Effects of hydrotherapy and Hammock positioning on weight gain in low-birth-weight premature newborns: a randomized clinical trial

Objective: To evaluate and compare whether hydrotherapy and hammock positioning techniques assist in the weight gain of premature newborns. Methodology: A single-blind randomized clinical trial was conducted at Santa Casa de Misericórdia Hospital in Sobral, between July 2022 and October 2023. The tr...

Full description

Saved in:
Bibliographic Details
Main Authors: Jeferson de Sousa Justino, Francisco Plácido Nogueira Arcanjo, Luiz Odorico Monteiro de Andrade, Ivana Cristina de Holanda Cunha Barreto, Lizandro de Andrade Teles, Ana Talita Vasconcelos Arcanjo, Edcley Sousa Teixeira, Marya Clara Barros Mororó
Format: Article
Language:English
Published: Elsevier 2025-07-01
Series:Jornal de Pediatria
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0021755725000695
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849426883438968832
author Jeferson de Sousa Justino
Francisco Plácido Nogueira Arcanjo
Luiz Odorico Monteiro de Andrade
Ivana Cristina de Holanda Cunha Barreto
Lizandro de Andrade Teles
Ana Talita Vasconcelos Arcanjo
Edcley Sousa Teixeira
Marya Clara Barros Mororó
author_facet Jeferson de Sousa Justino
Francisco Plácido Nogueira Arcanjo
Luiz Odorico Monteiro de Andrade
Ivana Cristina de Holanda Cunha Barreto
Lizandro de Andrade Teles
Ana Talita Vasconcelos Arcanjo
Edcley Sousa Teixeira
Marya Clara Barros Mororó
author_sort Jeferson de Sousa Justino
collection DOAJ
description Objective: To evaluate and compare whether hydrotherapy and hammock positioning techniques assist in the weight gain of premature newborns. Methodology: A single-blind randomized clinical trial was conducted at Santa Casa de Misericórdia Hospital in Sobral, between July 2022 and October 2023. The trial included 16 months of data collection and involved seventy-six premature newborns with low birth weight, of which only sixty were included after meeting the inclusion criteria. These newborns were randomly divided into four groups: one control group and three groups that received different intervention techniques (hydrotherapy, hammock positioning, and a combined group of hydrotherapy and hammock positioning). The newborns were monitored for clinical stability and specific signs before and after the interventions. The techniques were applied daily for 15 days. Results: During the 15-day follow-up, the control group had a mean weight gain of 305 g. The group that received hydrotherapy gained 346 g, but without significance. The hammock group and the combined hydrotherapy and hammock group showed significant weight gains: the hammock group had an increase of 360 g (p = 0.011), while the combined group achieved a gain of 616 g (p = 0.0001). Significant increases in arm circumferences were observed in the hammock group and the hydrotherapy combined with the hammock positioning group. Conclusion: The results indicate that the combination of hydrotherapy and hammock positioning leads to a significant increase in weight gain in premature newborns. The isolated use of hammock positioning also showed positive effects, but the isolated use of hydrotherapy did not yield significant results (Brazilian Registry of Clinical Trials RBR-6 g5f4jz).
format Article
id doaj-art-7deac5c778434e948d4f9e99a40c2199
institution Kabale University
issn 0021-7557
language English
publishDate 2025-07-01
publisher Elsevier
record_format Article
series Jornal de Pediatria
spelling doaj-art-7deac5c778434e948d4f9e99a40c21992025-08-20T03:29:13ZengElsevierJornal de Pediatria0021-75572025-07-01101457658310.1016/j.jped.2025.03.005Effects of hydrotherapy and Hammock positioning on weight gain in low-birth-weight premature newborns: a randomized clinical trialJeferson de Sousa Justino0Francisco Plácido Nogueira Arcanjo1Luiz Odorico Monteiro de Andrade2Ivana Cristina de Holanda Cunha Barreto3Lizandro de Andrade Teles4Ana Talita Vasconcelos Arcanjo5Edcley Sousa Teixeira6Marya Clara Barros Mororó7Universidade Federal do Ceará, Programa de Pós-Graduação em Ciências da Saúde, Av. Cmte. Maurocélio Rocha Pontes, 100, Sobral - CE CEP 62042-250, BrazilUniversidade Federal do Ceará, Programa de Pós-Graduação em Ciências da Saúde, Av. Cmte. Maurocélio Rocha Pontes, 100, Sobral - CE CEP 62042-250, Brazil; Corresponding author.Fundação Oswaldo Cruz, Saúde Pública, Eusébio, CE, BrazilFundação Oswaldo Cruz, Pediatria, Rua São José SN, Eusébio - CE CEP 61773-220, BrazilUniversidade Federal do Ceará, Programa de Pós-Graduação em Ciências da Saúde, Av. Cmte. Maurocélio Rocha Pontes, 100, Sobral - CE CEP 62042-250, BrazilUniversidade Federal do Ceará, Programa de Pós-Graduação em Ciências da Saúde, Av. Cmte. Maurocélio Rocha