Does early intervention in infants at high risk for a developmental motor disorder improve motor and cognitive development?

Blauw-Hospers, Cornill H.; Graaf-Peters, Victorine B. de; Dirks, Tineke; Bos, Arie; Hadders‐Algra, Mijna

doi:10.1016/j.neubiorev.2007.04.010

Cited by 89 publications

(76 citation statements)

References 87 publications

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“…Pediatric physical therapist (PT)s aim to alleviate preterm infants' movement problems, enhance motor development and support the infants' participation in age-appropriate activities (Blauw-Hospers, De Graaf-Peters, Dirks, Bos, & Hadders-Algra, 2007;Campbell, Palisano, & Orlin, 2012;Spittle, et al, 2012). In this work, attention and motivation are key factors for the infants' motor learning, mastery of new skills and sense of self-efficacy (Atun-Einy, Berger, & Scher, 2013;Brodal, 2010).…”

Section: Introductionmentioning

confidence: 99%

Let’s play! An observational study of primary care physical therapy with preterm infants aged 3–14 months

Håkstad

Obstfelder

Øberg

2017

Infant Behavior and Development

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Introduction: Sensory-motor play is at the core of child development and an important element in physical therapist(PT)s' work to improve infants' motor skills. In this study, we investigate how PTs scaffold and use play in physical therapy intervention with preterm infants at corrected age (CA) 3-14 months. Material and Methods:We collected data by observing 20 physical therapy sessions. In the analysis, we connected to enactive theory on cooperation.Results: Successful use of sensory-motor play in physical therapy requires cooperation toward common goals. This is achieved via an enactive therapeutic sensory-motor play approach, in which the PTs plan and tailor the intervention to match the infant's interests; attune themselves to the infant's intentions; and incorporate therapeutic measures in sensory-motor play interactions with the child. Conclusions:Via cooperation and mutuality in therapeutic interactions, PTs can provide play situated learning opportunities that support the infants' development and understanding of the world.

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Section: Introductionmentioning

confidence: 99%

Let’s play! An observational study of primary care physical therapy with preterm infants aged 3–14 months

Håkstad

Obstfelder

Øberg

2017

Infant Behavior and Development

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“…Although the primary insult(s) cannot be repaired, early identification of CP enables intervention to be instituted while the plasticity of the nervous system is high. [5][6][7][8] Early identification may also lead to more focused follow-up and reassure the parents of those children who are unlikely to develop CP.In young infants, neurological damage is typically expressed by means of generalized and non-specific dysfunction. 9 The General Movement Assessment (GMA), based on systematic observation of infants' spontaneous movements from video recordings, has been shown to predict CP with high accuracy.…”

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confidence: 99%

mentioning

confidence: 99%

Early prediction of cerebral palsy by computer‐based video analysis of general movements: a feasibility study

Adde

Helbostad

Jensenius

et al. 2010

Develop Med Child Neuro

111

162

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AIM The aim of this study was to investigate the predictive value of a computer-based video analysis of the development of cerebral palsy (CP) in young infants.METHOD A prospective study of general movements used recordings from 30 high-risk infants (13 males, 17 females; mean gestational age 31wks, SD 6wks; range 23-42wks) between 10 and 15 weeks post term when fidgety movements should be present. Recordings were analysed using computer vision software. Movement variables, derived from differences between subsequent video frames, were used for quantitative analyses. CP status was reported at 5 years.RESULTS Thirteen infants developed CP (eight hemiparetic, four quadriparetic, one dyskinetic; seven ambulatory, three non-ambulatory, and three unknown function), of whom one had fidgety movements. Variability of the centroid of motion had a sensitivity of 85% and a specificity of 71% in identifying CP. By combining this with variables reflecting the amount of motion, specificity increased to 88%. Nine out of 10 children with CP, and for whom information about functional level was available, were correctly predicted with regard to ambulatory and non-ambulatory function.INTERPRETATION Prediction of CP can be provided by computer-based video analysis in young infants. The method may serve as an objective and feasible tool for early prediction of CP in highrisk infants.Cerebral palsy (CP) is a permanent disorder in the development of movement and posture in the developing fetal or infant brain 1 and is one of the major disabilities that result from extremely preterm birth. [2][3][4] The utility of predictive assessment tools in young infants is limited by the need for expensive equipment and highly experienced personnel, as well as low accuracy. Although the primary insult(s) cannot be repaired, early identification of CP enables intervention to be instituted while the plasticity of the nervous system is high. [5][6][7][8] Early identification may also lead to more focused follow-up and reassure the parents of those children who are unlikely to develop CP.In young infants, neurological damage is typically expressed by means of generalized and non-specific dysfunction. 9 The General Movement Assessment (GMA), based on systematic observation of infants' spontaneous movements from video recordings, has been shown to predict CP with high accuracy. 10,11 The absence of fidgety movements at 2 to 4 months corrected age may identify infants who will develop CP with more than 90% sensitivity. 10,[12][13][14] Although the GMA has been demonstrated to predict CP with high accuracy, it depends on highly experienced observers, and its use in clinical practice is limited. 12,15,16 A software program developed within the Max/MSP/Jitter environment for analysing music-related movements in musicians and dancers 17 has recently been customized for the purpose of studying fidgety movements. Using the customized software, movement variables have been demonstrated to identify infants with fidgety movements with high accuracy. 18 The aim of...

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“…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%

“…These physical therapy interventions have the aim of optimizing motor development and, in general, are mainly based on Bobath's neurodevelopment treatment principles, which are used to modify sensory information and anomalous movement patterns in order to improve motor development through passive and active techniques 14,15) . Systematic reviews of the effects of the Bobath method in children with neurologic dysfunction have not been conclusive.…”

Section: Introductionmentioning

confidence: 99%

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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Does early intervention in infants at high risk for a developmental motor disorder improve motor and cognitive development?

Cited by 89 publications

References 87 publications

Let’s play! An observational study of primary care physical therapy with preterm infants aged 3–14 months

Let’s play! An observational study of primary care physical therapy with preterm infants aged 3–14 months

Early prediction of cerebral palsy by computer‐based video analysis of general movements: a feasibility study

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

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