Early Physiotherapy Intervention Program for Preterm Infants and Parents: A Randomized, Single-Blind Clinical Trial

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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Bibliographic Details
Published in:Children (Basel) Vol. 9; no. 6; p. 895
Main Authors: Ochandorena-Acha, Mirari, Terradas-Monllor, Marc, López Sala, Laura, Cazorla Sánchez, Maria Engracia, Fornaguera Marti, Montserrat, Muñoz Pérez, Isabel, Agut-Quijano, Thais, Iriondo, Martín, Casas-Baroy, Joan Carles
Format: Journal Article
Language:English
Published: Basel MDPI AG 15-06-2022
MDPI
Subjects:
Brain research
Clinical trials
Ethics
Families & family life
Gestational age
Intervention
motor development
Multidisciplinary teams
neonates
Nervous system
Newborn babies
parent training
Parents & parenting
Pediatrics
Performance evaluation
Physical therapy
Premature babies
Premature birth
quantitative methods
Sepsis
Stress
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Summary: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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ISSN:2227-9067
2227-9067
DOI:10.3390/children9060895