Early Physiotherapy Intervention Program for Preterm Infants and Parents: A Randomized, Single-Blind Clinical Trial

Background: The early developmental interventions might be designed with a preventative approach to improving the development of at-risk preterm infants. The present study aimed to evaluate the effectiveness of an early physiotherapy intervention on preterm infants’ motor and global development, and...

Full description

Bibliographic Details
Main Authors: Mirari Ochandorena-Acha, Marc Terradas-Monllor, Laura López Sala, Maria Engracia Cazorla Sánchez, Montserrat Fornaguera Marti, Isabel Muñoz Pérez, Thais Agut-Quijano, Martín Iriondo, Joan Carles Casas-Baroy
Format: Article
Language:English
Published: MDPI AG 2022-06-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/9/6/895
_version_ 1827661312989069312
author Mirari Ochandorena-Acha
Marc Terradas-Monllor
Laura López Sala
Maria Engracia Cazorla Sánchez
Montserrat Fornaguera Marti
Isabel Muñoz Pérez
Thais Agut-Quijano
Martín Iriondo
Joan Carles Casas-Baroy
author_facet Mirari Ochandorena-Acha
Marc Terradas-Monllor
Laura López Sala
Maria Engracia Cazorla Sánchez
Montserrat Fornaguera Marti
Isabel Muñoz Pérez
Thais Agut-Quijano
Martín Iriondo
Joan Carles Casas-Baroy
author_sort Mirari Ochandorena-Acha
collection DOAJ
description Background: The early developmental interventions might be designed with a preventative approach to improving the development of at-risk preterm infants. The present study aimed to evaluate the effectiveness of an early physiotherapy intervention on preterm infants’ motor and global development, and on parents’ stress index. Methods: 48 infants were enrolled and randomized into two groups. Infants allocated to the intervention group received an early physiotherapy intervention, based on parental education sessions and tactile and kinesthetic stimulation during the NICU period, as well as a home-based activity program. The intervention commenced after 32 weeks post-menstrual age and ended at 2 months corrected age. Infants allocated to the control group received the usual care based on the NIDCAP-care. Results: No differences were found between groups on the Alberta Infant Motor Scale at 2- or 8-months corrected age. Infants in the intervention group showed more optimal fine motor, problem-solving, personal-social, and communication development at 1 month corrected age. Conclusions: The results showed no effect on the early physiotherapy intervention. Results might be related to the dose or intensity of the intervention, but also to the poor parental compliance. ClinicalTrials.gov NCT03313427.
first_indexed 2024-03-10T00:07:40Z
format Article
id doaj.art-e0e38fbfcdba4dce990649de2b361633
institution Directory Open Access Journal
issn 2227-9067
language English
last_indexed 2024-03-10T00:07:40Z
publishDate 2022-06-01
publisher MDPI AG
record_format Article
series Children
spelling doaj.art-e0e38fbfcdba4dce990649de2b3616332023-11-23T16:06:37ZengMDPI AGChildren2227-90672022-06-019689510.3390/children9060895Early Physiotherapy Intervention Program for Preterm Infants and Parents: A Randomized, Single-Blind Clinical TrialMirari Ochandorena-Acha0Marc Terradas-Monllor1Laura López Sala2Maria Engracia Cazorla Sánchez3Montserrat Fornaguera Marti4Isabel Muñoz Pérez5Thais Agut-Quijano6Martín Iriondo7Joan Carles Casas-Baroy8Research Group on Methodology, Methods, Models and Outcomes of Health and Social Sciences (M<sub>3</sub>O), Faculty of Health Sciences and Welfare, Centre for Health and Social Care Research (CESS), University of Vic-Central University of Catalonia (UVIC-UCC), C.Sagrada Família, 7, 08500 Vic, Barcelona, SpainResearch Group on Methodology, Methods, Models and Outcomes of Health and Social Sciences (M<sub>3</sub>O), Faculty of Health Sciences and Welfare, Centre for Health and Social Care Research (CESS), University of Vic-Central University of Catalonia (UVIC-UCC), C.Sagrada Família, 7, 08500 Vic, Barcelona, SpainSant Joan de Deu Barcelona Children’s Hospital, Passeig de Sant Joan de Déu, 2, 08950 Esplugues de Llobregat, Barcelona, SpainSant Joan de Deu Barcelona Children’s Hospital, Passeig de Sant Joan de Déu, 2, 08950 Esplugues de Llobregat, Barcelona, SpainSant Joan de Deu Barcelona Children’s Hospital, Passeig de Sant Joan de Déu, 2, 08950 Esplugues de Llobregat, Barcelona, SpainSant Joan de Deu Barcelona Children’s Hospital, Passeig de Sant Joan de