The effects of a neonatal positioner on scapular rotation
The effects of a neonatal positioner on scapular rotation
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DOI：
10.5014/ajot.51.5.378
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发表时间：
1997-05-01
影响因子：
2.9
通讯作者：
CaseSmith, J
中科院分区：
文献类型：
--
作者：
Monfort, K;CaseSmith, J
目标。这项临床研究调查了单独制造的俯卧位对新生儿重症监护病房早产儿心率、呼吸频率和肩胛位的影响。俯卧位定位器由致密的泡沫组成，带有切断口，用于将肩部向前和向中线定位。对20名婴儿进行了6项肩胛骨旋转、呼吸频率、心率和行为状态的测量。重复的措施允许每个婴儿充当自己的对照。两种俯卧位方法的心率和呼吸率没有显著差异。婴儿采用俯卧位时，肩胛骨向上旋转明显较大。行为状态不影响结果。这些结果表明，俯卧式定位器有助于预防早产儿常见的肩周骨-肩关节紧绷和肩部后缩。
Objective. This clinical study investigated the effects of an individually fabricated prone positioner on heart rate, respiratory rate, and scapular position of premature infants in the neonatal intensive care unit. The prone positioner consisted of dense foam with cutouts to position the shoulders forward and toward midline.Method. Six measurements of scapular rotation, respiratory rate, heart rate, and behavioral state were made with 20 infants on an off the prone positioner. The repeated measures allowed each infant to act as his or her own control.Results. Heart and respiratory rates were not significantly different between the two methods of prone positioning. Upward scapular rotation was significantly greater with the infant on the prone positioner. Behavioral state did not influence the results.Conclusion. These results suggest that a prone positioner can be helpful in the prevention of scapular-humeral tightness and shoulder retraction commonly observed in premature infants.