Effects of a Parent-Administered Exercise Program in the Neonatal Intensive Care Unit: Dose Does Matter—A Randomized Controlled Trial
Abstract Background Despite the risk of delayed motor development in infants born preterm, knowledge about interventions in the neonatal intensive care unitt (NICU) and the effects of dosing is sparse. Objective The objectives of this study were to examine the effectiveness of a parent-administered...
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Oxford University Press (OUP)
2020
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Online Access: | http://dx.doi.org/10.1093/ptj/pzaa014 http://academic.oup.com/ptj/advance-article-pdf/doi/10.1093/ptj/pzaa014/33098957/pzaa014.pdf https://academic.oup.com/ptj/article-pdf/100/5/860/48728880/pzaa014.pdf |
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croxfordunivpr:10.1093/ptj/pzaa014 2024-09-30T14:45:12+00:00 Effects of a Parent-Administered Exercise Program in the Neonatal Intensive Care Unit: Dose Does Matter—A Randomized Controlled Trial Øberg, Gunn Kristin Girolami, Gay L Campbell, Suzann K Ustad, Tordis Heuch, Ivar Jacobsen, Bjarne K Kaaresen, Per Ivar Aulie, Vibeke Smith Jørgensen, Lone Norwegian Fund for Postgraduate Training in Physiotherapy 2020 http://dx.doi.org/10.1093/ptj/pzaa014 http://academic.oup.com/ptj/advance-article-pdf/doi/10.1093/ptj/pzaa014/33098957/pzaa014.pdf https://academic.oup.com/ptj/article-pdf/100/5/860/48728880/pzaa014.pdf en eng Oxford University Press (OUP) https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model Physical Therapy volume 100, issue 5, page 860-869 ISSN 0031-9023 1538-6724 journal-article 2020 croxfordunivpr https://doi.org/10.1093/ptj/pzaa014 2024-09-17T04:31:24Z Abstract Background Despite the risk of delayed motor development in infants born preterm, knowledge about interventions in the neonatal intensive care unitt (NICU) and the effects of dosing is sparse. Objective The objectives of this study were to examine the effectiveness of a parent-administered exercise program in the NICU on motor outcome at 3 months corrected age (CA) and the effect of dosing on motor performance. Design This was a randomized clinical trial. Setting The study was conducted at 3 university hospitals in Tromsø, Trondheim, and Oslo, Norway. Participants A total of 153 infants with gestational age <32 weeks at birth were randomly assigned to intervention or control groups. Intervention A 3-week parent-administered intervention designed to facilitate movements in preterm infants was performed in the NICU. Parents were asked to administer the intervention 10 minutes twice a day. Measurements Test of Infant Motor Performance (TIMP) was used to assess short-term outcome at 3 months CA. Results No significant difference in the TIMP z-score was found between intervention and control groups at follow-up 3 months CA, but a significant positive relationship was found between total intervention dose and TIMP z-scores. The adjusted odds of having a clinical z-score < 0 at 3 months CA was about 6 times higher for infants with less than median intervention time than for infants with a longer intervention time. Limitations The number of infants born before 28 weeks was small. A spillover effect in favor of the control group was possible. We do not know if the infants received physical therapy after discharge from the hospital. Conclusions There was no difference in motor performance between the intervention group and the control group at 3 months CA. However, an increased intervention dose was positively associated with improved motor outcome. Article in Journal/Newspaper Tromsø Oxford University Press Norway Tromsø Physical Therapy 100 5 860 869 |
institution |
Open Polar |
collection |
Oxford University Press |
op_collection_id |
croxfordunivpr |
language |
English |
description |
