Case Report : Rehabilitation Intervention in Improving Infant’s Oromotor Skill and Body Weight
DOI:
https://doi.org/10.36408/mhjcm.v11i3.1174Keywords:
oral motor stimulation, body weight, oromotor skill, premature, infantAbstract
Introduction
Preterm birth rates are still very high. Global data found that preterm babies occurred in 11% of all live births. A recent study showed that more than 25% of neonates baby born between 28 and 32 weeks of gestation, developed disorders condition at the age of two, and this ratio reached 40% at the age of ten. Preterm infants had higher risk of poor motoric skills, such as subtle deficits in eye-hand coordination, sensory-motor integration, manual dexterity, and gross motor skills that lead to poor feeding skills and neuromotor development delay. Therefore, interventions need to be done to optimize growth and development.
Case
A 10-day-old male infant consulted by the Medical Rehabilitation department due to feeding difficulty and low birth weight. At 10 days old, the patient weighs 1550 grams, length 44 cm, head circumference 31 cm, and the non-nutritive scoring (NNS) was 45. The patient was given proper positioning, oral motor stimulation (OMS) with the Fucile method for 1 week in the hospital and the treatment continue at home. After 2 weeks of intervention, the infant’s body weight increased to 2010 grams, body length 45 cm, head circumference 32 cm, and the non-nutritive scoring (NNS) became 86.
Conclusion
Oral motor stimulation improves oral motor skills such as sucking and swallowing reflexes in infants without organ abnormalities thus optimized good oral feeding ability and weight gain acceleration.
Downloads
References
1. American College of Obstetricians And ACOG Practine Bulletin No. 171: Management of Preterm Labor. Obstetrics and Gynecology. 2016;128(4):155–64.
2. Irwinda R, Sungkar A, Wibowo N. Panduan persalinan Jakarta: Pengurus Pusat Perkumpulan Obstetri dan Ginekologi Indonesia; 2019. 1–76 p.
3. Platt MJ. Outcomes in preterm infants. Public Health. 2014; 128(5):399–403.
4. Johnston KM, Gooch K, Korol E, Vo P, Eyawo O, Bradt P, et al. The economic burden of prematurity in Canada. BMC 2014
5. Arnaud C, Daubisse-Marliac L, White-Koning M, Pierrat V, Larroque B, Grandjean H, et al. Prevalence and associated factors of minor neuromotor dysfunctions at age 5 years in prematurely born children: The EPIPAGE Study. Archives of Pediatrics & Adolescent 2007
6. Gibson EJ. Exploratory behavior in the development of perceiving, acting, and the acquiring of knowledge. Annual Review of 1988; 39(1):1–41.
7. Wahyuni Tata Laksana Rehabilitasi Medik Bayi Prematur. In: Trihono P, Windiastuti E, Pardede S, Endyarni B, Alatas F, editors. Pendidikan Kedokteran Berkelanjutan LXV: Pelayanan Kesehatan Anak Terpadu. 1st ed. Jakarta: Departemen Ilmu Kesehatan Anak FKUI-RSCM; 2013. p. 85–92.
8. Fucile S, Gisel E, Lau C. Oral stimulation accelerates the transition from tube to oral feeding in preterm J Pediatr. 2002 Aug;141(2):230–6.
9. da Rosa Pereira K, Levy DS, Procianoy RS, Silveira Impact of a pre-feeding oral stimulation program on first feed attempt in preterm infants: Double-blind controlled clinical trial. PLoS One. 2020 Sep 9;15(9):e0237915.
10. Manuaba IAWKD, Dharma BDI. Feeding Therapy in Preterm Surabaya Physical Medicine and Rehabilitation Journal. 2023 Feb 17;5(1):37–42.
11. Iskandar FN, Suwondo A, Santoso B. Tactile-kinesthetic stimulation to gain weight and reduce the length of stay care for premature baby at public hospitals of Semarang, Indonesia. GHMJ (Global Health Management Journal). 2019 Feb 28;3(1):25–30.
12. Aliabadi F, Askary Effects of tactile-kinesthetic stimulation on low birth weight neonates. Iran J Pediatr. 2013 Jun;23(3):289–94.
13. Kesavan K, Frank P, Cordero DM, Benharash P, Harper RM. Neuromodulation of Limb Proprioceptive Afferents Decreases Apnea of Prematurity and Accompanying Intermittent Hypoxia and PLo S One. 2016 Jun 15;11(6):e0157349.
14. Abdel Mageed ASA, Olama KA, Abdel Rahman SA, El-Gazzar The effect of sensory stimulation on apnea of prematurity. J Taibah Univ Med Sci. 2022 Apr;17(2):311–9.
15 Provasi J, Blanc L, Carchon I. The Importance of Rhythmic Stimulation for Preterm Infants in the Children. 2021 Jul 29;8(8):660.
16. Picheansathian W, Woragidpoonpol P, Baosoung C. Positioning of Preterm Infants for Optimal Physiological Development: a systematic review. JBI Database System Rev Implement 2009;7(7):224–59.
Additional Files
Published
How to Cite
Issue
Section
Citation Check
License
Copyright (c) 2024 Merliana Sari Situmeang, Ida Ayu Diana J.S (Author)
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Copyrights Notice
Copyrights:
Researchers publishing manuscrips at Medica Hospitalis: Journal of Clinical Medicine agree with regulations as follow:
Copyrights of each article belong to researchers, and it is likewise the patent rights
Researchers admit that Medica Hospitalia: Journal of Clinical Medicine has the right of first publication
Researchers may submit manuscripts separately, manage non exclusive distribution of published manuscripts into other versions (such as: being sent to researchers’ institutional repository, publication in the books, etc), admitting that manuscripts have been firstly published at Medica Hospitalia: Journal of Clinical Medicine
License:
Medica Hospitalia: Journal of Clinical Medicine is disseminated based on provisions of Creative Common Attribution-Share Alike 4.0 Internasional It allows individuals to duplicate and disseminate manuscripts in any formats, to alter, compose and make derivatives of manuscripts for any purpose. You are not allowed to use manuscripts for commercial purposes. You should properly acknowledge, reference links, and state that alterations have been made. You can do so in proper ways, but it does not hint that the licensors support you or your usage.