The acute effects of physiotherapy on general movement patterns in preterm infants: A single-blind study

Kepenek-Varol, Büşra; Tanrıverdi, Müberra; İşcan, Akın; Alemdaroğlu-Gürbüz, İpek

doi:10.1016/j.earlhumdev.2019.02.004

Cited by 11 publications

(10 citation statements)

References 47 publications

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“…Hastamorir Clavijo, Molina Cárdenas & Castellanos Garrido (Finlayson, Olsen, Dusing, Guzzeta, & Eeles , 2020) (Dusing, Quemado, Marron, Harper, & Hendricks , 2020) (Khurana , Kane, Marron, Tarver, & Dusing, 2020). De igual manera 3 de los artículos hicieron uso del método NDT (Kepenek, Tannverdi, Iscam, & Alemdaroglu, 2019) (Elbasan, Fatih, Soysal, Atalay, & Gucuyener, 2017) (Ustad, y otros, 2016) y un estudio en cual no se evidencia un método específico de intervención sin embargo, buscan el adecuado posicionamiento, apoyo y facilitación del movimiento del Bebé. (Hughes , Redsell, & Glazebrook, 2016).…”

Section: Resultsunclassified

“…Adicionalmente, los instrumentos de valoración empleados fueron la Escala Bayley (Finlayson, Olsen, Dusing, Guzzeta, & Eeles , 2020), (Elbasan, Fatih, Soysal, Atalay, & Gucuyener, 2017), (Dusing, Quemado, Marron, Harper, & Hendricks , 2020), (Khurana , Kane, Marron, Tarver, & Dusing, 2020), (Hughes , Redsell, & Glazebrook, 2016), la Prueba de Rendimiento Motor infantil (TIMP) (Finlayson, Olsen, Dusing, Guzzeta, & Eeles , 2020) (Dusing, Quemado, Marron, Harper, & Hendricks , 2020) (Ustad, y otros, 2016), en menor medida la escala Alberta (AIMS) (Elbasan, Fatih, Soysal, Atalay, & Gucuyener, 2017) y la evaluación de movimientos generales (GMA). (Kepenek, Tannverdi, Iscam, & Alemdaroglu, 2019). A continuación se presentarán las intervenciones utilizadas en los artículos seleccionados para el presente estudio: (Tabla 1).…”

Section: Resultsunclassified

“…Sin embargo, también se evidencia el uso de escalas en menor medida como Alberta (AIMS) (Elbasan, Fatih, Soysal, Atalay, & Gucuyener, 2017) y la evaluación de movimientos generales (GMA). (Kepenek, Tannverdi, Iscam, & Alemdaroglu, 2019). Teniendo en cuenta lo anterior, la escala Bayley -3ra edición (BSID-III), que es una evaluación del desarrollo cognitivo, del lenguaje y motor, se ha utilizado ampliamente en el seguimiento de bebés prematuros, (Jurado & Rebolledo, 2016) se muestra como el instrumento más completo, con alto nivel de sensibilidad (95%) y especificidad (97%) (Esparza, 2014) (Barco, Benjumea, Molina, & Román , 2016) para medir el desarrollo infantil.…”

Section: Discussionunclassified

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Intervención temprana en la unidad de cuidado intensivo neonatal con seguimiento en casa dirigidas a las habilidades motoras de niños prematuros.

Hastamorir-Clavijo

Cárdenas

Garrido³

2022

Mov. cient.

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Introducción: La prematurez es una importante causa de morbimortalidad perinatal asociado a un mayor riesgo neurológico esto debido a que entre las semanas 20 y 37 de gestación ocurre un rápido crecimiento cortical, particularmente de las áreas sensoriomotoras lo cual afecta potencialmente el neurodesarrollo. Desde diferentes campos se han propuesto estrategias que buscan prevenir que el cerebro sea lesionado por la estimulación intensa y dolorosa conocidas como “Cuidados centrados en el desarrollo”. Sin embargo, se reporta escasa literatura disponible a nivel nacional que proporcione evidencia de la efectividad de la intervención temprana que favorezca el desarrollo de las habilidades motoras de los bebés en la Unidad de Cuidado intensivo neonatal (UCIN). Por lo cual, el objetivo de este estudio es conocer las estrategias de intervención temprana utilizadas para mejorar las habilidades motoras en bebés prematuros según lo reportado en la literatura. Método: Se llevó a cabo una revisión de literatura en 3 bases de datos (Scopus, Clinicalkey y ScienceDirect) durante los años 2016 a 2020. Resultados: Se revisaron 7 artículos cuyo idioma prevalente es el inglés sobre estrategias de intervención que inician en la UCIN y continúan con seguimiento en el hogar. Conclusiones: En algunos estudios no se logra evidenciar claramente una dosificación de las intervenciones realizadas. A su vez, la participación activa de los padres es fundamental para la adquisición de habilidades motoras en esta población, donde el fisioterapeuta es primordial en el entrenamiento, guía y acompañamiento del proceso con la familia.

