Movement Training Advances the Emergence of Reaching in Infants Born at Less Than 33 Weeks of Gestational Age: A Randomized Clinical Trial

Heathcock, Jill C.; Lobo, Michele A.; Galloway, James C.

doi:10.2522/ptj.20070145

Cited by 89 publications

(148 citation statements)

References 106 publications

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“…In short term physical therapy treatments based on the administration of sensoriperceptive techniques 31) , and the stimulation of motor development using active and passive techniques 29) , infants showed improved motor performance. It is interesting to highlight the results obtained by Heathcock et al 27) who reported the earliness in the emergence of reaching in preterm infants after a training programme. In the medium term studies by Goodman et al 26) and from Rothberg et al 32) reported favourable results for Bobath method, after initiating the intervention in the hospital and continuing it at home.…”

Section: Discussionmentioning

confidence: 84%

“…It is important to point out that 5 of the16 studies used in this review had high methodological quality, a score of six or higher on the PEDro scale, 15,25,[29][30][31] five had medium methodological quality, a score of five, 20,22,26,27,33) and six had low methodological quality, with scores of less five, 21,23,24,28,32,34) . Two out of five studies with high methodological quality reported favourable results for the intervention groups 15,29) (40%).…”

Section: Discussionmentioning

confidence: 97%

“…In those studies where intervention began when children were discharged from the Neonatal Intensive Care Unit, the Bobath method was the main method of physical therapy intervention 26,30,32,33) , but there were also studies with interventions based on the Vojta Method 21,28) , family-focussed physiotherapy 15) , physiotherapy based on motor development 20,27,29,34) , and mixed treatments based on the Vojta and Bobath methods 24) .…”

Section: Discussionmentioning

confidence: 99%

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Efficacy of Early Physiotherapy Intervention in Preterm Infant Motor Development— A Systematic Review—

2012

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Abstract.[Purpose] Although there has been an improvement in survival rates for extremely low weight infants over the last two decades, premature neonates have a greater risk of developing motor disorders than those born full-term. Our purpose here is to review the efficacy of early physiotherapy intervention in the normalization or improvement of motor development in preterm infants.[Subjects] We reviewed sixteen articles meeting the inclusion criteria which covered 1075 patients.[Methods] Randomized clinical trials, controlled or quasi-randomized clinical trials and cohort studies or control cases of preterm developmental early intervention programs were used if intervention began in the first 18 months of life. A systematic review of studies grouped by methodological characteristics of physical therapy intervention: type and characteristics and an assessment of intervention effects was undertaken.[Results] Studies included in this review were of a very heterogeneous nature which precludes meta-analysis and limits generalization of the conclusions arrived at in this review. The review results indicate that physical therapy interventions carried out on preterm infants must be adapted to an infant's age and individual characteristics.

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Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

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Efficacy of Early Physiotherapy Intervention in Preterm Infant Motor Development— A Systematic Review—

2012

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“…Reaching training delivered by caregivers to their preterm infants was able to partially ameliorate the delayed reaching skills often observed in the preterm population. 18 Similarly, training parents to practice specific motor tasks with typically developing infants accelerated the rate of motor development in both the short and long term. 19,20 In the small amount of literature about the benefits of EE for infants at risk for brain injury, we know that premature infants demonstrate neurobehavioral benefits from sensory-specific EE activities, such as massage 21 26,27 Because only ∼8% to 15% of premature infants will go on to have CP, 28 it is not clear whether interventions aimed at preterm infants will have clear benefits for infants with CP.…”

Section: Methodsmentioning

confidence: 99%

Enriched Environments and Motor Outcomes in Cerebral Palsy: Systematic Review and Meta-analysis

2013

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BACKGROUND AND OBJECTIVES: Neuroplasticity evidence from animals favors an early enriched environment for promoting optimal brain injury recovery. In infants, systematic reviews show environmental enrichment (EE) improves cognitive outcomes but the effect on motor skills is less understood. The objective of this review was to appraise the effectiveness evidence about EE for improving the motor outcomes of infants at high risk of cerebral palsy (CP). METHODS:A systematic review was conducted. Cochrane Central Register of Controlled Trials (PubMed), Cumulative Index to Nursing and Allied Health Literature, Education Resource Information Center, SocINDEX, and PsycINFO databases were searched for literature meeting inclusion criteria: randomized controlled trials; high risk of /diagnosis of CP; .25% participants #2 years; parent or infant interventions postdischarge; and motor outcomes reported. Data were extracted using the Cochrane protocol regarding participants, intervention characteristics, and outcomes. Methodological quality was assessed using risk of bias assessment and GRADE.RESULTS: A total of 226 studies were identified. After removing duplicates and unrelated studies, 16 full-text articles were reviewed, of which 7 studies met inclusion criteria. The risk of bias varied between studies with the more recent studies demonstrating the lowest risk. Enrichment interventions varied in type and focus, making comparisons difficult. A meta-analysis was conducted of studies that compared enrichment to standard care (n = 5), and totaled 150 infants. A small positive effect for enrichment was found; standardized mean difference 0.39 (95% confidence interval 0.05-0.72; I 2 = 3%; P = .02)CONCLUSIONS: EE looks promising for CP, and therefore high-quality studies with well-defined EE strategies are urgently required. Ms Morgan and Dr Novak were involved in quality assessment, data extraction, data analysis, and manuscript preparation; Dr Badawi was involved in quality assessment and manuscript critique. All authors were involved in study conception and design, interpretation of data, critical revision, and final approval of the submitted manuscript. Children with cerebral palsy (CP) reach ∼90% of their gross motor potential by age 5 and even younger for the more severely impaired, 1 so effective interventions for optimizing early motor development are vital. As with typically developing children, the first 2 years are critically important for cognitive and motor development 2 because the brain is experiencing continuous spontaneous plasticity. Pediatricians, who are responsible for making the diagnosis of CP and referral to rehabilitation, therefore require up-todate evidence about effective early interventions for children with CP.The value of enriched environments in enhancing brain recovery at both structural and chemical levels has been repeatedly demonstrated in animal studies. 3,4 Effects of enrichment include improved memory and motor function. 4 Replication of animal data findings within humans is still...

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“…13,108 With emerging research investigating early intervention for infants (younger than three years) at risk of hemiplegia, (e.g. 9,58,109 ) the efficacy of existing non-surgical UL interventions for this younger, at-risk population is unclear.…”

Section: Introductionmentioning

confidence: 99%

Early reach to grasp development of infants with asymmetric brain injury on the Grasp and Reach Assessment of Brisbane (GRAB)

Perez¹

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Movement Training Advances the Emergence of Reaching in Infants Born at Less Than 33 Weeks of Gestational Age: A Randomized Clinical Trial

Abstract: This project demonstrates that there are early gross motor skill differences in infants born at less than 33 weeks of gestational age. A caregiver-based daily training program, however, is effective at lessening some, but not all, of these differences over the short term.

Cited by 89 publications

References 106 publications

Efficacy of Early Physiotherapy Intervention in Preterm Infant Motor Development— A Systematic Review—

Efficacy of Early Physiotherapy Intervention in Preterm Infant Motor Development— A Systematic Review—

Enriched Environments and Motor Outcomes in Cerebral Palsy: Systematic Review and Meta-analysis

Early reach to grasp development of infants with asymmetric brain injury on the Grasp and Reach Assessment of Brisbane (GRAB)

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