TY - JOUR
T1 - Pilot Testing a Robot for Reducing Pain in Hospitalized Preterm Infants
AU - Williams, Nicholas
AU - MacLean, Karon
AU - Guan, Ling
AU - Collet, Jean Paul
AU - Holsti, Liisa
N1 - Publisher Copyright:
© The Author(s) 2019.
PY - 2019/4/1
Y1 - 2019/4/1
N2 - Optimizing neurodevelopment is a key goal of neonatal occupational therapy. In preterm infants, repeated procedural pain is associated with adverse effects on neurodevelopment long term. Calmer is a robot designed to reduce infant pain. The objective of this study was to examine the effects of Calmer on heart rate variability (HRV) during routine blood collection in preterm infants. In a randomized controlled pilot trial, 10 infants were assigned to either standard care (n = 5, facilitated tucking [FT]) or Calmer treatment (n = 5). HRV was recorded continuously and quantified using the area (power) of the spectrum in high and low frequency (HF: 0.15-0.40Hz/ms2; LF: 0.04-0.15 Hz/ms2) regions. Changes in HRV during three, 2-min phases (Baseline, Heel Poke, and Recovery) were compared between groups. Calmer infants had 90% greater parasympathetic activation ([PS] reduced stress) during Baseline, 82% greater PS activation during Poke, and 24% greater PS activation during Recovery than FT infants. Calmer reduced physiological preterm infant pain reactivity during blood collection.
AB - Optimizing neurodevelopment is a key goal of neonatal occupational therapy. In preterm infants, repeated procedural pain is associated with adverse effects on neurodevelopment long term. Calmer is a robot designed to reduce infant pain. The objective of this study was to examine the effects of Calmer on heart rate variability (HRV) during routine blood collection in preterm infants. In a randomized controlled pilot trial, 10 infants were assigned to either standard care (n = 5, facilitated tucking [FT]) or Calmer treatment (n = 5). HRV was recorded continuously and quantified using the area (power) of the spectrum in high and low frequency (HF: 0.15-0.40Hz/ms2; LF: 0.04-0.15 Hz/ms2) regions. Changes in HRV during three, 2-min phases (Baseline, Heel Poke, and Recovery) were compared between groups. Calmer infants had 90% greater parasympathetic activation ([PS] reduced stress) during Baseline, 82% greater PS activation during Poke, and 24% greater PS activation during Recovery than FT infants. Calmer reduced physiological preterm infant pain reactivity during blood collection.
KW - occupational therapy
KW - pain management
KW - premature infant
KW - randomized controlled trial
UR - http://www.scopus.com/inward/record.url?scp=85061703733&partnerID=8YFLogxK
U2 - 10.1177/1539449218825436
DO - 10.1177/1539449218825436
M3 - Article
C2 - 30770034
AN - SCOPUS:85061703733
SN - 1539-4492
VL - 39
SP - 108
EP - 115
JO - OTJR: Occupational Therapy Journal of Research
JF - OTJR: Occupational Therapy Journal of Research
IS - 2
ER -