Abstract Background Despite the risk of delayed motor development in infants born preterm, knowledge about interventions in the neonatal intensive care unitt (NICU) and the effects of dosing is sparse. Objective The objectives of this study were to examine the effectiveness of a parent-administered exercise program in the NICU on motor outcome at 3 months corrected age (CA) and the effect of dosing on motor performance. Design This was a randomized clinical trial. Setting The study was conducted at 3 university hospitals in Tromsø, Trondheim, and Oslo, Norway. Participants A total of 153 infants with gestational age <32 weeks at birth were randomly assigned to intervention or control groups. Intervention A 3-week parent-administered intervention designed to facilitate movements in preterm infants was performed in the NICU. Parents were asked to administer the intervention 10 minutes twice a day. Measurements Test of Infant Motor Performance (TIMP) was used to assess short-term outcome at 3 months CA. Results No significant difference in the TIMP z-score was found between intervention and control groups at follow-up 3 months CA, but a significant positive relationship was found between total intervention dose and TIMP z-scores. The adjusted odds of having a clinical z-score < 0 at 3 months CA was about 6 times higher for infants with less than median intervention time than for infants with a longer intervention time. Limitations The number of infants born before 28 weeks was small. A spillover effect in favor of the control group was possible. We do not know if the infants received physical therapy after discharge from the hospital. Conclusions There was no difference in motor performance between the intervention group and the control group at 3 months CA. However, an increased intervention dose was positively associated with improved motor outcome. |
author2 |
Norwegian Fund for Postgraduate Training in Physiotherapy |
format |
Article in Journal/Newspaper |
author |
Øberg, Gunn Kristin Girolami, Gay L Campbell, Suzann K Ustad, Tordis Heuch, Ivar Jacobsen, Bjarne K Kaaresen, Per Ivar Aulie, Vibeke Smith Jørgensen, Lone |
spellingShingle |
Øberg, Gunn Kristin Girolami, Gay L Campbell, Suzann K Ustad, Tordis Heuch, Ivar Jacobsen, Bjarne K Kaaresen, Per Ivar Aulie, Vibeke Smith Jørgensen, Lone Effects of a Parent-Administered Exercise Program in the Neonatal Intensive Care Unit: Dose Does Matter—A Randomized Controlled Trial |
author_facet |
Øberg, Gunn Kristin Girolami, Gay L Campbell, Suzann K Ustad, Tordis Heuch, Ivar Jacobsen, Bjarne K Kaaresen, Per Ivar Aulie, Vibeke Smith Jørgensen, Lone |
author_sort |
Øberg, Gunn Kristin |
title |
Effects of a Parent-Administered Exercise Program in the Neonatal Intensive Care Unit: Dose Does Matter—A Randomized Controlled Trial |
title_short |
Effects of a Parent-Administered Exercise Program in the Neonatal Intensive Care Unit: Dose Does Matter—A Randomized Controlled Trial |
title_full |
Effects of a Parent-Administered Exercise Program in the Neonatal Intensive Care Unit: Dose Does Matter—A Randomized Controlled Trial |
title_fullStr |
Effects of a Parent-Administered Exercise Program in the Neonatal Intensive Care Unit: Dose Does Matter—A Randomized Controlled Trial |
title_full_unstemmed |
Effects of a Parent-Administered Exercise Program in the Neonatal Intensive Care Unit: Dose Does Matter—A Randomized Controlled Trial |
title_sort |
effects of a parent-administered exercise program in the neonatal intensive care unit: dose does matter—a randomized controlled trial |
publisher |
Oxford University Press (OUP) |
publishDate |
2020 |
url |
http://dx.doi.org/10.1093/ptj/pzaa014 http://academic.oup.com/ptj/advance-article-pdf/doi/10.1093/ptj/pzaa014/33098957/pzaa014.pdf https://academic.oup.com/ptj/article-pdf/100/5/860/48728880/pzaa014.pdf |
geographic |
Norway Tromsø |
geographic_facet |
Norway Tromsø |
genre |
Tromsø |
genre_facet |
Tromsø |
op_source |
Physical Therapy volume 100, issue 5, page 860-869 ISSN 0031-9023 1538-6724 |
op_rights |
https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model |
op_doi |
https://doi.org/10.1093/ptj/pzaa014 |
container_title |
Physical Therapy |
container_volume |
100 |
container_issue |
5 |
container_start_page |
860 |
op_container_end_page |
869 |
_version_ |
1811646012534554624 |