A critical appraisal of "The lowering of bilirubin levels in patients with neonatal jaundice using massage therapy: a randomized, double-blind clinical trial"




Bowermaster, Jessica Kaitlyn

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As an assignment for the Angelo State University Doctor of Physical Therapy Program, this is a critical appraisal of a randomized, double-blind clinical trial looking at the effects of massage therapy on jaundiced infants. This appraisal is to be used as guide to better decide if the research article discussed is unbiased, trustworthy, and should be used in evidence-based practice. Being able to decipher the strong and weak points within a research article is imperative for a healthcare provider to be able to deliver the highest quality of care to patients. The results of the study indicate that infant massage, when combined with phototherapy, will increase the defecation frequency and lead to lower serum bilirubin levels in jaundiced infants sooner than phototherapy used alone. These findings could be misleading due to the fact that there is a big percentage of withdrawal within the experimental and control group. Within the methods and results, there is vague information on the concealment of the study, how the control group was monitored, the accuracy of the outcomes measured, and if the results found are clinically significant enough to be used in the clinic. The introduction and discussion are written with good information and a variety of literature sources used to complement and contrast the findings. Overall, the research paper is not recommended to be used without further investigation into other high-quality studies using massage therapy as a way to lower bilirubin levels.