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. 2021 Apr 13;10:e65266. doi: 10.7554/eLife.65266

Figure 4. Effect of gentle touch on reflex responses.

(A) The magnitude of the reflex withdrawal following a mild experimental noxious stimulus (baseline reflex sensitivity) compared with the clinically required heel lance for each neonate in the Control Group (n = 18). Solid line indicates line of best fit. (B) Average electromyography (EMG) traces (top) for neonates in the Control Group (purple) and Intervention Group (blue, n = 15) where neonates were gently brushed at a rate of approximately 3 cm/s for 10 s prior to the heel lance. Dashed lines indicate the point of stimulation. Each neonate’s EMG responses to the experimental noxious stimulus and the heel lance are shown in Figure 4—figure supplement 1. (Bottom) Magnitude of the reflex withdrawal response in the two groups. Error bars indicate mean of the root mean square (RMS) of the reflex withdrawal ± standard error. (C) The magnitude of the reflex withdrawal following a mild experimental noxious stimulus (baseline reflex sensitivity) compared with the clinically required heel lance for each neonate in the Intervention Group (gentle touch) (Figure 4—source data 1).

Figure 4—source data 1. Numerical data plotted in Figure 4A,B,C.

Figure 4.

Figure 4—figure supplement 1. Reflex withdrawal activity in individual neonates in the Control group and Intervention Group, Study 3.

Figure 4—figure supplement 1.

Average reflex withdrawal in response to experimental noxious stimulation and reflex withdrawal evoked by heel lancing in the 31 neonates included in Study 3. Neonates in the Intervention Group (EMG traces in blue) received gentle brushing before the heel lancing.