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Section: Resultsunclassified

Section: Discussionunclassified

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Intervención temprana en la unidad de cuidado intensivo neonatal con seguimiento en casa dirigidas a las habilidades motoras de niños prematuros.

Hastamorir-Clavijo

Cárdenas

Garrido³

2022

Mov. cient.

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“…Neither a single-session of physiotherapy (Kepenek-Varol et al 2019 ) nor a parent-administered early intervention programme applied between 34 and 36 weeks’ gestational age (Fjørtoft et al 2017 ) had an effect on fidgety movements and the concurrent motor repertoire. Craniosacral therapy applied in the neonatal intensive care unit did also not change the GM quality (Raith et al 2016 ).…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2019

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To improve the neurodevelopmental outcome in infants with high grade intraventricular haemorrhage and cramped-synchronised (CS) general movements (GMs). Four very preterm infants with intraventricular haemorrhage grade III (n = 3) or intraventricular haemorrhage with apparent periventricular haemorrhagic infarction (n = 1) were diagnosed with CS GMs at 33 to 35 weeks postmenstrual age. A few days later MIT-PB [Movement Imitation Therapy for Preterm Babies], an early intervention programme, was commenced: the instant an infant showed CS movements, the therapist intervened by gently guiding the infant's limbs so as to manoeuvre and smoothen the movements, thereby imitating normal GM sequences as closely as possible (at least for 10 min, 5 times a day, with increasing frequency over a period of 10 to 12 weeks). After a period of consistent CS GMs, the movements improved. At 14 weeks postterm age, the age specific GM pattern, fidgety movements, were normal in three infants, one infant had abnormal fidgety movements. At preschool age, all participants had a normal neurodevelopmental outcome. This report on four cases demonstrates that mimicking normal and variable GM sequences might have a positive cascading effect on neurodevelopment. The results need to be interpreted with caution and replication studies on larger samples are warranted. Nonetheless, this innovative approach may represent a first step into a new intervention strategy.

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“…Providing rehabilitation services in PHC, besides health benefits, has social and economic benefits [13]. Due to the preventive effects of several rehabilitation interventions, their timely provision to targeted populations (such as disabled children or older people) can prevent secondary complications [14,15]. In addition, early rehabilitation intervention can minimize the disability associated with long-term conditions such as stroke, cerebral palsy, and low back pain [7,16] and optimize the consequences of other therapeutic interventions, such as surgery, by facilitating recovery [13].…”

Section: Introductionmentioning

confidence: 99%

Integrating rehabilitation services into primary health care: policy options for Iran

Shahabi

Kiekens

Etemadi³

et al. 2022

BMC Health Serv Res

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Background Providing rehabilitation services in primary health care (PHC) is associated with numerous health, social, and economic benefits. Therefore, low and middle-income countries, such as Iran, should benefit from the advantages of integrating rehabilitation services into PHC. We conducted a qualitative study to determine policy solutions that could facilitate the integration of rehabilitation services into Iran’s PHC network. Methods Semi-structured interviews were conducted with 38 participants, including health policymakers, rehabilitation managers, faculty members, and rehabilitation practitioners. Purposive and snowball sampling strategies were adopted to recruit participants. The WHO Health System building blocks framework analysis was applied to analyze the collected data. Results Participants’ perspectives and experiences outlined potential policy options including: (1) stewardship: increasing political support, strengthening the leadership of the rehabilitation sector, and promoting inter-sectoral collaborations; (2) service delivery: increasing the knowledge of healthcare professionals, using local volunteers, deploying mobile rehabilitation teams, using telerehabilitation, and improving referral pathways; (3) financing: increasing government funding, preparing a package of rehabilitation services, and using appropriate payment mechanisms; (4) human resources: expanding rehabilitation workforce, training rehabilitation assistants, and enhancing employment and social opportunities; (5) information systems: establishing a comprehensive information system and an effective surveillance system; and (6) technologies: facilitating access to a range of rehabilitation equipment and raw materials, especially for prosthetics and orthotics services. Conclusion Based on the WHO six building blocks framework, this study identified several policy options for integrating rehabilitation services into the Iranian PHC Network. Some of the policy options include increasing political support, promoting inter-sectoral collaborations, increasing the skills and knowledge of healthcare workers, establishing effective referral pathways, strengthening team-working, and increasing government funding.

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The acute effects of physiotherapy on general movement patterns in preterm infants: A single-blind study

Cited by 11 publications

References 47 publications

Intervención temprana en la unidad de cuidado intensivo neonatal con seguimiento en casa dirigidas a las habilidades motoras de niños prematuros.

Intervención temprana en la unidad de cuidado intensivo neonatal con seguimiento en casa dirigidas a las habilidades motoras de niños prematuros.

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

Integrating rehabilitation services into primary health care: policy options for Iran

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