Wakeful Prone “Tummy Time” During Infancy: How Can We Help Parents?

Felzer-Kim, Isabella Theresa; Erickson, Karl; Adkins, Chelsea; Hauck, Janet

doi:10.1080/01942638.2020.1742847

Cited by 13 publications

(16 citation statements)

References 41 publications

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“…Second, parents' knowledge of guidelines was primarily only in regard to tummy time. This is consistent with previous literature's focus on tummy time rather than other elements of infant activity such as active play [20]. While tummy time is crucial for avoiding positional plagiocephaly, it is also typically associated with benefits to physical development.…”

Section: Discussionsupporting

confidence: 91%

“…Governmental organizations all over the world have begun to recognize the importance of active play and have provided recommendations for parents and caregivers. In the United States, the American Academy of Pediatrics recommends that there is dedicated time every day for active play while limiting the amount of time spent in items that restrict movement such as car seats, strollers, and bouncy seats and that infants engage in 30-60 min of tummy time per day [19,20]. Other countries such as Australia's Department of Health have provided additional guidance including 1) being physically active several times a day in a variety of ways including supervised interactive floor-based play, 2) 30 min of tummy time for those not yet mobile; and 3) limit time in items that restrain movement for no more than 1 h at a time [21].…”

Section: Introductionmentioning

confidence: 99%

“…Despite these guidelines, few studies are examining infant active play and previous research has primarily focused on how often infants are placed in "tummy" time. Importantly, in the United States only half of infants are achieving the American Academy of Pediatrics tummy time recommendations of 30-60 min per day [20].…”

Section: Introductionmentioning

confidence: 99%

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Perspectives of infant active play: a qualitative comparison of working versus stay-at-home parents

et al. 2021

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Background Parents play a key role in infant’s development through their interactions and the type of environment they provide to promote active play. The amount of time parents are able to spend with their infant is dependent on their working status, yet few studies have explored parent perception of their infant’s active play by working status. The purpose of this study was to explore parent perception of active play and compare responses between working and stay-at-home parents. Methods Twenty-nine parents participated in this qualitative study by completing a one-time, in-person semi-structured interview based on the Theory of Planned Behavior. Themes were developed and compared based on parental working status using a directed content analysis approach. Results All parents believed active play could have a positive effect on their child’s development through physical, social and emotional, cognitive, and/or language and communication development. However, stay-at-home parents reported a broader impact of active play across these domains; whereas working parents most often referenced active play as impacting infant’s physical development. Social and emotional interactions were the highest reported form of active play among all parents. Additionally, all parents described similar barriers to increasing the time for active play. The most commonly reported barrier for all parents was time or schedule followed by care needs of the infant, environmental concerns, and need for restrictive devices (e.g., car seats). More stay-at-home parents than working parents reported the care needs of the infant as being a barrier. Recommendations for active play were not widely known amongst all parents, with a higher percentage of working parents reporting they would desire advice from a healthcare provider. Conclusions Working status of parents appears to have implications on perceptions of active play which in turn may influence infants’ development. Future studies should objectively assess the impact of parents’ working status on infant development and explore how gender of the parent may serve as a confounding variable.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

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Perspectives of infant active play: a qualitative comparison of working versus stay-at-home parents

et al. 2021

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“…The median time spent in prone during the rst month of life was 2 (0; 5.25) minutes a day and 5 (1; 10) minutes during the second month, which are lower values than recommended [59].…”

Section: Discussionmentioning

confidence: 66%

Efficacy of Pediatric Integrative Manual Therapy In Cervical Movement Limitation In Infants With Positional Plagiocephaly: A Randomized Controlled Trial

