Infant Massage for Parents and Caregivers IECC May 8th & 9th, 2014 Jacqueline Rosquita, MOT, OTR/L, CIMI Irene Bryant, PT, DPT, CIMI UW Medicine Valley Medical Center Children’s Therapy Introduction Presenter background Certified Infant Massage Instructor (CIMI) International Loving Touch Foundation Financial Disclosures Course Objectives Explain 2 benefits of infant massage Identify three cues the baby exhibits that let the caretaker know it is an appropriate time to provide massage Perform head to toe stroke sequences with or without handouts as a support. Group Introduction What is your personal goal for the course How will you apply this material with your infant or child What is Infant Massage “The art of infant massage is a special touching we do WITH our babies, not TO our babies. It is a reciprocal interactive form of communication. It should be done only as long as the infant is interested.” Diana Moore1 What is Infant Massage “Infant massage is positive interaction between caregiver and infant using systematic manual manipulation of soft tissues of the body.” -Diana Moore1 Infant Massage Worldwide Global practice that has evolved over the last 5000 years1 Cultural Influences Traditionally passed down from mothers to daughters Cultural traditions and significance of direct skin and body contact1,2 Evolution of baby products reduces skin to skin contact3 Benefits of Infant Massage Stimulation1,2,3,4,5,6,7,8 Weight gain Immune system improvement Brain myelination Respectful stimulation of multiple sensory systems Growth Hormone production Improved cell nourishment Improved circulation Benefits of Infant Massage Relaxation1,3,4,9 Pain management Reduces stress levels Co-regulation Benefits of Infant Massage Relief1,2,3,8 Improves intestinal motility Helps with sleep disorders Colic Constipation Teething pain Benefits of Infant Massage Developmental1,2,3,4,5 Bonding/Attachment Early communication Promotes alert state and engagement in environment Improves body awareness/body map Infant Cues Engagement Mutual gaze Brow raising/facial brightening Reaching/turning toward caregiver Babbling/giggling Relaxed body Infant Cues Disengagement Gaze aversion Arching pulling/pushing away Clenching or stiffness in body Hiccoughs/yawning/rapid breathing Getting Ready for Massage Be clear about your intention Allow enough time Good time of day for baby Alert Allow time after eating Pair it with a daily ritual Getting Ready for Massage Prepare the space Improves well being in caregiver Warm Quiet Turn off electronics Blanket, oil, towels Parent positioned comfortably Remove clothing (diaper optional) Eye contact and gentle strokes Ask your baby's permission Massage Sequence (handouts) Legs and Feet Tummy Chest Arms and Hands Face Back Massage for the Child with Special Needs1 Contact primary care provider prior to initiation of massage Be aware of contraindications Establish a massage routine (time of day, place, etc) Minimize additional stimulation (parent clothing, lighting, music) Explain to child the what and why during and to prepare for next step Child is in control Resources 1. Moore, D. (2010). CIMI Certified infant massage instructor workbook for the Loving Touch Parent-Infant Massage Program, 8th ed. Portland, OR: International Loving Touch Foundation. 2. Field, T. (2003). Touch. Cambridge, MA: MIT Press. 3. Heller, S.(1987). The vital touch. New York, NY: Holt Paperback. 4. Heath A, Bainbridge N. (2004). Baby massage: The calming power of touch. New York, NY: DK Publishing Inc. 5. Field, T., Schanberg, S., Scafidid, F., Bauer, C., Vega-Lahr, N., Garcia, R., Nystrom, J., Kuhn, C. (1986). Tactile/Kinesthetic stimulation effects on preterm neonates. Pediatrics, 77 (5), 654-658. 6. Mendes, E., Procianoy, R. (2008). Massage therapy reduces hospital stay and occurrence of late-onset sepsis in very preterm neonates. Journal of Perinatology, July, 815-820. 7. Field, T., Diego, M., Hernandez-Reif, M., Dieter, J., Kumar, A., Schanberg, S., Kuhn, C. (2008). Insulin and insulin-like growth factor-1 Increased in preterm neonates following massage therapy. Journal of Developmental and Behavioral Pediatrics, 29, 463-466. 8. Diego, M., Field, T., Hernandez-Reif, M. (2005). Vagal activity, gastric motility, and weight gain in massaged preterm neonates. Journal of Pediatrics, July, 50-55. 9. Jain, S., Kumar, P., McMillan, D. (2006). Prior leg massage decreases pain responses to heel stick in preterm babies. Journal of Pediatrics and Child Health, 42, 505-508. Discussion How will you apply this material with your infant or child Questions? Thank you! Course Evaluation