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...
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MDPI AG
2022-06-01
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Online Access: | https://www.mdpi.com/2227-9067/9/6/895 |
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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. |
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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 |
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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 |
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