Most Read Articles
Elvira Manzano, 2 days ago
Monthly injections of the PCSK9* monoclonal antibody evolocumab effectively reduced plasma LDL-cholesterol (LDL-C), often referred to as the bad cholesterol, in teenagers with heterozygous familial hypercholesterolaemia (HeFH) already taking statins, with or without ezetimibe, the HAUSER-RCT has shown.
Jairia Dela Cruz, 3 days ago
For individuals with type 2 diabetes, losing weight is everything when it comes to improving the metabolic function, and it matters little whether this is achieved by dieting or undergoing bariatric surgery, according to a small study.
Pearl Toh, 21 Sep 2020
Early and sustained treatments with simplified regimen are the key to achieving good asthma control, said experts during a presentation at the ERS 2020 Congress.
3 days ago
In patients with type 2 diabetes (T2D), postprandial hyperglycaemia and hypertriglyceridemia worsens survival outlook, finds a new study.

Caution urged on use of abdominal massage in preterm neonates

09 Sep 2020

Massage therapy (MT) in children is linked to adverse events (AEs) ranging from mild to severe, and in preterm neonates, abdominal MT presents an increased hazard of intestinal volvulus without anomalies of rotation, according to a study.

Researchers performed a systematic review of 60 studies to examine AEs associated with paediatric MT. They synthesized data by classifying AEs based on their severity (from grade 1 [asymptomatic] to grade 5 [death]) and association to the intervention (direct, if directly caused by the intervention, or indirect, if the intervention caused a delay in diagnosis or treatment resulting in an AE).

Of the included studies, 31 (51.6 percent) did not report any information on AEs, 13 (21.6 percent) reported that no AE occurred, and 16 (26.6 percent) reported at least one AE after MT.

Twenty mild events (grade 1) occurred and were resolved with minimal intervention, 26 moderate events (grades 2–3) required medical intervention, and 18 severe AEs (grades 4–5) resulted in hospital admission or prolongation of hospital stay. Of the severe AEs, 17 were volvulus in premature infants, four of which led to death.

One study identified an indirect AE, wherein four children had Staphylococcus aureus osteomyelitis, which presented as upper arm swelling. The study authors pointed to the use traditional MT for swelling as a potential cause for delay in the diagnosis and treatment, leading to progression of the infection (grade 3).

The majority of included studies that did not report whether an AE occurred or not led to publication bias. Still, even if causality of the association between abdominal massage and volvulus without malrotation among preterm infants has yet to be established, the findings warrant caution in the use of MT in preterm infants.

Digital Edition
Asia's trusted medical magazine for healthcare professionals. Get your MIMS JPOG - Malaysia digital copy today!
Sign In To Download
Editor's Recommendations
Most Read Articles
Elvira Manzano, 2 days ago
Monthly injections of the PCSK9* monoclonal antibody evolocumab effectively reduced plasma LDL-cholesterol (LDL-C), often referred to as the bad cholesterol, in teenagers with heterozygous familial hypercholesterolaemia (HeFH) already taking statins, with or without ezetimibe, the HAUSER-RCT has shown.
Jairia Dela Cruz, 3 days ago
For individuals with type 2 diabetes, losing weight is everything when it comes to improving the metabolic function, and it matters little whether this is achieved by dieting or undergoing bariatric surgery, according to a small study.
Pearl Toh, 21 Sep 2020
Early and sustained treatments with simplified regimen are the key to achieving good asthma control, said experts during a presentation at the ERS 2020 Congress.
3 days ago
In patients with type 2 diabetes (T2D), postprandial hyperglycaemia and hypertriglyceridemia worsens survival outlook, finds a new study.