Neonatal PT Improves Neurobehavior and General Movements in Moderate to Late Preterm Infants Born in India: An RCT

Rao, Bhamini Krishna and Kumaran, Senthil D and Lewis, Leslie Edward S and Kamath, Asha (2021) Neonatal PT Improves Neurobehavior and General Movements in Moderate to Late Preterm Infants Born in India: An RCT. Pediatric Physical Therapy, 33. pp. 208-216. ISSN 08985669

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Abstract

Purpose: To examine whether a structured neonatal physical therapy program (SNP) improves neurobehavior and general movements in moderate to late preterm (MLP) infants. Methods: Sixty MLP infants participated in this clinical trial. After baseline assessment using the Neurobehavioral Assessment of Preterm Infant (NAPI) and Prechtl General Movements (GMs) Assessment, infants were randomly allocated to a usual care (n = 30) or an SNP group (n = 30) and continued receiving usual care. The SNP group received intervention for 90 minutes/day, 6 days/week until discharge. Changes in neurobehavior and GMs were assessed at hospital discharge. Results: Changes in scores on scarf sign and motor development and vigor clusters of NAPI document an improvement in the SNP group. The proportion of infants with poor repertoire GMs also decreased more in the SNP group than in the usual care group. Conclusion: The SNP may be effective in improving some aspects of neurobehavior and quality of GMs in MLP infants. What this adds to the evidence: The addition of a structured neonatal physical therapy program to usual care can promote neurobehavioral organization and improve the quality of general movements in moderate and late preterm infants in India. (Pediatr Phys Ther 2021;33:208–216)

Item Type: Article
Uncontrolled Keywords: cognitive development; developmental delay; general movements; infant; motor development; neurobehavior; physical therapy; preterm
Subjects: Allied Health > MCOAHS Manipal > Physiotherapy
Departments at MU > Public Health
Medicine > KMC Manipal > Paediatrics
Depositing User: KMC Library
Date Deposited: 28 Jan 2022 04:27
Last Modified: 28 Jan 2022 04:27
URI: http://eprints.manipal.edu/id/eprint/158028

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