Kraniosakrální terapie u předčasně narozených dětí

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Authors: Mgr. Červenková Barbora, Ph.D. ^1,2
Authors‘ workplace: Mgr. Barbora Červenková, Ph. D., University Hospital Brno, Department of Neonatology, Obilní trh 11, 620 00 Brno, Czech Republic. E-mail: barbora. cervenkova@post. cz. ¹; Institute of Special Education Studies, Faculty of Education, Palacký University in Olomouc, Žižkovo nám. 5, 779 00 Olomouc, Czech Republic. ²
Published in: Listy klinické logopedie 2025; 9(2): 83-89
doi: https://doi.org/10.36833/lkl.2025.022

Overview

Tato pilotní studie hodnotí změny v senzomotorických odpovědích dětí narozených předčasně po ošetření kraniosakrální terapií. Do výzkumného souboru bylo zařazeno celkem 63 dětí narozených v rozmezí mezi 28. –⁠ 31. týdnem gestace. Tyto děti byly v průběhu hospitalizace opakovaně, celkem 3x, ošetřeny kraniosakrální terapií. Pro hodnocení byla využita Škála senzomotorické reaktivity, která hodnotí zrakový kontakt, reakci na taktilní stimulaci (dvoubodovou statickou i kinetickou), reakci po otočení na bok a ochotu uchopit a sát nabízený prst a. Rozdíly v hrubém skóre mezi dvojicemi měření pro každou položku byly testovány na 5 % hladině významnosti pomocí Wilcoxonova párového testu. Všechny rozdíly v rámci hodnocených položek byly statisticky významné (p-hodnota <0,05). Nejsilnější efekt ze zjištěných statisticky významných závislostí byl pozorován u položky zrakového kontaktu. Tento rozdíl je výraznější u dětí krmených z lahvičky se savičkou než u dětí kojených. Kraniosakrální terapie tedy může mít potenciál posílit seberegulaci a podpořit zdravý vývoj předčasně narozených dětí, nicméně toto zjištění je nutno podložit dalším výzkumem.

Klíčová slova:

kraniosakrální terapie, předčasně narozené děti, senzomotorická reaktivita, stres, zrakový kontakt, seberegulace

Sources

ABDALLAH, C. G. & GEHA, P., 2017. Chronic pain and chronic stress: two sides of the same coin? Online. Chronic Stress, vol. 1. DOI: 10.1177/2470547017704763. Available from: Chronic Pain and Chronic Stress: Two Sides of the Same Coin? Chadi G Abdallah, Paul Geha, 2017.

CASTEJÓN-CASTEJÓN, M.; MURCIA-GONZÁLEZ, M. A.; TODRI, J. et al., 2022. Treatment of Infant Colic with Craniosacral Therapy. A Randomized Controlled Trial. Online. Complementary Therapies in Medicine, vol. 71, p. 102885. DOI: 10.1016/j.ctim.2022.102885. Available from: Treatment of infant colic with craniosacral therapy. A randomized controlled trial PubMed.

CEBALLOS-LAITA, L.; ERNST, E.; CARRASCO-URIBARREN, A. et al., 2024. Is Craniosacral Therapy Effective? A Systematic Review and Meta-Analysis. Online. Healthcare, vol. 12, no. 6, p. 679. DOI: 10.3390/healthcare12060679. Available from: Is Craniosacral Therapy Effective? A Systematic Review and Meta-Analysis PubMed.

CRUZ, M. D.; FERNANDES, A. M. & OLIVEIRA, C. R., 2016. Epidemiology of painful procedures performed in neonates: a systematic review of observational studies. Online. European Journal of Pain, vol. 20, no. 4, pp. 489-498. DOI: 10.1002/ejp.757. Available from: https://onlinelibrary.wiley.com/doi/10.1002/ejp.757.

ERNST, E., 2012. Craniosacral Therapy: A Systematic Review of the Clinical Evidence. Online. Focus on Alternative and Complementary Therapies, vol. 17, no. 4, pp. 197-201. DOI: 10.1111/j.2042-7166.2012.01174.x. Available from: Craniosacral therapy: a systematic review of the clinical evidence Ernst 2012 Focus on Alternative and Complementary Therapies Wiley Online Library.