Pontes, 100, Sobral - CE CEP 62042-250, BrazilUniversidade Federal do Ceará, Faculdade de Medicina, Sobral, CE, BrazilUniversidade Federal do Ceará, Faculdade de Medicina, Sobral, CE, BrazilObjective: To evaluate and compare whether hydrotherapy and hammock positioning techniques assist in the weight gain of premature newborns. Methodology: A single-blind randomized clinical trial was conducted at Santa Casa de Misericórdia Hospital in Sobral, between July 2022 and October 2023. The trial included 16 months of data collection and involved seventy-six premature newborns with low birth weight, of which only sixty were included after meeting the inclusion criteria. These newborns were randomly divided into four groups: one control group and three groups that received different intervention techniques (hydrotherapy, hammock positioning, and a combined group of hydrotherapy and hammock positioning). The newborns were monitored for clinical stability and specific signs before and after the interventions. The techniques were applied daily for 15 days. Results: During the 15-day follow-up, the control group had a mean weight gain of 305 g. The group that received hydrotherapy gained 346 g, but without significance. The hammock group and the combined hydrotherapy and hammock group showed significant weight gains: the hammock group had an increase of 360 g (p = 0.011), while the combined group achieved a gain of 616 g (p = 0.0001). Significant increases in arm circumferences were observed in the hammock group and the hydrotherapy combined with the hammock positioning group. Conclusion: The results indicate that the combination of hydrotherapy and hammock positioning leads to a significant increase in weight gain in premature newborns. The isolated use of hammock positioning also showed positive effects, but the isolated use of hydrotherapy did not yield significant results (Brazilian Registry of Clinical Trials RBR-6 g5f4jz).http://www.sciencedirect.com/science/article/pii/S0021755725000695Infant, prematureInfant, low birth weightHydrotherapyWeight gainHammock positioning
spellingShingle Jeferson de Sousa Justino
Francisco Plácido Nogueira Arcanjo
Luiz Odorico Monteiro de Andrade
Ivana Cristina de Holanda Cunha Barreto
Lizandro de Andrade Teles
Ana Talita Vasconcelos Arcanjo
Edcley Sousa Teixeira
Marya Clara Barros Mororó
Effects of hydrotherapy and Hammock positioning on weight gain in low-birth-weight premature newborns: a randomized clinical trial
Jornal de Pediatria
Infant, premature
Infant, low birth weight
Hydrotherapy
Weight gain
Hammock positioning
title Effects of hydrotherapy and Hammock positioning on weight gain in low-birth-weight premature newborns: a randomized clinical trial
title_full Effects of hydrotherapy and Hammock positioning on weight gain in low-birth-weight premature newborns: a randomized clinical trial
title_fullStr Effects of hydrotherapy and Hammock positioning on weight gain in low-birth-weight premature newborns: a randomized clinical trial
title_full_unstemmed Effects of hydrotherapy and Hammock positioning on weight gain in low-birth-weight premature newborns: a randomized clinical trial
title_short Effects of hydrotherapy and Hammock positioning on weight gain in low-birth-weight premature newborns: a randomized clinical trial
title_sort effects of hydrotherapy and hammock positioning on weight gain in low birth weight premature newborns a randomized clinical trial
topic Infant, premature
Infant, low birth weight
Hydrotherapy
Weight gain
Hammock positioning
url http://www.sciencedirect.com/science/article/pii/S0021755725000695
work_keys_str_mv AT jefersondesousajustino effectsofhydrotherapyandhammockpositioningonweightgaininlowbirthweightprematurenewbornsarandomizedclinicaltrial
AT franciscoplacidonogueiraarcanjo effectsofhydrotherapyandhammockpositioningonweightgaininlowbirthweightprematurenewbornsarandomizedclinicaltrial
AT luizodoricomonteirodeandrade effectsofhydrotherapyandhammockpositioningonweightgaininlowbirthweightprematurenewbornsarandomizedclinicaltrial
AT ivanacristinadeholandacunhabarreto effectsofhydrotherapyandhammockpositioningonweightgaininlowbirthweightprematurenewbornsarandomizedclinicaltrial
AT lizandrodeandradeteles effectsofhydrotherapyandhammockpositioningonweightgaininlowbirthweightprematurenewbornsarandomizedclinicaltrial
AT anatalitavasconcelosarcanjo effectsofhydrotherapyandhammockpositioningonweightgaininlowbirthweightprematurenewbornsarandomizedclinicaltrial
AT edcleysousateixeira effectsofhydrotherapyandhammockpositioningonweightgaininlowbirthweightprematurenewbornsarandomizedclinicaltrial
AT maryaclarabarrosmororo effectsofhydrotherapyandhammockpositioningonweightgaininlowbirthweightprematurenewbornsarandomizedclinicaltrial