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

Øberg, Gunn Kristin; Campbell, Suzann K.; Girolami, Gay L.; Ustad, Tordis; Jørgensen, Lone; Kaaresen, Per Ivar

doi:10.1186/1471-2431-12-15

Cited by 38 publications

(37 citation statements)

References 36 publications

(47 reference statements)

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“…16 The main objectives were to improve postural control, head control, and midline orientation. The intervention was conducted 10 minutes twice a day for 3 weeks when the infants were 34 to 36 weeks' PMA.…”

Section: Interventionmentioning

confidence: 99%

“…The parents were asked to keep a daily log to record the time spent on the intervention and report any reasons for not performing or for terminating a session. 16 In cases of early discharge from the hospital, the parents continued the intervention until the end of week 36 of PMA.…”

Section: Interventionmentioning

confidence: 99%

“…15 More research is needed to elucidate the optimal age and type of intervention for improving outcomes associated with motor development. The primary goal of our randomized controlled trial (NOPPI [Norwegian Physiotherapy Study in Preterm Infants]) 16 was to assess the effect of parent-administered PT in the preterm period on motor performance at 24 months' corrected age (CA) in infants born very preterm. The intervention group received daily individually tailored PT for 3 weeks from 34 through 36 weeks' postmenstrual age (PMA), and a control group received usual care.…”

mentioning

confidence: 99%

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Early Parent-Administered Physical Therapy for Preterm Infants: A Randomized Controlled Trial

et al. 2016

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OBJECTIVE: To investigate the short-term effect of parent-administered physical therapy in the preterm period on motor performance in medically stable infants. METHODS:This study was a pragmatic, multicenter, randomized controlled trial including 153 infants born at gestational age ≤32 weeks and randomized to an intervention (n = 74) or a control (n = 79) group. The intervention promoted postural control, head control, and midline orientation. Parents, supervised by a physical therapist, conducted the intervention 10 minutes twice a day for 3 weeks from 34 to 36 weeks' postmenstrual age (PMA). The control group received usual care. The Test of Infant Motor Performance Screening Items was used at baseline and the Test of Infant Motor Performance postintervention (week 37 PMA). Linear mixed models were used to assess change in motor performance between groups from 34 to 37 weeks' PMA by using z scores. Effect size was measured by using Cohen's d. RESULTS:The mean baseline z score was 0.06 (95% confidence interval, -0.48 to 0.60). After the intervention, there was a significant group difference, indicating a change in motor performance from week 34 to 37 PMA favoring the intervention group. The estimated difference in z scores was 0.42 (95% confidence interval, 0.13 to 0.72; P = .005), and the effect size was 0.40.CONCLUSIONS: Parent-administered physical therapy conducted before term-equivalent age improved motor performance at 37 weeks' PMA more than conventional care. All infants will be followed up until 2 years' corrected age to evaluate the long-term effects of this brief intervention. Mrs Ustad participated in planning the study, baseline and postintervention assessments, statistical analyses, and drafting of the manuscript; Dr Evensen was involved in supervision of statistical analyses and preparation of the manuscript; Drs Campbell and Girolami participated in planning the study, in preparation of the manuscript, and in proofreading; Dr Helbostad supervised the statistical analyses and preparation of the manuscript; Drs Kaaresen and Jørgensen participated in planning the study and in preparation of the manuscript; and Dr Øberg was responsible for design and planning the study and participated in postintervention assessments from video recordings, statistical analyses, and preparation of the manuscript. All authors approved the fi nal manuscript as submitted and agree to be accountable for all aspects of the work. WHAT'S KNOWN ON THIS SUBJECT: Studies on early intervention to improve motor function in preterm infants have failed to show large effects. Interventions involving parents seem to be more effective than when therapists conduct the intervention. WHAT THIS STUDY ADDS:Three weeks of parentadministered physical therapy implemented before term-equivalent age in very preterm infants improved short-term motor performance more than in the control group. The intervention was feasible and well tolerated by the infants.by guest on May 10, 2018 http://pediatrics.aappublications.org/ Downloaded from U...

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Section: Interventionmentioning

confidence: 99%

Section: Interventionmentioning

confidence: 99%

mentioning

confidence: 99%

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Early Parent-Administered Physical Therapy for Preterm Infants: A Randomized Controlled Trial

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“…Su principal desventaja es que no describe la importancia de cada factor dándole mayor énfasis al ámbito biológico e individual que a lo social. Este es el modelo que predomina encontrado en 17 investigaciones [10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27].…”

Section: Resultsunclassified

Tendencias epistemológicas de las acciones de la salud pública. Una revisión desde la fisioterapia

