The effect of physical activity on Physiological and Behavioral Responses, Motor performance and Neuro-mascular Development

Not Applicable

Conditions: 1-Preterm Infant 2- low birth weight.
Disorders related to short gestation and low birth weight, not elsewhere classified. 2-Other low birth weight
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Registration Number: IRCT201405208315N7

Lead Sponsor: Tabriz University of Medical Sciences

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Complete

Sex: All

Target Recruitment: 72

Inclusion Criteria

Inclusion Criteria: Gestational age 26-30 weeks; Post conception age 32 weeks; Birth weight at least 800 gram; Weight the studying time 1000-2000 gr; Appropriate Gestational age; APGAR scores more than 7; Mother has not drug abuse; Infant isn't IUGR; Infant has a Positive history of mechanical ventilation(Mechanical ventilation, CPAP, Oxyhood) at least for 3 days and use of sedative drug; Infant has not any medicine and metabolic disorders; Absence of neurological anomalies, congenital and chromosomal abnormalities.

Exclusion Criteria

Delayed diagnosis of neural anomalies, Congenital and chromosomal abnormalities at 32 to 34 weeks; Severe infection and diseases require to surgery and photo-therapy at 32 to 34 weeks; Physiological instability during the program, as HR more than 180 or HR less than 100 and SaO2 drops to less than 88% twice a day during the intervention (Particularly during the Hydrotherapy); Diagnosis the cardiovascular and musculoskeletal diseases, hip dislocation and Erb Duchenne paralysis during the study; Transfer to another facility during the intervention.

Study & Design

Study Type: interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Physiologic indexs(Heart rate, Respiration Rate, Saturation Oxygen).2- Behavioral responses. Timepoint: 1- The two first and last sessions of intervention (before, during and after the intervention). Method of measurement: 1- Pulse oximetre set. 2- APIB: Assessment of Preterm Infant’s Behavior.

Secondary Outcome Measures

Name	Time	Method
1-motor performance 2- neuromuscular developmental of Joint of Wrists, Elbows, Shoulders, Ankles, Knees, Thighs. Timepoint: 1-Before the first session and after the last session of the intervention. 2-Before the first session and after the last session of the intervention. Method of measurement: 1- Test of Infant Motor Performance (TIMP) 2-Selected items from Neuromuscular maturity NEW Ballard and Dubowitz scales.