期刊论文详细信息
BMC Pediatrics
Study protocol: an early intervention program to improve motor outcome in preterm infants: a randomized controlled trial and a qualitative study of physiotherapy performance and parental experiences
Per Ivar Kaaresen5  Lone Jørgensen4  Tordis Ustad1  Gay L Girolami3  Suzann K Campbell3  Gunn Kristin Øberg2 
[1] Clinic of Clinical Services, University Hospital Trondheim, St.Olavs Hospital HF, 7006 Trondheim, Norway;Clinic of Rehabilitation, Physical Therapy Section, University Hospital of Northern Norway HF, 9038 Tromsø, Norway;University of Illinois at Chicago, Chicago, USA;Faculty of Health Sciences, Department of Health and Care Sciences, University of Tromsø, 9037 Tromsø, Norway;BUK, University Hospital of Northern Norway HF, 9038 Tromsø, Norway
关键词: Parental experience;    Motor development;    Physiotherapy;    early intervention;    Preterm infants;   
Others  :  1178932
DOI  :  10.1186/1471-2431-12-15
 received in 2011-10-14, accepted in 2012-02-15,  发布年份 2012
PDF
【 摘 要 】

Background

Knowledge about early physiotherapy to preterm infants is sparse, given the risk of delayed motor development and cerebral palsy.

Methods/Design

A pragmatic randomized controlled study has been designed to assess the effect of a preventative physiotherapy program carried out in the neonatal intensive care unit. Moreover, a qualitative study is carried out to assess the physiotherapy performance and parents' experiences with the intervention. The aim of the physiotherapy program is to improve motor development i.e. postural control and selective movements in these infants. 150 infants will be included and randomized to either intervention or standard follow-up. The infants in the intervention group will be given specific stimulation to facilitate movements based on the individual infant's development, behavior and needs. The physiotherapist teaches the parents how to do the intervention and the parents receive a booklet with photos and descriptions of the intervention. Intervention is carried out twice a day for three weeks (week 34, 35, 36 postmenstrual age). Standardized tests are carried out at baseline, term age and at three, six, 12 and 24 months corrected age. In addition eight triads (infant, parent and physiotherapist) are observed and videotaped in four clinical encounters each to assess the process of physiotherapy performance. The parents are also interviewed on their experiences with the intervention and how it influences on the parent-child relationship. Eight parents from the follow up group are interviewed about their experience. The interviews are performed according to the same schedule as the standardized measurements. Primary outcome is at two years corrected age.

Discussion

The paper presents the protocol for a randomized controlled trial designed to study the effect of physiotherapy to preterm infants at neonatal intensive care units. It also studies physiotherapy performance and the parent's experiences with the intervention.

【 授权许可】

   
2012 Øberg et al; licensee BioMed Central Ltd.

【 预 览 】
附件列表
Files Size Format View
20150507021019413.pdf 290KB PDF download
Figure 2. 79KB Image download
Figure 1. 86KB Image download
【 图 表 】

Figure 1.

Figure 2.

