Impact of Early Physiotherapy Intervention on Neurodevelopment in Preterm Low Birth Weight Infants

Meena, N.

doi:10.9790/0853-0122934

Cited by 2 publications

(2 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Visual impairment is also a long-term neurodevelopmental sequela in pre-term infants [16]. Therefore, early identification and follow-up of pre-term babies at risk result in better outcomes [17]. Hence, the need for early evaluation of these neonates and monitoring the progress in their early growing years is essential to start early intervention.…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Bedside Clinical Screening Tools in Predicting Short-Term Neurodevelopmental Delay Among Very-Low-Birth-Weight Pre-terms: A Prospective Observational Study

Kharlukhi¹,

Narasimhan²,

James³

et al. 2021

Cureus

View full text Add to dashboard Cite

Background: Pre-term births are associated with increased risk of various morbidities, especially neurological. Early detection and early intervention to prevent these morbidities will have immediate and long-term benefits to the individuals and society at large. However, the screening and assessment tools, including both clinical and radiological, are not uniformly available in resource-poor settings. The present study was carried out to evaluate the validity of the clinical screening tools for detecting neurodevelopmental delay among very-low-birth-weight (VLBW) pre-term babies.Methods: This prospective observational study was undertaken in the child development unit of a tertiary care hospital from July 2015 to October 2017. All pre-term VLBW neonates admitted in level III Neonatal Intensive Care within the first 24 hours of life were included in the study. They were subjected to Hammersmith Neonatal Neurological Examination (HNNE) and magnetic resonance imaging (MRI) of brain at term-equivalent age. Subsequently, the same group was followed up with Amiel-Tison (AT) angles, Child Development Centre (CDC) grading for sitting developed at Trivandrum, Kerala, India, and Denver Development Screening Test (DDST-II gross motor) at eight months corrected age, and their outcomes were analyzed.Results: 17.9% of the ex-preterm were abnormal as per HNNE evaluation at term-corrected age. At shortterm follow-up screening, 13.8% were found to be abnormal based on AT angles, while 35.2% were found to be abnormal as per CDC grading and 30.4% were found to have risk for delay as per DDST-II (gross motor). A high level of sensitivity (93.6%) and positive predictive value (91.2%) was observed for HNNE at term equivalent with MRI brain assessment considered as gold standard. Among the follow-up screening tools, CDC grading for sitting, AT angles, and DDST-II had high sensitivity (>85%). Conclusion:The combination of HNNE along with radiological assessment at term-corrected age can be considered as appropriate for predicting long-term neurodevelopmental outcome in VLBW pre-term infants. During follow-up, simple tools like CDC grading for motor milestones, AT angles, and DDST-II may be utilized if facilities for standard assessment are not available as in resource-poor settings.

show abstract

Section: Discussionmentioning

confidence: 99%

Effectiveness of Bedside Clinical Screening Tools in Predicting Short-Term Neurodevelopmental Delay Among Very-Low-Birth-Weight Pre-terms: A Prospective Observational Study

Kharlukhi¹,

Narasimhan²,

James³

et al. 2021

Cureus

View full text Add to dashboard Cite

show abstract

“…Developmental outcome is found to be signifi cantly better when early intervention is initiated to preterm low birth weight babies 12 .…”

mentioning

confidence: 99%

Neurodevelopmental Outcome of High Risk Babies at One Year of Age Born in a Tertiary Centre

Shrestha

Bajracharya

Shrestha

2017

J. Nepal Paedtr. Soc.

View full text Add to dashboard Cite

show abstract

Impact of Early Physiotherapy Intervention on Neurodevelopment in Preterm Low Birth Weight Infants

Cited by 2 publications

References 16 publications

Effectiveness of Bedside Clinical Screening Tools in Predicting Short-Term Neurodevelopmental Delay Among Very-Low-Birth-Weight Pre-terms: A Prospective Observational Study

Effectiveness of Bedside Clinical Screening Tools in Predicting Short-Term Neurodevelopmental Delay Among Very-Low-Birth-Weight Pre-terms: A Prospective Observational Study

Neurodevelopmental Outcome of High Risk Babies at One Year of Age Born in a Tertiary Centre

Contact Info

Product

Resources

About