早产儿及其父母的早期物理治疗干预计划：一项随机单盲临床试验
Early Physiotherapy Intervention Program for Preterm Infants and Parents: A Randomized, Single-Blind Clinical Trial.
作者信息
Ochandorena-Acha Mirari, Terradas-Monllor Marc, López Sala Laura, Cazorla Sánchez Maria Engracia, Fornaguera Marti Montserrat, Muñoz Pérez Isabel, Agut-Quijano Thais, Iriondo Martín, Casas-Baroy Joan Carles
机构信息
Research Group on Methodology, Methods, Models and Outcomes of Health and Social Sciences (M3O), Faculty of Health Sciences and Welfare, Centre for Health and Social Care Research (CESS), University of Vic-Central University of Catalonia (UVIC-UCC), C.Sagrada Família, 7, 08500 Vic, Barcelona, Spain.
Sant Joan de Deu Barcelona Children's Hospital, Passeig de Sant Joan de Déu, 2, 08950 Esplugues de Llobregat, Barcelona, Spain.
出版信息
Children (Basel). 2022 Jun 15;9(6):895. doi: 10.3390/children9060895.
BACKGROUND
The early developmental interventions might be designed with a preventative approach to improving the development of at-risk preterm infants. The present study aimed to evaluate the effectiveness of an early physiotherapy intervention on preterm infants' motor and global development, and on parents' stress index.
METHODS
48 infants were enrolled and randomized into two groups. Infants allocated to the intervention group received an early physiotherapy intervention, based on parental education sessions and tactile and kinesthetic stimulation during the NICU period, as well as a home-based activity program. The intervention commenced after 32 weeks post-menstrual age and ended at 2 months corrected age. Infants allocated to the control group received the usual care based on the NIDCAP-care.
RESULTS
No differences were found between groups on the Alberta Infant Motor Scale at 2- or 8-months corrected age. Infants in the intervention group showed more optimal fine motor, problem-solving, personal-social, and communication development at 1 month corrected age.
CONCLUSIONS
The results showed no effect on the early physiotherapy intervention. Results might be related to the dose or intensity of the intervention, but also to the poor parental compliance.
CLINICALTRIALS
gov NCT03313427.
背景
早期发育干预可能采用预防性方法来促进高危早产儿的发育。本研究旨在评估早期物理治疗干预对早产儿运动和整体发育以及父母压力指数的效果。
方法
招募48名婴儿并随机分为两组。分配到干预组的婴儿在新生儿重症监护病房（NICU）期间接受基于家长教育课程、触觉和动觉刺激的早期物理治疗干预，以及一项家庭活动计划。干预在孕龄32周后开始，在矫正年龄2个月时结束。分配到对照组的婴儿接受基于新生儿个体化发育护理与评估计划（NIDCAP）护理的常规护理。
结果
在矫正年龄2个月或8个月时，两组在艾伯塔婴儿运动量表上未发现差异。干预组婴儿在矫正年龄1个月时表现出更优的精细运动、解决问题、个人社交和沟通能力发育。
结论
结果显示早期物理治疗干预没有效果。结果可能与干预的剂量或强度有关，但也与家长依从性差有关。
临床试验
美国国立医学图书馆临床试验注册库NCT03313427。
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