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Effects of vestibular sensory stimulation on movement repertoire, sleep-wakefulness state and pain through hammock positioning in late preterm infants: a pilot randomized clinical trial
Sucupira KSMB, Sisconetto AT, de Moura Neto E, Guimaraes EL, de Freitas Dantas Gomes EL, Luvizutto GJ, de Souza LAPS
Developmental Neurorehabilitation 2025 Jan;28(1):30-35
clinical trial
6/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: No. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

This pilot clinical trial aimed to evaluate the effects of vestibular stimulation, through Hammock-positioning therapy (HPT) or by multidirectional balancing, administered during physical therapy, on movement repertoire, sleep-wakefulness state, and pain in late preterm infants. The newborns were randomly allocated into two groups: (1) vestibular sensory stimulation by HPT (HG) and (2) conventional vestibular stimulation (CG). Movement repertoire was evaluated using the General Movement Assessment (GMA), sleep-wakefulness state was evaluated using the Adapted Brazelton Scale, finally pain was evaluated by the Neonatal Facial Activity Coding System (NFCS). An increase in normal GMAs and a reduction in abnormal GMAs was observed in the HG group after intervention. An Improvement in the sleep-wakefulness state scores was observed in the HG group. In the CG group, same improvements were seen. In conclusion, HPT has a positive effect on the sleep-wakefulness state and movement repertoire in late preterm infants similar to the conventional group.

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