FENDRYCHOVÁ, J., 2013. Hodnotící metodiky v neonatologii. [Evaluation Methodologies in Neonatology]. Brno: NCONZO. ISBN 978-80-7013-560-0.

FENDRYCHOVÁ, J.; BOREK, I. et al., 2007. Intenzivní péče o novorozence. [Intensive care for newborns]. Brno: NCONZO. ISBN 978-80-7013-447-4.

GALLING, B.; BRAUER, H.; STRUCK, P. et al., 2023. The impact of crying, sleeping, and eating problems in infants on childhood behavioral outcomes: A meta-analysis. Online. Frontiers in Child and Adolescent Psychiatry, vol. 1, p. 1099406. DOI: 10.3389/frcha.2022.1099406. Available from: The impact of crying, sleeping, and eating problems in infants on childhood behavioral outcomes: A meta-analysis PubMed.

GREEN, C.; MARTIN, C. W.; BASSETT, K. & KAZANJIAN, A., 1999. A systematic review of craniosacral therapy: biological plausibility, assessment reliability, and clinical effectiveness. Online. Complementary Therapies in Medicine, vol. 7, pp. 201-207. DOI: 10.1016/s0965-2299(99)80002-8. Available from: A systematic review of craniosacral therapy: biological plausibility, assessment reliability and clinical effectiveness PubMed.

GRUNAU, R. E.; WHITFIELD, M. F.; PETRIE-THOMAS, J. et al., 2009. Neonatal pain, parenting stress and interaction, in relation to cognitive and motor development at 8 and 18 months in preterm infants. Online. Pain, vol. 143, nos. 1-2, pp. 138-146. DOI: https://pubmed.ncbi.nlm.nih.gov/11831342/. Available from: https://journals.lww.com/pain/abstract/2009/05000/neonatal_ pain,_parenting_stress_and_interaction,.22.aspx.

HINDLS, R.; HRONOVÁ, S.; SEGER, J.; FISCHER, J., 2006. Statistika pro ekonomy. [Statistics for Economists]. 7th ed. Prague: Professional Publishing, 2006. ISBN 80-86946-16-9.

HERMANN, C.; HOHMEISTER, J.; DEMIRAKÇA, S. et al., 2006. Long-term alteration of pain sensitivity in school-aged infants with early pain experiences. Online. Pain, vol. 125, no. 3, pp. 278-285. DOI: 10.1016/j.pain.2006.08.026. Available from: https://journals.lww.com/ pain/abstract/2006/12050/long_term_alteration_of_pain_sensitivity_in.13.aspx.

JOHNSTON, C.; BARRINGTON, K. J.; TADDIO, A. et al., 2011. Pain in Canadian NICUs: have we improved over the past 12 years? Online. Clinical Journal of Pain, vol. 27, no. 3, pp. 225-232. DOI: 10.1097/AJP.0b013e3181fe14cf. Available from: https://journals.lww.com/ clinicalpain/abstract/2011/03000/pain_in_canadian_nicus have_we_improved_over_the.6.aspx.

JONES, L.; LAUDIANO-DRAY, M. P.; WHITEHEAD, K. et al., 2018. EEG, behavioural and physiological recordings following a painful procedure in human neonates. Online. Scientific Data, vol. 5, no. 1, p. 248. DOI: 10.1038/sdata.2018.248. Available from: https://www.nature.com/articles/sdata2018248.

KOTHARI, S. Y.; DONGARA, A. R.; NIMBALKAR, S. M. et al., 2016. Missed Opportunities for Sedation and Pain Management at a Level III Neonatal Intensive Care Unit, India. Online. Frontiers in Pediatrics, vol. 4, p. 7. DOI: 10.3389/fped.2016.00007. Available from: Missed Opportunities for Sedation and Pain Management at a Level III Neonatal Intensive Care Unit, India. OmicsDI.

