Effect of application of the thoracoabdominal rebalancing (TAR) method in moderate premature children: randomized and controlled clinical trial
ABSTRACT Objective: To analyze the effect of the thoracoabdominal rebalancing (TAR) method on respiratory biomechanics, respiratory discomfort, pain sensation, and physiological parameters in moderate preterm newborns, compared to a control group. Methods: This randomized clinical trial was conduc...
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Sociedade de Pediatria de São Paulo
2025-01-01
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| Series: | Revista Paulista de Pediatria |
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| author | Jaqueline Lomônaco Lemos Denise Iunes Aline Roberta Danaga Carmélia Rocha Juliana Bassalobre Carvalho Borges |
| author_facet | Jaqueline Lomônaco Lemos Denise Iunes Aline Roberta Danaga Carmélia Rocha Juliana Bassalobre Carvalho Borges |
| author_sort | Jaqueline Lomônaco Lemos |
| collection | DOAJ |
| description | ABSTRACT Objective: To analyze the effect of the thoracoabdominal rebalancing (TAR) method on respiratory biomechanics, respiratory discomfort, pain sensation, and physiological parameters in moderate preterm newborns, compared to a control group. Methods: This randomized clinical trial was conducted in a neonatal intensive care unit. The evaluation included: Neonatal Infant Pain Scale, physiological parameters, Silverman-Andersen score, and biomechanics (thoracic cirtometry and Charpy angle). The newborns were randomized into the TAR group (n=17) or control group (n=13) and subjected to the slow expiratory flow acceleration technique (SEFA). The evaluation of a single session was performed three times: before, after, and 30 minutes after the intervention. Results: In the intergroup comparison, there was a significant difference in respiratory rate 30 minutes after the intervention. There was no significant difference in intra- and intergroup comparisons for pain and respiratory discomfort. Regarding biomechanics, there was a significant difference in the TAR group in the Charpy angle (between assessments 1 and 2), in the axillary cirtometry (between assessments 1 and 3), and in the xiphoid process (between assessments 2 and 3). In the control group, a significant difference was observed in the axillary line (between assessments 1 and 2; 2 and 3). Conclusions: The TAR method showed a positive effect on respiratory rate and respiratory biomechanics when compared to the control group. In both groups, the techniques did not promote respiratory discomfort or pain sensation, making them safe techniques for this population. |
| format | Article |
| id | doaj-art-eda6915db8e8450ca3ee274ffb3da7db |
| institution | Kabale University |
| issn | 1984-0462 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Sociedade de Pediatria de São Paulo |
| record_format | Article |
| series | Revista Paulista de Pediatria |
| spelling | doaj-art-eda6915db8e8450ca3ee274ffb3da7db2025-01-21T07:44:47ZengSociedade de Pediatria de São PauloRevista Paulista de Pediatria1984-04622025-01-014310.1590/1984-0462/2025/43/2024069Effect of application of the thoracoabdominal rebalancing (TAR) method in moderate premature children: randomized and controlled clinical trialJaqueline Lomônaco Lemoshttps://orcid.org/0000-0001-7267-1995Denise Iuneshttps://orcid.org/0000-0003-1396-9980Aline Roberta Danagahttps://orcid.org/0000-0003-3302-2954Carmélia Rochahttps://orcid.org/0000-0002-7819-5683Juliana Bassalobre Carvalho Borgeshttps://orcid.org/0000-0003-0868-717XABSTRACT Objective: To analyze the effect of the thoracoabdominal rebalancing (TAR) method on respiratory biomechanics, respiratory discomfort, pain sensation, and physiological parameters in moderate preterm newborns, compared to a control group. Methods: This randomized clinical trial was conducted in a neonatal intensive care unit. The evaluation included: Neonatal Infant Pain Scale, physiological parameters, Silverman-Andersen score, and biomechanics (thoracic cirtometry and Charpy angle). The newborns were randomized into the TAR group (n=17) or control group (n=13) and subjected to the slow expiratory flow acceleration technique (SEFA). The evaluation of a single session was performed three times: before, after, and 30 minutes after the intervention. Results: In the intergroup comparison, there was a significant difference in respiratory rate 30 minutes after the intervention. There was no significant difference in intra- and intergroup comparisons for pain and respiratory discomfort. Regarding biomechanics, there was a significant difference in the TAR group in the Charpy angle (between assessments 1 and 2), in the axillary cirtometry (between assessments 1 and 3), and in the xiphoid process (between assessments 2 and 3). In the control group, a significant difference was observed in the axillary line (between assessments 1 and 2; 2 and 3). Conclusions: The TAR method showed a positive effect on respiratory rate and respiratory biomechanics when compared to the control group. In both groups, the techniques did not promote respiratory discomfort or pain sensation, making them safe techniques for this population.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822025000100424&lng=en&tlng=enPrematurityThoracoabdominalExpiratory flowBiomechanicsRehabilitation |
| spellingShingle | Jaqueline Lomônaco Lemos Denise Iunes Aline Roberta Danaga Carmélia Rocha Juliana Bassalobre Carvalho Borges Effect of application of the thoracoabdominal rebalancing (TAR) method in moderate premature children: randomized and controlled clinical trial Revista Paulista de Pediatria Prematurity Thoracoabdominal Expiratory flow Biomechanics Rehabilitation |
| title | Effect of application of the thoracoabdominal rebalancing (TAR) method in moderate premature children: randomized and controlled clinical trial |
| title_full | Effect of application of the thoracoabdominal rebalancing (TAR) method in moderate premature children: randomized and controlled clinical trial |
| title_fullStr | Effect of application of the thoracoabdominal rebalancing (TAR) method in moderate premature children: randomized and controlled clinical trial |
| title_full_unstemmed | Effect of application of the thoracoabdominal rebalancing (TAR) method in moderate premature children: randomized and controlled clinical trial |
| title_short | Effect of application of the thoracoabdominal rebalancing (TAR) method in moderate premature children: randomized and controlled clinical trial |
| title_sort | effect of application of the thoracoabdominal rebalancing tar method in moderate premature children randomized and controlled clinical trial |
| topic | Prematurity Thoracoabdominal Expiratory flow Biomechanics Rehabilitation |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822025000100424&lng=en&tlng=en |
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