Déu, 2, 08950 Esplugues de Llobregat, Barcelona, SpainSant Joan de Deu Barcelona Children’s Hospital, Passeig de Sant Joan de Déu, 2, 08950 Esplugues de Llobregat, Barcelona, SpainSant Joan de Deu Barcelona Children’s Hospital, Passeig de Sant Joan de Déu, 2, 08950 Esplugues de Llobregat, Barcelona, SpainResearch Group on Methodology, Methods, Models and Outcomes of Health and Social Sciences (M<sub>3</sub>O), Faculty of Health Sciences and Welfare, Centre for Health and Social Care Research (CESS), University of Vic-Central University of Catalonia (UVIC-UCC), C.Sagrada Família, 7, 08500 Vic, Barcelona, SpainBackground: The early developmental interventions might be designed with a preventative approach to improving the development of at-risk preterm infants. The present study aimed to evaluate the effectiveness of an early physiotherapy intervention on preterm infants’ motor and global development, and on parents’ stress index. Methods: 48 infants were enrolled and randomized into two groups. Infants allocated to the intervention group received an early physiotherapy intervention, based on parental education sessions and tactile and kinesthetic stimulation during the NICU period, as well as a home-based activity program. The intervention commenced after 32 weeks post-menstrual age and ended at 2 months corrected age. Infants allocated to the control group received the usual care based on the NIDCAP-care. Results: No differences were found between groups on the Alberta Infant Motor Scale at 2- or 8-months corrected age. Infants in the intervention group showed more optimal fine motor, problem-solving, personal-social, and communication development at 1 month corrected age. Conclusions: The results showed no effect on the early physiotherapy intervention. Results might be related to the dose or intensity of the intervention, but also to the poor parental compliance. ClinicalTrials.gov NCT03313427.https://www.mdpi.com/2227-9067/9/6/895neonatesparent trainingmotor developmentquantitative methods
spellingShingle Mirari Ochandorena-Acha
Marc Terradas-Monllor
Laura López Sala
Maria Engracia Cazorla Sánchez
Montserrat Fornaguera Marti
Isabel Muñoz Pérez
Thais Agut-Quijano
Martín Iriondo
Joan Carles Casas-Baroy
Early Physiotherapy Intervention Program for Preterm Infants and Parents: A Randomized, Single-Blind Clinical Trial
Children
neonates
parent training
motor development
quantitative methods
title Early Physiotherapy Intervention Program for Preterm Infants and Parents: A Randomized, Single-Blind Clinical Trial
title_full Early Physiotherapy Intervention Program for Preterm Infants and Parents: A Randomized, Single-Blind Clinical Trial
title_fullStr Early Physiotherapy Intervention Program for Preterm Infants and Parents: A Randomized, Single-Blind Clinical Trial
title_full_unstemmed Early Physiotherapy Intervention Program for Preterm Infants and Parents: A Randomized, Single-Blind Clinical Trial
title_short Early Physiotherapy Intervention Program for Preterm Infants and Parents: A Randomized, Single-Blind Clinical Trial
title_sort early physiotherapy intervention program for preterm infants and parents a randomized single blind clinical trial
topic neonates
parent training
motor development
quantitative methods
url https://www.mdpi.com/2227-9067/9/6/895
work_keys_str_mv AT mirariochandorenaacha earlyphysiotherapyinterventionprogramforpreterminfantsandparentsarandomizedsingleblindclinicaltrial
AT marcterradasmonllor earlyphysiotherapyinterventionprogramforpreterminfantsandparentsarandomizedsingleblindclinicaltrial
AT lauralopezsala earlyphysiotherapyinterventionprogramforpreterminfantsandparentsarandomizedsingleblindclinicaltrial
AT mariaengraciacazorlasanchez earlyphysiotherapyinterventionprogramforpreterminfantsandparentsarandomizedsingleblindclinicaltrial
AT montserratfornagueramarti earlyphysiotherapyinterventionprogramforpreterminfantsandparentsarandomizedsingleblindclinicaltrial
AT isabelmunozperez earlyphysiotherapyinterventionprogramforpreterminfantsandparentsarandomizedsingleblindclinicaltrial
AT thaisagutquijano earlyphysiotherapyinterventionprogramforpreterminfantsandparentsarandomizedsingleblindclinicaltrial
AT martiniriondo earlyphysiotherapyinterventionprogramforpreterminfantsandparentsarandomizedsingleblindclinicaltrial
AT joancarlescasasbaroy earlyphysiotherapyinterventionprogramforpreterminfantsandparentsarandomizedsingleblindclinicaltrial