Evidence map›Paper›PMID 35739544›Full record

Trial reportBMC pediatrics2022

Effect of physical therapy on bone remodelling in preterm infants: a multicenter randomized controlled clinical trial.

Galaad Torró-Ferrero, Francisco Javier Fernández-Rego, María Rosario Jiménez-Liria, Juan Jose Agüera-Arenas, Jessica Piñero-Peñalver, María Del Mar Sánchez-Joya, María Jesús Fernández-Berenguer, Mónica Rodríguez-Pérez, Antonia Gomez-Conesa

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04356807 (Effect of Physiotherapy on the Promotion of Bone Mineralization in Preterm Infants), which is not on this map. Cited by 10 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 4 pooled it
3.0field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04356807 nacompletednot on this map

Effect of Physiotherapy on the Promotion of Bone Mineralization in Preterm Infants

TypeinterventionalSponsorGalaad Torró FerreroRan2016 to 2020Enrolled101ConditionsMetabolic Bone DiseaseArmsReflex Locomotion Therapy, Passive Joint Mobilizations, Massage
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 4 syntheses or guidelines pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Prevention and management of metabolic bone disease of prematurity: a systematic review.Journal of perinatology : official journal of the California Perinatal Association · 2026
    Pooled it
  3. Guideline
  4. Pooled it
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 6 institutions in 2 countries.

Galaad Torró-FerreroInternational School of Doctorate of the University of Murcia (EIDUM), University of Murcia, 30100, Murcia, Spain. galaad.torro@um.es.ORCID 0000-0001-5972-2663
Francisco Javier Fernández-RegoDepartment of Physical Therapy, Faculty of Medicine University of Murcia, Espinardo, 30100, Murcia, Spain.ORCID 0000-0002-9890-044X
María Rosario Jiménez-LiriaPediatric Unit, Torrecárdenas University Hospital of Almería, Almería, Spain.
Juan Jose Agüera-ArenasNeonatal Care Unit. Virgen de La Arrixaca Clinical University Hospital, Murcia, Spain.
Jessica Piñero-PeñalverDepartment of Developmental and Educational Psychology, University of Murcia, Murcia, Spain.ORCID 0000-0002-6029-8254
María Del Mar Sánchez-JoyaDepartment of Nursing, Physical Therapy and Medicine, University of Almería, Almería, Spain.ORCID 0000-0003-1358-8547
María Jesús Fernández-BerenguerNeonatal Care Unit, General University Hospital of Elche, Alicante, Spain.
Mónica Rodríguez-PérezPhysical Therapist, Torrecárdenas University Hospital of Almería, Almería, Spain.
Antonia Gomez-ConesaResearch Group Research Methods and Evaluation in Social Sciences. Mare Nostrum Campus of International Excellence, University of Murcia, Murcia, Spain.
Universidad de Murcia · ESComplejo Hospitalario Torrecárdenas · ESEarly Intervention Foundation · GBHospital General Universitario de Elche · ESHospital Universitario Virgen de la Arrixaca · ESUniversity of Almería · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPreterm infants have a low level of bone mineralization compared to those born at term, since 80% of calcium incorporation occurs at the end of pregnancy. The purpose of the present study was to investigate the effect of reflex locomotion therapy on bone modeling and growth in preterm infants and to compare its effect with those of other Physiotherapy modalities.

methodsA multicentre randomized controlled clinical trial was conducted (02/2016 - 07/2020). 106 preterm infants born at the Virgen de la Arrixaca University Clinical Hospital, the General University Hospital of Elche and the Torrecárdenas University Hospital of Almería, between 26 and 34 weeks with hemodynamic stability, complete enteral nutrition and without any metabolic, congenital, genetic, neurological or respiratory disorders were evaluated for inclusion. Infants were randomly assigned to three groups: one group received reflex locomotion therapy (EGrlt); another group received passive mobilizations with gentle joint compression (EGpmc); and the control group received massage (CG). All treatments were carried out in the neonatal units lasting one month. The main outcome measure was bone formation and resorption measured with bone biomarkers. A mixed ANOVA was used to compare the results of bone biomarkers, and anthropometric measurements.

resultsInfants were randomized to EGrlt (n = 38), EGpmc (n = 32), and CG (n = 36). All groups were similar in terms of gender (p = 0.891 female 47.2%), gestational age (M = 30.753, SD = 1.878, p = 0.39) and birth weight (M = 1413.45, SD = 347.36, p = 0.157). At the end of the study, significant differences were found between the groups in their interaction in bone formation, measured with osteocalcin [F (2,35) = 4.92, p = 0.013, η

conclusionsReflex locomotion therapy has been effective in improving bone formation, more so than other Physiotherapy modalities. Therefore, reflex locomotion therapy could be considered one of the most effective physiotherapeutic modalities for the prevention and treatment of osteopenia of prematurity. TRIAL REGISTRSTION: Trial retrospectively registered at ClinicalTrials.gov. First posted on 22/04/2020. REGISTRATION NUMBER: NCT04356807 .

Indexed as

Infant, PrematurePhysical Therapy ModalitiesBiomarkersBone RemodelingFemaleGestational AgeHumansInfantInfant, NewbornPregnancyBiomarkersBone mineralizationBone resorptionNeonatal intensive care unitsOsteogenesisOsteopeniaPhysical therapy modalitiesPremature infant

Identifiers

PMID35739544
PMCPMC9229521
OpenAlexW4283375273

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.