【 参考文献 】
  • [1]de Kieviet JF, Piek JP, Aarnoudse-Moens CS, Oosterlaan J: Motor development in very preterm and very low-birth-weight children from birth to adolescence. A meta-analysis. JAMA 2009, 302:2235-2242.
  • [2]Blauw-Hospers CH, Hadders-Algra M: A systematic review of the effects of early intervention on motor development. Dev Med Child Neurol 2005, 47:421-432.
  • [3]Koldewijn K, Wassenaer AV, Wolf M-J, Meijssen D, Houtzager B, Beelen A, et al.: A Neurobehavioral Intervention and Assessment Program in Very Low Birth Weight Infants: outcome at 24 Months. J Pediatr 2009, 156:359-365.
  • [4]Kaaresen PI, Rønning JA, Tunby J, Nordhov SM, Ulvund SE, Dahl LB: A randomized controlled trial of an early intervention program in low birth weight children: outcome at 2 years. Early Hum Dev 2008, 84:201-209.
  • [5]Kaaresen PI, Rønning JA, Ulvund SE, Dahl LB: A Randomized, Controlled trial of the Effectiveness of an Early-Intervention program in Reducing Parenting Stress After preterm Birth. Pediatrics 2006, 118:e9-e19.
  • [6]Girolami GL, Campbell SK: Efficacy of a Neuro-Developmental Treatment program to Improve Motor Control in Infants Born Prematurely. Pediatr Phys Ther 1994, 6:175-184.
  • [7]Cameron EC, Maehle V, Reid J: The effects of an early physical therapy intervention for very preterm, very low birth weight infants. A randomized controlled clinical trial. Pediatr Phys Ther 2005, 17:107-119.
  • [8]Parker SJ, Zahr I, Cole J: Outcomes after developmental intervention in the neonatal intensive care unit for mothers of preterm infants with low socioeconomic status. J Pediatr 1992, 120:780-785.
  • [9]Goldstein LA, Campbell SK: Effectiveness of the test of infant motor performance as an educational tool for mothers. Pediatr Phys Ther 2008, 20:152-159.
  • [10]Nugent JK, Eefer CH, Minear S, Johnson LC, Blanchard Y: Understanding Newborn Behavior and Early Relationship. The Newborn Behavioral Observations (NBO) System Handbook. Baltimore: Paul H. Brookes Publishing CO; 2007.
  • [11]Trevarthen C: Communication and cooperation in early infancy: a description of primary intersubjectivity. In In Before speech. The beginning of interpersonal communication. 1st edition. Edited by Bullowa M. Cambridge: Cambridge University Press; 1979:321-437.
  • [12]Norhov SM, Kaaresen PI, Rønning JA, Ulvund SE, Dahl LB: A randomized study of the impact of a sensitizing intervention on the child-rearing attitudes of parents of low birth weight preterm infants. Scand J Psychol 2010, 51:385-391.
  • [13]Merleau-Ponty M: Phenomenology of Perception. New York: Routledge publishing; 2005.
  • [14]Gallagher S: How the Body Shapes the Mind. 1st edition. New York: Oxford University press Inc; 2005.
  • [15]Sheets-Johnstone M: The Primacy of Movement. Philadelphia: John Benjamins Publishing Company; 1999.
  • [16]Saigal S, Doyle LW: An overview of mortality and sequelae of preterm birth from infancy to adulthood. Lancet 2008, 371:261-269.
  • [17]Dahl LB, Kaaresen PI, Tunby J, Handegård BH, Kvernmo S, Rønning JA: Emotianal, behavioral, social, and academic outcomes in adolescents born with very low birth weight. Pediatrics 2006, 118:e449-e459.
  • [18]Norhov SM, Rønning JA, Dahl LB, Ulvund SE, Tunby J, Kaaresen PI: Early Intervention Improves Cognitive Outcomes for Preterm Infants: randomized Controlled Trial. Pediatrics 2010, 126:e1088-e1094.
  • [19]Sheets-Johnstone M: On learning to Move Oneself. A constuctive Phenomenology. In In The primacy of Movement. Edited by Sheets-Johnstone M. Philadelphia: John Benjamins Publishing Company; 1999:223-272.
  • [20]Sheets-Johnstone M: The Primacy of Movement. In In The Primacy of Movement. Edited by Sheets-Johnstone M. Philadelphia: John Benjamins Publishing Company; 1999:131-174.
  • [21]Adolph KE, Robinson SR, Young JW, Gill-Alvarez F: What is the shape of developmental change? Psychol Rev 2008, 115:527-543.
  • [22]Darrah J, Redfern L, Maguire TO, Beaulne AP, Watt J: Intra-individual stability of rate of gross motor development in full-term infants. Early Hum Dev 1998, 52:169-179.
  • [23]Campbell SK: The Child's Development of Functional Movement. In In Physical Therapy for Children. 4th edition. Edited by Campbell SK, Palisano RJ, Orlin MN. St.Louis, Missouri: Elsevier Saunders; 2012:37-86.
