The Effects of an Early Physical Therapy Intervention for Very Preterm, Very Low Birth Weight Infants: A Randomized Controlled Clinical Trial

Cameron, Emma; Maehle, Valerie; Reid, Jane

doi:10.1097/01.pep.0000163073.50852.58

Cited by 82 publications

(110 citation statements)

References 67 publications

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“…However, compliance was defined as remembering activities included in the intervention and not actual time spent on the intervention. 32 In our study, we found no association between total time spent on the intervention and infant motor performance. Although the total number of sessions was less than intended, a significant difference was found in change in motor performance between the intervention and control groups between 34 and 37 weeks' PMA.…”

Section: Figurecontrasting

confidence: 69%

“…The median duration of each session was 9 minutes, close to the maximum intended duration. This dosage is similar to the intended dosage in another study of early PT by Cameron et al, 32 included in the review of Spittle et al 14 Not many studies of early PT have included reports on compliance. In the aforementioned study, infants of parents with good compliance had higher percentile ranks on the Alberta Infant Motor Scale at 4 months compared with those with moderate or poor compliance (median 75th versus 46th percentile; P = .05).…”

Section: Figurementioning

confidence: 91%

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Early Parent-Administered Physical Therapy for Preterm Infants: A Randomized Controlled Trial

et al. 2016

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OBJECTIVE: To investigate the short-term effect of parent-administered physical therapy in the preterm period on motor performance in medically stable infants. METHODS:This study was a pragmatic, multicenter, randomized controlled trial including 153 infants born at gestational age ≤32 weeks and randomized to an intervention (n = 74) or a control (n = 79) group. The intervention promoted postural control, head control, and midline orientation. Parents, supervised by a physical therapist, conducted the intervention 10 minutes twice a day for 3 weeks from 34 to 36 weeks' postmenstrual age (PMA). The control group received usual care. The Test of Infant Motor Performance Screening Items was used at baseline and the Test of Infant Motor Performance postintervention (week 37 PMA). Linear mixed models were used to assess change in motor performance between groups from 34 to 37 weeks' PMA by using z scores. Effect size was measured by using Cohen's d. RESULTS:The mean baseline z score was 0.06 (95% confidence interval, -0.48 to 0.60). After the intervention, there was a significant group difference, indicating a change in motor performance from week 34 to 37 PMA favoring the intervention group. The estimated difference in z scores was 0.42 (95% confidence interval, 0.13 to 0.72; P = .005), and the effect size was 0.40.CONCLUSIONS: Parent-administered physical therapy conducted before term-equivalent age improved motor performance at 37 weeks' PMA more than conventional care. All infants will be followed up until 2 years' corrected age to evaluate the long-term effects of this brief intervention. Mrs Ustad participated in planning the study, baseline and postintervention assessments, statistical analyses, and drafting of the manuscript; Dr Evensen was involved in supervision of statistical analyses and preparation of the manuscript; Drs Campbell and Girolami participated in planning the study, in preparation of the manuscript, and in proofreading; Dr Helbostad supervised the statistical analyses and preparation of the manuscript; Drs Kaaresen and Jørgensen participated in planning the study and in preparation of the manuscript; and Dr Øberg was responsible for design and planning the study and participated in postintervention assessments from video recordings, statistical analyses, and preparation of the manuscript. All authors approved the fi nal manuscript as submitted and agree to be accountable for all aspects of the work. WHAT'S KNOWN ON THIS SUBJECT: Studies on early intervention to improve motor function in preterm infants have failed to show large effects. Interventions involving parents seem to be more effective than when therapists conduct the intervention. WHAT THIS STUDY ADDS:Three weeks of parentadministered physical therapy implemented before term-equivalent age in very preterm infants improved short-term motor performance more than in the control group. The intervention was feasible and well tolerated by the infants.by guest on May 10, 2018 http://pediatrics.aappublications.org/ Downloaded from U...

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Section: Figurecontrasting

confidence: 69%

Section: Figurementioning

confidence: 91%

Early Parent-Administered Physical Therapy for Preterm Infants: A Randomized Controlled Trial

et al. 2016

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“…In our study, EI therapy helps in the process of achieving higher level of achievement in gross motor domain, similar studies 37,38,39 is in agreement with our result.…”

Section: Discussionsupporting

confidence: 82%

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

Meena¹

2012

IOSR-JDMS

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“…1. There were 18 RCTs or quasi-RCTs of early developmental interventions after hospital discharge [17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34] involving 2686 infants (Table I). Eleven of these had data suitable for use in metaanalysis (Tables SII and SIII).…”

Section: Resultsmentioning

confidence: 99%

“…This makes it difficult to distinguish whether there is an effect on motor outcome and, if not, whether the measures are sensitive enough to detect the effects of intervention. Specific motor assessments, such as the Alberta Infant Motor Scale, the TIMP, and the Movement Assessment Battery for Children were used only by individual studies, 26,28,38 and these data could not be pooled for meta-analysis. Lekskulchai and Cole 28 demonstrated a significant effect of intervention using the TIMP with short-term (4mo corrected age) follow-up.…”

Section: Discussionmentioning

confidence: 99%

Do early intervention programmes improve cognitive and motor outcomes for preterm infants after discharge? A systematic review

Orton

Spittle

Doyle

et al. 2009

Develop Med Child Neuro

192

112

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Aim The aim of this study was to review the effects of early developmental intervention after discharge from hospital on motor and cognitive development in preterm infants. Method Randomized controlled trials (RCTs) or quasi‐RCTs of early developmental intervention programmes for preterm infants in which motor or cognitive outcomes were reported and in which the intervention commenced before or after discharge were included. A systematic review and meta‐analysis of studies grouped by intervention, age of outcome, and study quality was undertaken. Databases searched (up to January 2009) included the Cochrane Central Register of Controlled Trials, MEDLINE, CINAHL, PsycINFO, and Embase. Results Eighteen studies met the inclusion criteria (2686 patients randomized), but only 11 studies had data suitable for meta‐analysis. Early developmental intervention improved cognitive outcomes at infant age (developmental quotient: standardized mean difference [SMD] 0.42, 95% confidence interval [CI] 0.33–0.52; p<0.001), and at preschool age (IQ: SMD 0.46, 95% CI 0.33–0.59; p<0.001). However, the benefit was not sustained at school age (IQ: SMD 0.02, 95% CI –0.10 to 0.14; p=0.71). Early intervention had little effect on motor outcome at infant or school age, and there was no study reporting motor outcome at preschool age. Interpretation Current evidence suggests that the benefits of developmental intervention postdischarge are restricted to short‐term gains in cognitive outcome.

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The Effects of an Early Physical Therapy Intervention for Very Preterm, Very Low Birth Weight Infants: A Randomized Controlled Clinical Trial

Cited by 82 publications

References 67 publications

Early Parent-Administered Physical Therapy for Preterm Infants: A Randomized Controlled Trial

Early Parent-Administered Physical Therapy for Preterm Infants: A Randomized Controlled Trial

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

Do early intervention programmes improve cognitive and motor outcomes for preterm infants after discharge? A systematic review

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