Evidence map›Paper›PMID 41419669›Full record

Trial reportPediatric research2026

Randomized trial evaluating sensorimotor stimulation and functional feeding in high-risk newborns: study protocol.

Marit L Nelissen, Viola Christmann, Marysia van Gestel, Leenke van Haaften, Sandra A F de Groot, Willem Pieter de Boode

Abstract readRandomized Controlled TrialMulticenter Study
PubMed Publisher
In one paragraph

Trial report in Pediatric research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

6 authors.

Marit L NelissenDepartment of Pediatrics, Division of Neonatology, Radboudumc Amalia Children's Hospital, Nijmegen, The Netherlands. marit.nelissen@radboudumc.nl.
Viola ChristmannDepartment of Pediatrics, Division of Neonatology, Radboudumc Amalia Children's Hospital, Nijmegen, The Netherlands.
Marysia van GestelDepartment of Pediatrics, Division of Neonatology, Radboudumc Amalia Children's Hospital, Nijmegen, The Netherlands.
Leenke van HaaftenDepartment of Rehabilitation, Donders Institute for Brain, Cognition and Behaviour, Radboudumc Amalia Children's Hospital, Nijmegen, The Netherlands.
Sandra A F de GrootDepartment of Rehabilitation, Donders Institute for Brain, Cognition and Behaviour, Radboudumc Amalia Children's Hospital, Nijmegen, The Netherlands.
Willem Pieter de BoodeDepartment of Pediatrics, Division of Neonatology, Radboudumc Amalia Children's Hospital, Nijmegen, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdequate nutritional intake is necessary for optimal growth and development of high-risk newborns, specifically preterm infants and newborns with congenital diaphragmatic hernia (CDH). They face challenges initiating and advancing enteral and oral feeding, originating from mechanical dysfunction of gastrointestinal motility, which probably results from delayed or deviant maturation of the autonomous nervous system (ANS). This often leads to long-term feeding difficulties and failure to thrive. Antenatally, ANS development is influenced by various forms of sensorimotor stimulation. Postnatally, development may be delayed, partly due to reduced sensory inputs. A sensorimotor stimulation programme was developed directed at improving gastrointestinal functionality: HAPTOS (Handling Adapted to Postnatal age with Tactile-kinaesthetic and Oral sensorimotor Stimulation).

methodsThis multicentre, randomized clinical trial in preterm ( < 30 weeks gestation) and CDH infants compares standard care to HAPTOS in addition to standard care. Primary outcomes are postnatal age at full enteral feeding and postmenstrual age at full oral feeding. Secondary outcomes are short-term clinical outcomes, short-term autonomic regulation, short-term care and parental participation, long-term growth and wellbeing, and long-term neurodevelopment. DISCUSSION: This study evaluates HAPTOS: a novel concept of developmental care to improve functional outcomes in high-risk newborns IMPACT: High-risk newborns often present with immature gastrointestinal motility, leading to challenges initiating and progressing with enteral and oral feeding with long-term sequelae. Sensorimotor stimulation has positive effects on feeding outcomes but current protocols are unsuitable for high-risk newborns. Thus, a new sensorimotor stimulation programme was developed: HAPTOS (Handling Adapted to Postnatal age with Tactile-kinaesthetic and Oral sensorimotor Stimulation). This randomized controlled trial assesses clinical effects of HAPTOS and provides evidence for the role of autonomic regulation in functional maturation. HAPTOS intervention is a novel concept of developmental care to improve gastrointestinal outcomes and overall wellbeing in high-risk newborns.

Indexed as

Enteral NutritionHernias, Diaphragmatic, CongenitalChild DevelopmentFemaleGastrointestinal MotilityHumansInfant, NewbornInfant, PrematureMale

Identifiers

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Registered trials

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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.