The role of the family in early intervention of preterm infants with abnormal general movements

Abstract

Objectives: To determine the effect of family-based intervention on motor function in preterm infants. Methods: This study was designed as a randomized controlled trial between August 2015 and September 2016. Forty-two preterm infants were randomized and split equally between the family-based intervention group, composed of a physiotherapeutic and a familial component)8 males, 8 females; mean age 91±3.09 days(, and the traditional early intervention group)8 females, 8 males, mean age: 91.06±2.4 days(. Both groups received a treatment program based on a neurodevelopmental approach during 3-to 12-months-old. The groups were evaluated at corrected ages of the third, sixth, ninth, twelfth, and 24th months using the Bayley Scale of Infant and Toddler Development, Third Edition)Bayley-III(. Results: Within-group changes over time were statistically significant using multivariate tests of fine motor)Multivariate analysis of variance)MANOVA(; F=1515.27, p<0.001(and gross motor)MANOVA; F=1950.59, p=0.001(development. However, there was no interaction between groups in fine)MANOVA; F=0.027, p=0.872(and gross motor development)MANOVA; F=0.022, p=0.883(. Conclusion: The early intervention approaches might support fine and gross motor function development in preterm infants in the first year of life.

The effect of family integrated care on the prognosis of premature infants

“…Height, weight, and head circumference, especially weight, are directly related to the long-term prognosis of preterm infants and are important predictors of health outcomes in preterm infants. In a study by OK Kara et al, it was found that neonatal-centered "family-based" care was more beneficial to the growth and development of preterm infants [ 19 ]. The study by X Ding et al also confirmed that integrated family care improved the feeding status of preterm infants in the NICU and contributed to the growth and development of preterm infants [ 20 ].…”

Movement Imitation Therapy for Preterm Babies (MIT-PB): a Novel Approach to Improve the Neurodevelopmental Outcome of Infants at High-Risk for Cerebral Palsy

“…By contrast, an early intervention programme launched already at the 3rd day of life in preterm infants improved the quality of fidgety movements but had no immediate effect on the GMs during preterm and at term age (Ma et al 2015 ). Recently, a family-based intervention applied in preterm infants with abnormal GMs revealed positive effects on motor function (Kara et al 2019 ). Together with our own promising results, this adds to recent developments promoting family centred intervention programmes such as GAME (Morgan et al 2016b ), COPCA (Hadders-Algra et al 2017 ), LEAP-CP (Benfer et al 2018 ), or EI-SMART (Hutchon et al 2019 ).…”

Interventions to improve neurodevelopmental outcomes of children born moderate to late preterm: a systematic review protocol

“…These factors include poor parent-infant relationships caused by parenting disturbance or parental stress, low socioeconomic status or parental education, and poor nurturing and infant malnutrition 5,16,17 . Non-biological factors can also influence neurodevelopmental outcomes positively 9,18 when properly coordinated. It is, therefore, important to consider interventions holistically when aiming to improve the neurodevelopmental outcomes of preterms.…”