Pastor-Pons

Hidalgo-García

Lucha-López

et al. 2020

Preprint

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Background: Positional plagiocephaly (PP) is a cranial deformation frequent amongst children and consisting in a flattened and asymmetrical head shape. PP is associated with excessive time in supine and with congenital muscular torticollis (CMT). Few studies have evaluated the efficiency of a manual therapy approach in PP. The purpose of this parallel randomized controlled trial is to compare the effectiveness of adding a manual therapy approach to a caregiver education program focusing on active rotation range of motion (AROM) and neuromotor development in a PP pediatric sample. Methods: 34 children with PP and less than 28 week old were randomly distributed into two groups. AROM and neuromotor development with Alberta Infant Motor Scale (AIMS) were measured. The evaluation was performed by an examiner, blinded to the randomization of the subjects. A pediatric integrative manual therapy (PIMT) group received 10-sessions involving manual therapy and a caregiver education program. The control group received the caregiver education program exclusively. To compare intervention effectiveness across the groups, improvement indexes of AROM and AIMS were calculated using the difference of the final measurement values minus the baseline measurement values. If the distribution was normal, the improvement indexes were compared using the Student t-test for independent samples; if not, the Mann-Whitney U test was used. The effect size of the interventions was calculated using Cohen's d. Results: All randomized subject were analysed. After the intervention, the PIMT group showed a significantly higher increase in rotation (29.68 ± 18.41º) than the control group (6.13 ± 17.69º) (p< 0.05). Both groups improved the neuromotor development but no statistical significant differences were found. No harm was reported during the study.Conclusion: The PIMT intervention program was more effective in increasing AROM than using only a caregiver education program.

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“…In addition, 70.6% of them were firstborn. The median time spent in prone during the first month of life was 2 (0; 5.3) minutes a day and 5 (1; 10) minutes during the second month, which are lower values than recommended [57].…”

Section: Intervention Studymentioning

confidence: 63%

Effectiveness of pediatric integrative manual therapy in cervical movement limitation in infants with positional plagiocephaly: a randomized controlled trial

et al. 2021

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Background Positional plagiocephaly (PP) is a cranial deformation frequent amongst children and consisting in a flattened and asymmetrical head shape. PP is associated with excessive time in supine and with congenital muscular torticollis (CMT). Few studies have evaluated the efficiency of a manual therapy approach in PP. The purpose of this parallel randomized controlled trial is to compare the effectiveness of adding a manual therapy approach to a caregiver education program focusing on active rotation range of motion (AROM) and neuromotor development in a PP pediatric sample. Methods Thirty-four children with PP and less than 28 week-old were randomly distributed into two groups. AROM and neuromotor development with Alberta Infant Motor Scale (AIMS) were measured. The evaluation was performed by an examiner, blinded to the randomization of the subjects. A pediatric integrative manual therapy (PIMT) group received 10-sessions involving manual therapy and a caregiver education program. Manual therapy was addressed to the upper cervical spine to mobilize the occiput, atlas and axis. The caregiver educational program consisted in exercises to reduce the positional preference and to stimulate motor development. The control group received the caregiver education program exclusively. To compare intervention effectiveness across the groups, improvement indexes of AROM and AIMS were calculated using the difference of the final measurement values minus the baseline measurement values. If the distribution was normal, the improvement indexes were compared using the Student t-test for independent samples; if not, the Mann-Whitney U test was used. The effect size of the interventions was calculated using Cohen’s d. Results All randomized subjects were analysed. After the intervention, the PIMT group showed a significantly higher increase in rotation (29.68 ± 18.41°) than the control group (6.13 ± 17.69°) (p = 0.001). Both groups improved the neuromotor development but no statistically significant differences were found. No harm was reported during the study. Conclusion The PIMT intervention program was more effective in increasing AROM than using only a caregiver education program. The study has been retrospectively registered at clinicaltrials.gov, with identification number NCT03659032. Registration date: September 1, 2018.

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Wakeful Prone “Tummy Time” During Infancy: How Can We Help Parents?

Cited by 13 publications

References 41 publications

Perspectives of infant active play: a qualitative comparison of working versus stay-at-home parents

Perspectives of infant active play: a qualitative comparison of working versus stay-at-home parents

Efficacy of Pediatric Integrative Manual Therapy In Cervical Movement Limitation In Infants With Positional Plagiocephaly: A Randomized Controlled Trial

Effectiveness of pediatric integrative manual therapy in cervical movement limitation in infants with positional plagiocephaly: a randomized controlled trial

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