{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T16:03:43Z","timestamp":1789488223970,"version":"build-2803163510"},"reference-count":19,"publisher":"Canadian Society of Respiratory Therapists","license":[{"start":{"date-parts":[[2025,8,7]],"date-time":"2025-08-07T00:00:00Z","timestamp":1754524800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"funder":[{"DOI":"10.13039\/501100003593","name":"Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico","doi-asserted-by":"publisher","award":["402510\/2016-0"],"award-info":[{"award-number":["402510\/2016-0"]}],"id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"publisher","award":["Financing code 001"],"award-info":[{"award-number":["Financing code 001"]}],"id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:sec id=\"introduction\">\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>It is unknown whether bucket hydrotherapy is beneficial to premature newborns with bronchopulmonary dysplasia (BPD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"objective\">\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To evaluate the effects of bucket hydrotherapy on physiological and behavioural parameters and the oxygen need in preterm infants with BPD during hospitalization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"methods\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Twenty infants with BPD were randomized into a control (conventional physiotherapy - PG) or an intervention group (conventional physiotherapy plus bucket hydrotherapy - BHG). All infants underwent twelve days of intervention, and data from the first (D1), sixth (D6) and twelfth (D12) days were analyzed. Respiratory rate (RR), heart rate (HR), peripheral oxygen saturation (SpO\n                      <jats:sub>2<\/jats:sub>\n                      ), inspired oxygen fraction (FiO\n                      <jats:sub>2<\/jats:sub>\n                      ), pain, respiratory effort, sleep, and wakefulness status were measured before, immediately after, and at 15, 30, and 60 minutes after the intervention.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"results\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In the BHG, intragroup analysis showed lower values for FiO\n                      <jats:sub>2<\/jats:sub>\n                      on D1 (30\u2019:\n                      <jats:italic>p =<\/jats:italic>\n                      0.03, 60\u2019:\n                      <jats:italic>p =<\/jats:italic>\n                      0.02), HR on D6 (\n                      <jats:italic>p =<\/jats:italic>\n                      0.004) and RR on D12 (\n                      <jats:italic>p &lt;<\/jats:italic>\n                      0.03), and higher values for SpO\n                      <jats:sub>2<\/jats:sub>\n                      on D12 (\n                      <jats:italic>p<\/jats:italic>\n                      = 0.0003). Intergroup comparisons favored BHG for SpO\n                      <jats:sub>2<\/jats:sub>\n                      (\n                      <jats:italic>p =<\/jats:italic>\n                      0.03; effect size [ES] =0.99) and FiO\n                      <jats:sub>2<\/jats:sub>\n                      (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.02; ES &gt; 0.47) on D1, HR changes on D6 (\n                      <jats:italic>p &lt;<\/jats:italic>\n                      0.04; ES &gt; 0.9) and D12 (\n                      <jats:italic>p =<\/jats:italic>\n                      0.009; ES = 0.61). No significant intra- or intergroup differences were found in pain, respiratory effort, sleep, or wakefulness (\n                      <jats:italic>p<\/jats:italic>\n                      &gt; 0.05 for all).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"discussion\">\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Given the persistent gas exchange abnormalities in BPD, bucket hydrotherapy appears to be a feasible and beneficial non-pharmacological method for reducing oxygen requirements.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"conclusion\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The present pilot study demonstrates that bucket hydrotherapy is a therapeutic intervention that reduces HR, RR and oxygen requirements in premature infants with BPD without inducing changes in behavioural parameters.