post-intervention.
- Static touch did not produce significant changes in heart rate or oxygen saturation.
Conclusions:
- CTs likely convey the affective quality of nurturing touch.
- These findings provide a neurobiological basis for the benefits of neonatal tactile interventions.
- The results offer insights for optimizing the effectiveness of these interventions.
Abstract:
Preterm birth is a significant risk factor for a range of long-term health problems and developmental disabilities. Though touch plays a central role in many perinatal care strategies, the neurobiological basis of these approaches is seldom considered. C-Tactile afferents (CTs) are a class of unmyelinated nerve fibre activated by low force, dynamic touch. Consistent with an interoceptive function, touch specifically targeted to activate CTs activates posterior insular cortex and has been reported to reduce autonomic arousal. The present study compared the effect of 5 min of CT optimal velocity stroking touch to 5 min of static touch on the heart-rate and oxygen saturation levels of preterm infants between 28- & 37-weeks gestational age. CT touch produced a significant decrease in infants' heart-rates and increase in their blood oxygenation levels, which sustained throughout a 5-min post-touch period. In contrast, there was no significant change in heart-rate or blood oxygenation levels of infants receiving static touch. These findings provide support for the hypothesis that CTs signal the affective quality of nurturing touch, providing a neurobiological substrate for the apparent beneficial effects of neonatal tactile interventions and offering insight for their optimisation.
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