Study protocol: an early intervention program to improve motor outcome in preterm infants: a randomized controlled trial and a qualitative study of physiotherapy performance and parental experiences
<p>Abstract</p> <p>Background</p> <p>Knowledge about early physiotherapy to preterm infants is sparse, given the risk of delayed motor development and cerebral palsy.</p> <p>Methods/Design</p> <p>A pragmatic randomized controlled study has been d...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2012-02-01
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| Series: | BMC Pediatrics |
| Subjects: | |
| Online Access: | http://www.biomedcentral.com/1471-2431/12/15 |
| _version_ | 1819041649547804672 |
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| author | Øberg Gunn Campbell Suzann K Girolami Gay L Ustad Tordis Jørgensen Lone Kaaresen Per |
| author_facet | Øberg Gunn Campbell Suzann K Girolami Gay L Ustad Tordis Jørgensen Lone Kaaresen Per |
| author_sort | Øberg Gunn |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Background</p> <p>Knowledge about early physiotherapy to preterm infants is sparse, given the risk of delayed motor development and cerebral palsy.</p> <p>Methods/Design</p> <p>A pragmatic randomized controlled study has been designed to assess the effect of a preventative physiotherapy program carried out in the neonatal intensive care unit. Moreover, a qualitative study is carried out to assess the physiotherapy performance and parents' experiences with the intervention. The aim of the physiotherapy program is to improve motor development i.e. postural control and selective movements in these infants. 150 infants will be included and randomized to either intervention or standard follow-up. The infants in the intervention group will be given specific stimulation to facilitate movements based on the individual infant's development, behavior and needs. The physiotherapist teaches the parents how to do the intervention and the parents receive a booklet with photos and descriptions of the intervention. Intervention is carried out twice a day for three weeks (week 34, 35, 36 postmenstrual age). Standardized tests are carried out at baseline, term age and at three, six, 12 and 24 months corrected age. In addition eight triads (infant, parent and physiotherapist) are observed and videotaped in four clinical encounters each to assess the process of physiotherapy performance. The parents are also interviewed on their experiences with the intervention and how it influences on the parent-child relationship. Eight parents from the follow up group are interviewed about their experience. The interviews are performed according to the same schedule as the standardized measurements. Primary outcome is at two years corrected age.</p> <p>Discussion</p> <p>The paper presents the protocol for a randomized controlled trial designed to study the effect of physiotherapy to preterm infants at neonatal intensive care units. It also studies physiotherapy performance and the parent's experiences with the intervention.</p> <p>Trial registration</p> <p>ClinicalTrials.gov <a href="http://www.clinicaltrials.gov/ct2/show/NCT01089296">NCT01089296</a></p> |
| first_indexed | 2024-12-21T09:28:21Z |
| format | Article |
| id | doaj.art-404c61144f074e1896cab0004f727ecc |
| institution | Directory Open Access Journal |
| issn | 1471-2431 |
| language | English |
| last_indexed | 2024-12-21T09:28:21Z |
| publishDate | 2012-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pediatrics |
| spelling | doaj.art-404c61144f074e1896cab0004f727ecc2022-12-21T19:08:50ZengBMCBMC Pediatrics1471-24312012-02-011211510.1186/1471-2431-12-15Study protocol: an early intervention program to improve motor outcome in preterm infants: a randomized controlled trial and a qualitative study of physiotherapy performance and parental experiencesØberg GunnCampbell Suzann KGirolami Gay LUstad TordisJørgensen LoneKaaresen Per<p>Abstract</p> <p>Background</p> <p>Knowledge about early physiotherapy to preterm infants is sparse, given the risk of delayed motor development and cerebral palsy.</p> <p>Methods/Design</p> <p>A pragmatic randomized controlled study has been designed to assess the effect of a preventative physiotherapy program carried out in the neonatal intensive care unit. Moreover, a qualitative study is carried out to assess the physiotherapy performance and parents' experiences with the intervention. The aim of the physiotherapy program is to improve motor development i.e. postural control and selective movements in these infants. 150 infants will be included and randomized to either intervention or standard follow-up. The infants in the intervention group will be given specific stimulation to facilitate movements based on the individual infant's development, behavior and needs. The physiotherapist teaches the parents how to do the intervention and the parents receive a booklet with photos and descriptions of the intervention. Intervention is carried out twice a day for three weeks (week 34, 35, 36 postmenstrual age). Standardized tests are carried out at baseline, term age and at three, six, 12 and 24 months corrected age. In addition eight triads (infant, parent and physiotherapist) are observed and videotaped in four clinical encounters each to assess the process of physiotherapy performance. The parents are also interviewed on their experiences with the intervention and how it influences on the parent-child relationship. Eight parents from the follow up group are interviewed about their experience. The interviews are performed according to the same schedule as the standardized measurements. Primary outcome is at two years corrected age.</p> <p>Discussion</p> <p>The paper presents the protocol for a randomized controlled trial designed to study the effect of physiotherapy to preterm infants at neonatal intensive care units. It also studies physiotherapy performance and the parent's experiences with the intervention.</p> <p>Trial registration</p> <p>ClinicalTrials.gov <a href="http://www.clinicaltrials.gov/ct2/show/NCT01089296">NCT01089296</a></p>http://www.biomedcentral.com/1471-2431/12/15Preterm infantsearly interventionPhysiotherapyMotor developmentParental experience |
| spellingShingle | Øberg Gunn Campbell Suzann K Girolami Gay L Ustad Tordis Jørgensen Lone Kaaresen Per Study protocol: an early intervention program to improve motor outcome in preterm infants: a randomized controlled trial and a qualitative study of physiotherapy performance and parental experiences BMC Pediatrics Preterm infants early intervention Physiotherapy Motor development Parental experience |
| title | Study protocol: an early intervention program to improve motor outcome in preterm infants: a randomized controlled trial and a qualitative study of physiotherapy performance and parental experiences |
| title_full | Study protocol: an early intervention program to improve motor outcome in preterm infants: a randomized controlled trial and a qualitative study of physiotherapy performance and parental experiences |
| title_fullStr | Study protocol: an early intervention program to improve motor outcome in preterm infants: a randomized controlled trial and a qualitative study of physiotherapy performance and parental experiences |
| title_full_unstemmed | Study protocol: an early intervention program to improve motor outcome in preterm infants: a randomized controlled trial and a qualitative study of physiotherapy performance and parental experiences |
| title_short | Study protocol: an early intervention program to improve motor outcome in preterm infants: a randomized controlled trial and a qualitative study of physiotherapy performance and parental experiences |
| title_sort | study protocol an early intervention program to improve motor outcome in preterm infants a randomized controlled trial and a qualitative study of physiotherapy performance and parental experiences |
| topic | Preterm infants early intervention Physiotherapy Motor development Parental experience |
| url | http://www.biomedcentral.com/1471-2431/12/15 |
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