Primebrain Stimulation

Not Applicable

• Conditions: Preterm Infants
• Interventions: Other: Primebrain

• Registration Number: NCT02159534
• Lead Sponsor: Queen Fabiola Children's University Hospital

Brief Summary

Background : Brain vulnerability is particularly marked in preterm neonates and has long-term consequences. Unlike lesions affecting other organs, those that affect the brain can currently not 'be repaired' by producing new cells. However, exeprience-driven brain plasticity allows the brain to reorganise its connections to compensate (at least partially) the effects of an injury.

Purpose : To evaluate the influence of Primebrain stimulation programme administred by parents until 6 months post-term on motor and neurophysiological development of infants born \<32 weeks' gestation or with birth weight \<1500 g.

Detailed Description

Preterm and very low birth weight infants are at risk for neurodevelopmental disorders, including cerebral palsy, sensory impairment and intellectual disability. Several early intervention approaches have been designed in the hope of optimising neurological development in this context. These programmes show high variety in the type of intervention, frequency of sessions and total duration of the intervention, as well as the duration of follow-up. Depending on studies, there is an inconstant benefit on cognitive and behavioural development in the first 2 years and preschool age. According to the most recent studies, it seems important that the intervention takes into account parental mental health, focuses on parent-child interactions and lasts sufficiently long.

This prospective randomized-controlled clinical study has been designed to evaluate the effects of an additional parent-administed programme to the usual care in this developmental risk population,.

The intervention is carried out at home by parents coached by physiotherapist from term-age to 6 months of corrected age. The monitoring and evaluation period for all infants participating in the study ends at 24 months of corrected age and includes clinical, neurodevelopmental, parental stress and neurophysiological assessments using high density electroencephalography and recording of event-related potentials at term age, 3, 6, 12 ,18 and 24 months of corrected age (ActiveTwo, BioSemi).

Study Timeline

• Study First Submitted: 2014-06-06
• Study First Submitted QC: 2014-06-09
• Study First Posted: 2014-06-10
• Study Start: 2014-09
• Status Verified: 2019-02
• Last Update Submitted: 2019-02-11
• Last Update Posted: 2019-02-15
• Primary Completion: 2020-02
• Study Completion: 2020-09

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 70

Inclusion Criteria

• Infants born before 32 weeks of gestation or with a birth weight less than 1500 grams

Exclusion Criteria

• Severe congenital malformation (cerebral, cardiac or within a syndrome)
• Neurodevelopmental genetic syndrome
• Cytomegalovirus, rubella or toxoplasmosis congenital infection
• Neonatal hypothyroidism
• Peripheral neurological disorder or congenital muscular disorder
• Neurodegenerative disorder

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
usual care	Primebrain	Infants in the comparison group receive usual care for preterm and infants born with low birth weight as organized in Belgium (" INAMI convention ").
Primebrain	Primebrain	' Stimulation ' Infants group will receive Primebrain stimulation whose items were selected according to a Delphi process and discussed at the European Academy of Childhood Disability (2013). This sensorimotor stimulation programme is administered at home by parents (trained and monitored by a physical therapist), once a day between term-age and 6 months of corrected age. In addition, these infants undergo systematic monitoring for preterm and infants born with low birth weight as organized in Belgium (" INAMI convention ").

Primary Outcome Measures

Name	Time	Method
Motor development using Bayley Scales of Infant Development (BSID-III)	at 24 months of corrected age.

Secondary Outcome Measures

Name	Time	Method
Parental Stress Index (PSI), short form	at 6, 12,18 and 24 months of corrected age.
Language and cognitive development using Bayley Scales of Infant Development (BSID-III)	at 6, 12, 18 and 24 months of corrected age

Trial Locations

Locations (1)

Queen Fabiola Children's University Hospital; 🇧🇪 Brussels, Belgium