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.29390\/001c.142452","type":"journal-article","created":{"date-parts":[[2025,8,7]],"date-time":"2025-08-07T19:06:47Z","timestamp":1754593607000},"source":"Crossref","is-referenced-by-count":3,"title":["Effect of bucket hydrotherapy on clinical parameters in infants with bronchopulmonary dysplasia: A pilot randomized clinical trial"],"prefix":"10.29390","volume":"61","author":[{"given":"Vanessa S","family":"Probst","sequence":"first","affiliation":[{"name":"Universidade Estadual de Londrina","department":["Physical Therapy Department"]},{"id":[{"id":"https:\/\/ror.org\/01585b035","id-type":"ROR","asserted-by":"publisher"}],"name":"Universidade Estadual de Londrina","department":["Postgraduation Program in Rehabilitation Sciences"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-0825-1751","authenticated-orcid":false,"given":"Darllyana S","family":"Soares","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01585b035","id-type":"ROR","asserted-by":"publisher"}],"name":"Universidade Estadual de Londrina","department":["Postgraduation Program in Rehabilitation Sciences"]},{"id":[{"id":"https:\/\/ror.org\/03trtgn80","id-type":"ROR","asserted-by":"publisher"}],"name":"Hospital Infantil Albert Sabin","department":["Cear\u00e1 State Health Department"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8629-2352","authenticated-orcid":false,"given":"Victoria C","family":"Escobar","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01585b035","id-type":"ROR","asserted-by":"publisher"}],"name":"Universidade Estadual de Londrina","department":["Postgraduation Program in Rehabilitation Sciences"]},{"name":"EBSERH","department":["Neonatal Intensive Care Unit, CHC of the Federal University of Paran\u00e1 (UFPR)"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0762-0424","authenticated-orcid":false,"given":"Marcia L.C.","family":"Camargo","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01585b035","id-type":"ROR","asserted-by":"publisher"}],"name":"Universidade Estadual de Londrina","department":["Postgraduation Program in Rehabilitation Sciences"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6173-1104","authenticated-orcid":false,"given":"Walter","family":"Sepulveda- Loyola","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01585b035","id-type":"ROR","asserted-by":"publisher"}],"name":"Universidade Estadual de Londrina","department":["Postgraduation Program in Rehabilitation Sciences"]},{"id":[{"id":"https:\/\/ror.org\/0198j4566","id-type":"ROR","asserted-by":"publisher"}],"name":"Universidad de Las Am\u00e9ricas","department":["Faculty of Health and Social Sciences and Center for Research in Biological and Chemical Sciences"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3270-6940","authenticated-orcid":false,"given":"Josiane M","family":"Felcar","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Londrina","department":["Physical Therapy Department"]},{"id":[{"id":"https:\/\/ror.org\/01585b035","id-type":"ROR","asserted-by":"publisher"}],"name":"Universidade Estadual de Londrina","department":["Postgraduation Program in Rehabilitation Sciences"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7018-0017","authenticated-orcid":false,"given":"L\u00edgia S. L.","family":"Ferrari","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01585b035","id-type":"ROR","asserted-by":"publisher"}],"name":"Universidade Estadual de Londrina","department":["Pediatric Surgery and Pediatric Department, Health Sciences Center"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"11956","published-online":{"date-parts":[[2025,8,7]]},"reference":[{"issue":"21","key":"ref1","doi-asserted-by":"publisher","first-page":"2190","DOI":"10.1001\/jama.2018.5725","article-title":"Association Between Oxygen Saturation Targeting and Death or Disability in Extremely Preterm Infants in the Neonatal Oxygenation Prospective Meta-analysis Collaboration","volume":"319","author":"L. M. Askie","year":"2018","journal-title":"JAMA"},{"issue":"6","key":"ref2","doi-asserted-by":"publisher","first-page":"411","DOI":"10.2223\/jped.571","article-title":"Behavioural pain scales assessment in neonates","volume":"73","author":"R. Guinsburg","year":"1997","journal-title":"J Pediatr (Rio J)"},{"issue":"2","key":"ref3","doi-asserted-by":"publisher","first-page":"135","DOI":"10.1590\/S1809-29502012000200008","article-title":"Evaluation of prone position associated with CPAP in newborn preterm","volume":"19","author":"F. C. Lanza","year":"2012","journal-title":"Fisioter. Pesqui."