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

Javier, Fernández Rego Francisco; Antonia, Gómez Conesa; Julio, Pérez López

doi:10.1589/jpts.24.933

Cited by 9 publications

(4 citation statements)

References 39 publications

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“…Como resultado, cuatro estudios obtuvieron una puntuación igual o mayor a 6 (alta calidad metodológica), mientras que cinco obtuvieron una puntuación de 5 (calidad metodológica media). Además, el nivel de evidencia de los estudios se determinó a través de la clasificación de Oxford, con base en el Centro de Medicina Basada en la Evidencia (CEBM) (Fernández Rego et al, 2012). De acuerdo con esta escala, el total de los estudios obtienen grado 1b, lo que significa buen nivel de calidad.…”

Section: Resultsunclassified

“…Por otra parte, la mayoría de estos instrumentos miden cambios cuantitativos sobre la función motora, pero no siempre toman en cuenta las mejoras en la calidad de los movimientos o cambios en las habilidades funcionales (Ketelaar et al, 1998). Esto es de vital importancia para la interpretación de los resultados, ya que en muchas ocasiones la intervención se centra en la optimización de la calidad de la postura y el movimiento, con el objetivo de mejorar la funcionalidad del niño (Fernández Rego et al, 2012). Por otra parte, a pesar de que el actual modelo de la CIF resalta la importancia de los factores contextuales en el desarrollo del niño (Simeonsson et al, 2003), muy pocas escalas toman en cuenta la participación del niño en actividades acordes a su edad (como el juego) para determinar el impacto de la intervención.…”

Section: Implicancias Para La Práctica Clínicaunclassified

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Intervención Temprana en Niños Con Alto Riesgo De Desarrollar Parálisis Cerebral; Una Revisión Sistemática

Wachholtz

2016

Rev. Chil. Ter. Ocup.

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El objetivo fue determinar la evidencia existente acerca de la efectividad de intervenciones tempranas sobre el desarrollo motor de niños con alto riesgo de desarrollar una parálisis cerebral. Método: Se realizó una búsqueda literaria en bases de datos y revistas relevantes para el tema (CINAHL, The Cochrane Library, EMBASE, PEDro y PubMed). Los criterios de selección consideran a recién nacidos muy prematuros (

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Section: Resultsunclassified

Section: Implicancias Para La Práctica Clínicaunclassified

Intervención Temprana en Niños Con Alto Riesgo De Desarrollar Parálisis Cerebral; Una Revisión Sistemática

Wachholtz

2016

Rev. Chil. Ter. Ocup.

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“…Aslında bu izlemin okul çağı ve ileri yaşlara değin devam ettirilmesi, klinik bilgi açısından nitelikli içerik sunabilir (23,36).…”

Section: Yeni Doğan Kardiyak Cerrahisiunclassified

Pulmonary Rehabilitation in Newborns

Yurdalan¹

2015

Toraks Cer Bult

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Pulmonary Rehabilitation (PR) is clinically recognized in newborns and clinics and intensive care units that are related with neonatal management. The primary problems in the scope of PR seen in newborns are respiratory distress syndrome, hyalin membrane disease, post-extubation collapse, bronchopulmonary dysplasia, congenital diaphragmatic hernia, congenital heart diseases, and cardiac surgery complications. It is essential to initiate a physiotherapy program in 48 hours in newborn intensive care units with frequent and close patient follow-up. On the grounds that cases involve newborns, developmental-themed and holistic approaches are required. Positioning, percussion techniques, range of motion exercises, oxygen treatment, and positive pressure resuscitator are routines followed in clinics in newborns with PR. Casespecific physiotherapy and a rehabilitation program in ventilated newborns and/or those developing complications are performed with continual monitoring of blood pressure, pulmonary variables, and blood gases. Due to more complicated clinical progress of pulmonary problems in risky, premature, and low birth weight newborns, contents of PR should be configured as instantaneously adjustable to clinical variables. These type of cases should be followed-up in school age and the years ahead in terms of the developmental aspect. Trendelenburg position in chest physiotherapy of newborns must be restricted because of the high risk of intracranial pressure increase, pneumonia risk due to gastroesophageal reflux, and even cerebral hemorrhages may be caused in babies weighing lower than 1500 g if it is applied in the first 3 days of birth. Precautions should be taken in bronchial drainage and supplementary oxygen use due to the severe problems that they can cause. For newborns with increased survivability and with development in neonatology, support of neonatal therapists with further knowledge, clinical investigations, and practical experiences will increase the treatment success of the newborn multidisciplinary team. Keywords: Neonate, pulmonary rehabilitation, neonatal intensive care unit, chest physiotherapy Özet Pulmoner Rehabilitasyon (PR) yeni doğanlarda ve yeni doğan tedavisinin yürütüldüğü yeni doğan ünite ve yoğun bakım birimlerinde klinik kabul görmektedir. Yeni doğanlarda PR problemleri kapsamında Respiratuar Disstres Sendromu, hyalin membran hastalığı, postekstü-basyon kollaps, bronkopulmoner displazi, konjenital diafragmatik herniler, doğumsal kalp hastalıkları ve kardiyak cerrahi komplikasyonları öncelikli sayılabilir. Yeni doğan yoğun bakım ünitesinde (YYBÜ) fizyoterapiye 48 saat içinde başlanarak, sık ve yakın hasta takibi zorunludur.Yeni doğan olması nedeniyle olgulara gelişimsel temalı ve bütüncül yaklaşımlar gerekir. Pulmoner rehabilitasyon kapsamında yeni doğanlarda pozisyonlama, perküsif teknikler, eklem açıklığı egzersizleri, oksijen tedavisi ve pozitif solutucular klinik rutindedir. Olguya özelleştirilmiş fizyoterapi ve rehabilitasyon ventile edilen ve/ veya komplikasyon gelişmi...