  • [24]Brodal P: The central nervous system: structure and function. 4th edition. Oxford: Oxford University Press; 2010.
  • [25]Westcott Mccoy S, Dusing S: Motor control: developmental aspects of motor control in skill acquisition. In In Physical Therapy for Children. 4th edition. Edited by Campbell SK, Palisano RJ, Orlin MN. St. Louis, Missouri: Elsevier Saunders; 2012:87-150.
  • [26]Bracewell M, Marlow N: Patterns of motor disability in very preterm children. Ment Retard Dev Disabil Res Rev 2002, 8:241-248.
  • [27]Fallang B: Development in infants born preterm. A study of the characteristics of reaching and postural control. PhD thesis. University of Oslo, Faculty of Medicine; 2004.
  • [28]Øberg GK: Fysioterapi til for tidlig fødte barn. Om sensitivitet, samhandling og bevegelse. PhD thesis. University of Tromsø, Faculty of Medicine; 2008.
  • [29]Luciana M: Cognitive development in children born preterm: implications for theories of brain plasticity following early injury. Dev Psychopathol 2003, 15:1017-1047.
  • [30]Kinney H, Brody B, Kloman A, Gilles F: Sequence of central nervous system myelination in human infancy. II. Patterns of myelination in autopsied infants. J Neuropath Exper Neurol 1988, 47:217-234.
  • [31]Fields RD: Volume transmission in activity-dependent regulation of myelinationg glia. Neurochem Int 2004, 45:503-509.
  • [32]Folio MR, Fewell RR: PDMS-2, Peabody Developmental Motor Scales, Examiner's Manual. 2nd edition. Austin, Texas: Pro-ed; 2000.
  • [33]Prechtl HFR: The Neurological Examination of the Full-term Newborn Infant. 2nd edition. London: William Heinemann Medical Books LTD; 1977.
  • [34]Campbell SK: The Test of Infant Motor Performance, Test User's Manual Version 2.0. Chicago: Infant Motor Performance Scales, LLC; 2005.
  • [35]Lekskulchai R, Cole J: Effect of a developmental program on motor performance in infants born preterm. Aust J Physiother 2001, 47:169-176.
  • [36]Einspieler C, Prechtl HFR, Bos AF, Ferrari F, Cioni G: Prechtl's method on the qualitative assessment of general movements in preterm, term and young infants. 1st edition. London: Mac Keith Press; 2004.
  • [37]Snider LM, Majnemer A, Mazer B, Campbell S, Bos AF: A comparison of the general movements assessment with traditional approaches to newborn and infant assessment: concurrent validity. Pediatr Phys Ther 2009, 21:2-11.
  • [38]Prechtl HFR, Einspieler C, Cioni G, Bos AF, Ferrari F, Sontheimer D: An early marker for neurological deficits after perinatal brain lesions. Lancet 1997, 439:1361-1363.
  • [39]Einspieler C, Cioni G, Paolicelli PB, Bos AF, Dressler A, Ferrari F, et al.: The early markers for later dyskinetic cerebral palsy are different from those for spastic cerebral palsy. Neuropediatrics 2002, 33:73-78.
  • [40]Piper MC, Darrah J: Motor Assessment of the Developing Infant. Pennsylvania: W.B. Saunders Company; 1994.
  • [41]Darrah J, Piper M, Watt MJ: Assessment of gross motor skills of at-risk infants: predictive validity of the Alberta Infant Motor Scale. Dev Med Child Neurol 1998, 40:485-491.
  • [42]Pin T, Eldridge B, Galea M: Motor trajectories from 4 to 18 months corrected age in infants born at less than 30 weeks of gestation. Early Hum Dev 2010, 86:573-580.
  • [43]Wang H-H, Liao H-F, Hsieh C-L: Reliability, Sensitivity to Change, and Responsiveness of the Peabody Developmental Motor Scales-Second Edition for Children With Cerebral Palsy. Phys Ther 2006, 86:1351-1359.
  • [44]Als H: Developmental care in the newborn intensive care unit. Curr Opin Pediatr 1998, 10:138-142.
  • [45]Als H, Gilkerson L, Duffy F, McAnulty G, Buehler D, Vandenberg K: A three-center, randomized, controlled trial of individualized developmental care for very low birth weight preterm infants: medical, neurodevelopmental, parenting and caregiving effects. J Dev Behav Pediatr 2003, 24:399-408.
  • [46]Crabtree B, Miller W: Doing qualitative research. 2nd edition. California: Sage Publications; 1999.
  • [47]Lindseth A, Norberg A: A phenomenological hermeneutical method for researching lived experience. Scand J Caring Sci 2004, 18:145-153.
  文献评价指标  
  下载次数:10次 浏览次数:3次