},{"key":"ref4","article-title":"Neonatal Behavioural Assessment Scale","author":"T. B. Brazelton","year":"1973","edition":"50"},{"key":"ref5","article-title":"Statistical power analysis for the behavioural sciences","author":"J. Cohen","year":"1988","edition":"2"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"2","DOI":"10.1037\/a0024338","article-title":"Effect Size Estimates: Current Use, Calculations, and Interpretation","volume":"141","author":"C. O. Fritz","year":"2012","journal-title":"J Exp Psychol Gen"},{"issue":"3","key":"ref7","doi-asserted-by":"publisher","first-page":"207","DOI":"10.33233\/fb.v16i3.76","article-title":"Impact of hydrotherapy in hospitalized newborns","volume":"16","author":"L. P. C. Barbosa","year":"2016","journal-title":"Fisioter Bras"},{"key":"ref8","first-page":"95","article-title":"Physiological effects of immersion and its relation with sensory deprivation and relaxation in hydrotherapy","volume":"14","author":"M. G. Cunha","year":"2003","journal-title":"Revis. Terap. Ocupac da USP"},{"issue":"1","key":"ref9","doi-asserted-by":"publisher","first-page":"39","DOI":"10.1080\/J006v03n01_0","article-title":"Neonatal hydrotherapy: an adjunct to developmental intervention in an intensive care nursery setting","volume":"3","author":"J.K. Sweeney","year":"1983","journal-title":"Phys Occup Ther Pediatr"},{"issue":"6","key":"ref10","doi-asserted-by":"publisher","first-page":"566","DOI":"10.5007\/1980-0037.2018v20n6p566","article-title":"Back to the liquid environment: effects of aquatic physiotherapy intervention performed on preterm infants","volume":"20","author":"K. R. M. Novakoski","year":"2018","journal-title":"Rev Bras Cineantropom Desempenho Hum"},{"issue":"3","key":"ref11","doi-asserted-by":"publisher","first-page":"309","DOI":"10.11606\/issn.2238-6149.v28i3p309-315","article-title":"Physiological effects of bucket hydrotherapy for premature newborns","volume":"28","author":"H. A. Silva","year":"2017","journal-title":"Rev Ter Ocup Univ S\u00e3o Paulo"},{"issue":"1","key":"ref12","doi-asserted-by":"publisher","first-page":"93","DOI":"10.18616\/is.v4i2.2238.1-16","article-title":"Bronchopulmonary Dysplasia - definition, pathophysiology and treatment: literature review","volume":"6","author":"M. D. B. V. Piscoya","year":"2017","journal-title":"Inova Sa\u00fade"},{"issue":"3","key":"ref13","first-page":"37","article-title":"Bronchopulmonary Dysplasia","volume":"22","author":"P. F. B. M. Costa","year":"2013","journal-title":"Pulm\u00e3o RJ"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"300","DOI":"10.1016\/j.jpeds.2018.01.043","article-title":"Bronchopulmonarydysplasia: executive summary of a workshop","volume":"197","author":"R. D. Higgins","year":"2018","journal-title":"J Pediatr"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"1723","DOI":"10.1164\/ajrccm.163.7.2011060","article-title":"Bronchopulmonary dysplasia","volume":"163","author":"A. H. Jobe","year":"2001","journal-title":"Am J Respir Crit Care Med"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"170","DOI":"10.1016\/j.rmed.2017.10.014","article-title":"Bronchopulmonary Dysplasia: a review of pathogenesis and pathophysiology","volume":"132","author":"R. K. Thekkeveedu","year":"2017","journal-title":"Respir Med"},{"issue":"3","key":"ref17","doi-asserted-by":"publisher","first-page":"214","DOI":"10.1590\/S1413-35552010000300013","article-title":"Effect of Aquatic Physical Therapy on Pain and State of Sleep and Wakefulness among Stable Preterm Newborns in Neonatal Intensive Care Units","volume":"14","author":"C. Vignochi","year":"2010","journal-title":"Rev Bras Fisioter"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1155\/2016\/9285056","article-title":"Short-term effects of hydrokinesiotherapy in hospitalized preterm newborns","volume":"2016","author":"W. C. O. Tobinaga","year":"2016","journal-title":"Rehabil Res Pract"},{"issue":"13","key":"ref19","doi-asserted-by":"publisher","first-page":"2452","DOI":"10.1080\/09593985.2021.1926025","article-title":"Bucket Hydrokinesiotherapy in Hospitalized Preterm Newborns: A Randomized Controlled Trial","volume":"38","author":"N. M. Tedesco","year":"2022","journal-title":"Physiother Theory Pract"}],"container-title":["Canadian Journal of Respiratory Therapy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/cjrt.ca\/article\/142452-effect-of-bucket-hydrotherapy-on-clinical-parameters-in-infants-with-bronchopulmonary-dysplasia-a-pilot-randomized-clinical-trial","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T15:17:08Z","timestamp":1789485428000},"score":1,"resource":{"primary":{"URL":"https:\/\/cjrt.ca\/article\/142452-effect-of-bucket-hydrotherapy-on-clinical-parameters-in-infants-with-bronchopulmonary-dysplasia-a-pilot-randomized-clinical-trial"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,7]]},"references-count":19,"URL":"https:\/\/doi.org\/10.29390\/001c.142452","relation":{},"ISSN":["2368-6820"],"issn-type":[{"value":"2368-6820","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8,7]]}}}