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“…Early interventions, which take advantage of the plasticity of the brain at this time, have been provided for many years with varying degrees of success (Blauw-Hospers et al, 2007;Javier et al, 2012;Orton et al, 2009;Spittle et al, 2015;Spittle et al, 2007;Wu et al, 2014). Spittle et al performed a systematic review to determine the benefits of early developmental intervention pre or post hospital discharge (up to 12 months of age) on motor and cognitive development in preterm infants (born at less than 37 weeks' gestational age) with no significant congenital problems (Spittle, Orton, et al, 2012;Spittle et al, 2015).…”

Section: Early Interventionmentioning

confidence: 99%

Physiotherapy intervention for 4-5 year old children born extremely preterm and/or extremely low birth weight

Brown¹

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Neurodevelopmental impairments amongst the extremely low birth weight (ELBW) or extremely preterm population are well recognised. However, support services for these children who have mild impairments are lacking. This research aimed to explore the performance of a group of non-disabled ELBW or extremely preterm children with minimal/mild impairments over a 12 month period at a critical time-point, coinciding with the commencement of formal education. Performance of these children was established, as well as whether impairments persist. Persistence of impairments may suggest a widening gap between performance of these children and expected performance of term born peers. Additionally, this research aimed to investigate the short term and longer term impact of group-based physiotherapy intervention compared to standard care. SubjectsFifty children born ELBW and/or extremely preterm (26 males; mean birth weight: 838.8g, SD 174.8g; mean gestational age: 27.0 weeks, SD 2.0 weeks) with minimal/mild motor impairments and a mean age (corrected for prematurity) of 50 months (SD 2.6 months) at baseline. Twenty-four children were randomised to intervention and 26 children to standard care. MethodsChildren were assessed by paediatric physiotherapists blinded to group allocation. A set testing protocol was used. Baseline assessment included: Movement Assessment Battery for Children second-edition (MABC-2), tests of postural stability and limb strength, Child Behavior Checklist (CBCL) and Beery Visual-Motor Integration Test 5 th Edition (Beery VMI). Following baseline assessment, children were randomly allocated to intervention or standard care. All children were assessed on motor and postural tests at the conclusion of the intervention. Goal Attainment Scaling (GAS) was utilised within the intervention group. At one year post baseline assessment, all children were assessed on baseline tests, as well as Peabody Picture Vocabulary Test 4 th Edition (PPVT-4). The group had low average motor co-ordination, lower than expected postural stability and strength, and acceptable behaviour. Mean percentile rank on MABC-2 was 31%.However, 30% of children had a score less than or equal to the 15 th percentile, indicating at risk of or having a definite motor problem and these children had poorer postural outcomes compared to children with normal motor performance. Behaviour was within normal range according to performance on CBCL, although between 11-15% of children had a score within the clinical range. Behaviour of males was poorer than that of females. Study IV: GAS to explore effect of group-based physiotherapy intervention on personal growth of non-disabled ELBW children Intervention was effective with GAS mean T score of the group exceeding the expected level (mean=58.17, SD=0.82). Goal attainment was associated with motor co-ordination 4 and children with better motor skills post intervention, were more successful in reaching goals. Females improved more than males on GAS. Study V: Behaviour of 4-5 year old non-disabled E...

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

Cited by 9 publications

References 39 publications

Intervención Temprana en Niños Con Alto Riesgo De Desarrollar Parálisis Cerebral; Una Revisión Sistemática

Intervención Temprana en Niños Con Alto Riesgo De Desarrollar Parálisis Cerebral; Una Revisión Sistemática

Pulmonary Rehabilitation in Newborns

Physiotherapy intervention for 4-5 year old children born extremely preterm and/or extremely low birth weight

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