背景:在妊娠的最后三个月,大约80%的婴儿钙被掺入,出于这个原因,与足月出生的早产儿相比,早产儿的骨矿化更少。本系统审查的目的是确定,评估并总结了有关物理治疗方式在预防和治疗早产儿骨量减少中的作用的研究。
方法:使用PubMed进行全面搜索(09/2019-02/2021),WebofScience,Scopus,ProQuest,SciELO,Latindex,ScienceDirect,进行了PEDro和ClinicalTrials.gov。提取了以下数据:参与者人数,参与者的特点,设计,干预的特点,结果衡量标准,评估时间和结果。对所提取的数据进行非定量合成。使用PEDro量表和ROB-2量表评估方法学质量和偏倚风险,分别。
结果:共分析了16项研究,呈现3到8分的方法论质量,所有人都对他们的偏见风险表示担忧。几乎所有的研究(15/16)使用被动动员联合压力,以防止骨质减少,但是它们的应用强度和频率不同。
结论:关节压力被动动员的日常锻炼计划,改善新生儿病房早产儿的骨矿化。
BACKGROUND: During the last trimester of pregnancy, about 80% of the infant\'s calcium is incorporated, and for this reason, preterm infants have less bone mineralization compared to those born at term. The aim of the present systematic
review was to identify, evaluate and summarize the studies that deal with the effect of physiotherapy modalities in the prevention and treatment of osteopenia in preterm infants.
METHODS: A comprehensive search (09/2019-02/2021) using PubMed, Web of Science, SCOPUS, ProQuest, SciELO, Latindex, ScienceDirect, PEDro and ClinicalTrials.gov was carried out. The following data were extracted: The number of participants, characteristics of the participants, design, characteristics of the intervention, outcome measures, time of evaluation and results. A non-quantitative synthesis of the extracted data was performed. The methodological quality and risk of bias were assessed using a PEDro scale and ROB-2 scale, respectively.
RESULTS: A total of 16 studies were analyzed, presenting a methodological quality that ranged from 3 to 8 points, and all showed some concerns regarding their risk of bias. Almost all studies (15/16) used passive mobilizations with joint pressure to prevent osteopenia, but they differed in the intensity and frequency of application.
CONCLUSIONS: A daily exercise program of passive mobilizations with joint pressure, improves bone mineralization in preterm infants admitted to neonatal units.