Brief reaching training with “sticky mittens” in preterm infants: Randomized controlled trial

Nascimento, Andressa Lagoa; Toledo, Aline Martins de; Merey, Leila Simone Foerster; Tudella, Eloísa; Soares, Daniele de Almeida

doi:10.1016/j.humov.2018.11.015

Cited by 15 publications

(25 citation statements)

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“…We believe that the variety, malleability, and medium size of the toys used in the training facilitated the exploration and selection of the best performance strategy, which resulted in the infant being able to perform the adjustments with two hands. The same effect was observed in the study of Wiesen, Watkins, and Needham (2016) 12 and Nascimento et al (2019) 20 , in which the bimanual strategy was also adopted. In contrast to using one hand, the use of both hands to explore the object may provide the infant with more exploration options.…”

Section: Discussionsupporting

confidence: 75%

“…For the infant evaluated in our study, it was not possible to verify changes in the number of reaches after only a single session of 20 minutes even with sticky mittens as a facilitator. This may be due to contextual individualities of only a single participant or to the fact that in the study of Nascimento et al (2019) 20 , the training was performed only actively by the infants, and in our protocol, the training occurred in an active and active-assisted format.…”

Section: Discussionmentioning

confidence: 95%

“…Regarding the immediate results of the reaching training with sticky mittens, Nascimento et al (2019) 20 found changes in the exploration of objects after a single active training session of only 10 minutes. For the infant evaluated in our study, it was not possible to verify changes in the number of reaches after only a single session of 20 minutes even with sticky mittens as a facilitator.…”

Section: Discussionmentioning

confidence: 99%

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Reaching training using sticky mittens as an early intervention protocol for an infant under environmental risk for motor delay: single-case research

Santana

Greco

Silva

et al. 2020

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BACKGROUND:Low socioeconomic status (low-SES) is an important environmental risk factor for developmental delay in infants. Access to affordable early intervention strategies may be limited for this population.As it is a low cost and easily reproducible intervention, reaching training using sticky mittens as a facilitator can be easily conducted by parents at home or in clinics, improving manual ability and exploration, and thus helping to avoid possible motor delays in infants from low-SES families. AIM:To investigate the effects of reaching training using sticky mittens on manual reach and gross motor development of a 3 month-old full-term infant with low-SES. METHOD:The training using sticky mittens occurred on 5 consecutive days, for 20 minutes per day.A total of 6 assessments were performed to measure: the number of reaches, proximal and distal adjustments (Kinovea), gross motor development (AIMS), and quality/quantity of affordances at home (AHEMD-IS). RESULTS:After the training protocol, improved reaching ability was observed, with an increase in the number of reaches and bimanual adjustments, with hands open and verticalized. No improvements in other gross motor skills were observed. CONCLUSION:Reaching training using sticky mittens seems to be a potential and affordable early intervention strategy for infants from low-SES families at risk for motor delay.

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Section: Discussionsupporting

confidence: 75%

Section: Discussionmentioning

confidence: 95%

Section: Discussionmentioning

confidence: 99%

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Reaching training using sticky mittens as an early intervention protocol for an infant under environmental risk for motor delay: single-case research

Santana

Greco

Silva

et al. 2020

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“…SES seems to impact skill performance more than biological risk when these infants present no risk factors associated. The results of this study do not minimize findings regarding infants at biological risk [33,[49][50][51][52]; however, we emphasize the importance of low-cost strategies (i.e., stimulation strategies for families and educators) within the scope of public health. A closer approach to the development of infants of low SES may reduce its impacts on future life.…”

Section: Discussioncontrasting

confidence: 59%

Reaching skills in six-month-old infants at environmental and biological risk

et al. 2021

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Objectives To assess kinematic parameters and proximal and distal reaching adjustments of infants at biological or environmental risk and compare with reaching performance of six-month-old full-term infants without known risk factors. Methods This blinded cross-sectional study included 62 infants at six months of age divided into three independent groups: Group with no known risk factor (NRF), 28 full-terms with no risk factors; Low SES group (LSES):19 full-terms classified as low socioeconomic status and no biological risk; Very preterm group (VPT), 15 very preterm infants at six months corrected age and no environmental risk. Infants were placed in a reclined baby chair at 45°, and a malleable and unfamiliar object was presented to the infant at 5-second intervals to elicit reaching movements. Results Infants from LSES presented reaching duration (p = 0.032, Cohen’s f = 0.349) and movement unit (p = 0.033, Cohen’s f = 0.351) significantly higher than VPT group. Horizontal hand orientation was moderately associated with infants at environmental risk (p = 0.031; Cramer’s V = 0.30). Conclusion Infants of low socioeconomic status perform less functional reaching movements than very preterm infants at six months corrected age. Socioeconomic status may impact more on reaching skills than biological risk. Given the importance of reaching for infant development, low-cost public health strategies are needed to identify possible delays.

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“…Positive for touching and multimodal exploration 7 (Nascimento et al, 2019) Training with 5-month-old preterm infants. After intervention, the trained group (n = 12) showed more reaching attempts than a control group (n = 12).…”

Section: Ack Of Adequate Comparison Conditionsmentioning

confidence: 99%

Scaffolded reaching can encourage motor development: Commentary on van den Berg & gredebäck (2020)

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2021

Developmental Science

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Brief reaching training with “sticky mittens” in preterm infants: Randomized controlled trial

Cited by 15 publications

References 39 publications

Reaching training using sticky mittens as an early intervention protocol for an infant under environmental risk for motor delay: single-case research

Reaching training using sticky mittens as an early intervention protocol for an infant under environmental risk for motor delay: single-case research

Reaching skills in six-month-old infants at environmental and biological risk

Scaffolded reaching can encourage motor development: Commentary on van den Berg & gredebäck (2020)

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