J¹,

2015

Rev. Fac. Nac. Salud Pública

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Castro LE, Rodríguez YL. Tendencias epistemológicas de las acciones de la salud pública. Una revisión desde la fisioterapia. Rev. Fac. Nac. Salud Pública. 2015; 33(2): 239-251. DOI: 10.17533/udea.rfnsp.v33n2a11 Resumen Objetivo: analizar las tendencias epistemológicas de la salud pública frente a las acciones de la fisioterapia. Metodología: la identificación de la literatura se efectuó con los parámetros de revisión sistemática exploratoria propuestos por Manchado, en tres bases de datos. Los artículos fueron sometidos a evaluación de la calidad bajo las escalas Scottish Intercollegiate Guidelines Network y jadad. Las categorías centrales de análisis fueron los modelos del proceso saludenfermedad. Se vincularon 39 artículos de los 118 que arrojó la búsqueda inicial. Resultados y discusión: se encontró que la salud pública ha tenido diferentes tendencias epistemológicas que se explican por cambios socio-políticos y normativos de los países y de las profesiones. Se observa una evolución conceptual que trasciende de lo biológico hacia enfoques sociales, interdisciplinarios y complejos; sin embargo, en las intervenciones aún se evidencia predominio del modelo epidemiológico. Lo anterior, puede asociarse con que profesiones jóvenes como la fisioterapia que aunque surgió con un enfoque netamente rehabilitador se ha preocupado por ampliar sus campos de ejercicio profesional logrando participar en acciones de salud pública, pero esta participación aún es incipiente, por cuanto no logra reflejarse en la práctica de una manera contundente; por consiguiente, se requiere desarrollar estrategias que permitan llevar el conocimiento a la práctica y de esta manera poder aportar desde su objeto de estudio en el abordaje integral de la salud de las poblaciones, con el ánimo de lograr que estas se apropien de sus condiciones de salud en pro de su bienestar y calidad de vida. ----------Palabras clave: epistemología, fisioterapia, proceso salud-enfermedad, salud pública AbstractObjective: to analyze the epistemological trends in public health in comparison with the possibilities of physiotherapy actions. Methodology: the literature was identified through the exploratory systematic review proposed by Manchado. Three databases were used to this end. Likewise, the quality of the papers was assessed using two scales: Scottish Intercollegiate Guidelines Network and jadad. The central analysis categories were the models of the health-disease process. The initial search yielded 118 papers, of which 39 were taken into account for the study. Results and discussion: it was found that public health has had different epistemological trends that are explained by socio-political and legal changes

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“…Segundo pesquisas de Silveira e Enumo 26 e de Araújo 18 e Almeida 27 a idade materna foi um fator de risco importante para o baixo peso e mortalidade infantil, particularmente entre as adolescentes com menos de 20 anos e entre as mães com 35 anos ou mais. Estudos realizados em Fortaleza (Ceará), por Nascimento et al 28 evidenciou a idade materna como fator predisponente à prematuridade, assinalando como responsável por…”

Section: Referênciasunclassified

Crianças prematuras: caracterização e intervenção fisioterapêutica

Castro¹,

Figueiredo²,

Cano³

2016

Cinergis

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Exceto onde especificado diferentemente, a matéria publicada neste periódico é licenciada sob forma de uma licença Creative Commons -Atribuição 4. RESUMOObjetivo: determinar as características clínicas dos recém-nascidos prematuros de um município do interior de Minas Gerais e a intervenção fisioterapêutica destes recém-nascidos que foram encaminhados para esse serviço, após a alta hospitalar. Método: foi realizado um estudo descritivo exploratório, a partir de dados secundários do SINASC (Sistema de Informações sobre Nascidos Vivos), Declaração de Óbitos da Vigilância Epidemiológica e prontuários das Unidades Básicas de Saúde. A análise estatística dos fatores associados ao óbito foi realizada, utilizando-se o teste do χ2 para comparação das variáveis qualitativas e o teste exato de Fisher. A medida de associação entre o óbito e as demais variáveis foi determinada, através da estimação do risco relativo. Resultados: os nascidos vivos corresponderam a um total de 1.203, sendo 1.144 (95,0%) a termo e 59 (5,0%) pré-termo, com o peso ≤ que 2500g e idade gestacional < que 37 semanas. Destes últimos, 51 nasceram em hospital público e oito em instituições privadas. A maior frequência de RNPT foi entre 32 a 36 semanas (60,8%). Ocorreram doze óbitos entre os prematuros, sendo que a classe de 28 a 31 semanas, que corresponde à prematuridade moderada, foi a que apresentou maior nú-mero de óbitos (47,4%). Com relação à mortalidade, houve diferença significante (p<0,01) entre os recém-nascidos que apresentaram um Apgar £ 7 no 1º minuto (RR=11,79) e no 5º minuto (RR=18,11). Considerações finais: apenas cinco recém-nascidos pré-termo foram encaminhados para intervenção fisioterapêutica e apresentavam tempo de gestação ≥28semanas de desenvolvimento, representando 12,8% da amostra. Um atendimento sistematizado poderia proporcionar a detecção precoce e intervenções eficazes, a partir de estímulos adequados e preservação do desenvolvimento neuromotor, especialmente para os recém-nascidos prematuros de prematuridade extrema, que não foram encaminhados para estimulação do desenvolvimento, dado que perpassa como intervenção promissora para melhoria da qualidade de vida desta população. (RR = 11.79) and in 5º minute (RR = 18.11). Closing remarks: only five preterm infants were referred to the physical therapy

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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

Cited by 38 publications

References 36 publications

Early Parent-Administered Physical Therapy for Preterm Infants: A Randomized Controlled Trial

Early Parent-Administered Physical Therapy for Preterm Infants: A Randomized Controlled Trial

Tendencias epistemológicas de las acciones de la salud pública. Una revisión desde la fisioterapia

Crianças prematuras: caracterização e intervenção fisioterapêutica

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