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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)
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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 andsignificance 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 ofPediatrics, 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