MOSSAD, S. I.; VANDEWOUW, M. M.; SMITH, M. L. & TAYLOR, M. J., 2021. The preterm social brain: Altered functional networks for Theory of Mind in very preterm infants. Online. Brain Commununications, vol. 3. DOI: 10.1093/braincomms/fcaa237. Available from: The preterm social brain: altered functional networks for Theory of Mind in very preterm children PubMed.

NIEMI, A.-K., 2017. Review of Randomized Controlled Trials of Massage in Preterm Infants. Online. Children, vol. 4, no. 4, p. 21. DOI: 10.3390/children4040021. Available from: https://www.mdpi.com/2227-9067/4/4/21.

OLESKI, S. L.; SMITH, G. H. & CROW, W. T., 2016. Radiographic evidence of cranial bone mobility. Online. Cranio, vol. 20, no. 1, pp. 34-38. DOI: 0.1080/08869634.2002.11746188. Available from: Radiographic evidence of cranial bone mobility PubMed.

RAITH, W.; MARSCHIK, P. B.; SOMMER, C. et al., 2016. General movements in preterm infants undergoing craniosacral therapy: a randomised controlled pilot-trial. Online. BMC complementary and alternative medicine. vol. 16, no. 1, p. 12. DOI: 0.1186/ s12906-016-0984-5. Available from: https://bmccomplementmedtherapies.biomedcentral.com/articles/10.1186/s12906-016-0984-5.

STEVENS, B.; JOHNSTON, C.; PETRYSHEN, P. et al., 1996. Premature Infant Pain Profile: development and initial validation. Online. Clinical Journal of Pain, vol. 12, no. 1, pp. 1-3. DOI: 10.1097/00002508-199603000-00004. Available from: Premature Infant Pain Profile: development and initial validation PubMed.

TANG, T.; PLEDTS, K.; MOERKERKE, M.; VAN DER DONCK, S. et al., 2024. Face Processing in Prematurely Born Individual.–A Systematic Review. Online. Brain Sciences, vol. 14, no. 12, p. 1168. DOI: 10.3390/brainsci14121168. Available from: Face Processing in Prematurely Born Individuals—A Systematic Review.

UPLEDGER, J. E., 2000. Ty a tvůj skrytý lékař: kraniosakrální terapie: somatoemocionální uvolnění. [You and Your Hidden Doctor: Craniosacral Therapy: Somatoemotional Release]. Translated by Z. ŠEBEK. Prague: Modrý klíč. Odborná knihovnička Modrého klíče. ISBN 80-902494-1-8.

UPLEDGER, J. E., 2009. Kraniosakrální terapie: co to je, jak se s ní pracuje. [Craniosacral therapy: what it is, how to work with it]. Translated by Z. ŠEBEK. Hodkovičky: Pragma. ISBN 978-807-3491-925.

VALERI, B. O.; RANGER, M.; CHAU, C. M. et al., 2016. Neonatal Invasive Procedures Predict Pain Intensity at School Age in Children Born Very Preterm. Online. Clinical Journal of Pain, vol. 32, no. 12, pp. 1086-1093. DOI: 10.1097/AJP.0000000000000353. Available from: Neonatal Invasive Procedures Predict Pain Intensity at School Age in Children Born Very Preterm PubMed.

VICKERS, A.; OHLSSON, A.; LACY, J. B. et al., 2004. Massage for promoting growth and development of preterm and/or low birth-weight infants. Online. e Cochrane Database of Systematic Reviews, vol. 2014, no. 1, p. CD000390. DOI: 10.1002/14651858.CD000390.pub2. Available from: Massage for promoting growth and development of preterm and/or low birth-weight infants PubMed.

WANG, L.; HE, J. L. & ZHANG, X. H., 2013. The efficacy of massage on preterm infants: A meta-analysis. Online. American Journal of Perinatology, vol. 30, no. 9, pp. 731-738. DOI: 10.1055/s-0032-1332801. Available from: The efficacy of massage on preterm infants: a meta-analysis PubMed.