Benefits of physiotherapy techniques and movement therapy on breathing and overall development of premature babies

Not Applicable

Conditions: Health Condition 1: P220- Respiratory distress syndrome of newborn

Recruitment & Eligibility

Inclusion Criteria

1.Very preterm infants, Gestational age â?? 26 to 30 weeks

2.Birth weight >750 grams

3.Invasive / non-invasive modes of ventilation

Understanding of parental experience in delivering the early stimulation program-Secondary Objective

Study design: Qualitative in-depth interview

Study setting: Neonatal Intensive Care and Pediatric Physiotherapy outpatient department, Kasturba Hospital, Manipal

Subjects: Parents of preterm infants from both the groups with low, average & high scores of HINE & BSID - III

Sampling method: Purposive

Time of interview: 3 â?? 4 months follow up

Sample size: 12

1. Parents who are able to comprehend simple instructions

2. Has functional reading comprehension and communication in English/Kannada

3. Willing to participate

Exclusion Criteria

1.Uncompensated acid-base balance

2.Bradycardia or tachycardia ( <80 bpm and >180bpm)

3.Cardiac arrest survivor

4.Untreated/symptomatic congenital heart disease

5.Diaphragmatic hernia

6.Severe congenital anomalies

Understanding of parental experience in delivering the early stimulation program-Secondary Objective

Study design: Qualitative in-depth interview

Study setting: Neonatal Intensive Care and Pediatric Physiotherapy outpatient department, Kasturba Hospital, Manipal

Subjects: Parents of preterm infants from both the groups with low, average & high scores of HINE & BSID - III

Sampling method: Purposive

Time of interview: 3 â?? 4 months follow up

Sample size: 12

1.Parents who are not able to comprehend simple instructions

2.Not able to read and write

3.Not willing to participate

Primary Outcome Measures

Name	Time	Method
1. Modified Downes score <br/ ><br>2. Silverman Anderson scoreTimepoint: Everyday, before and after the intervention during 26 to 32 weeks

Secondary Outcome Measures

Name	Time	Method
1. Prechtlâ??s General Movement Assessment (GMA) <br/ ><br>2. Neurobehavioral assessment of the Preterm Infant (NAPI) <br/ ><br>3. Test of Infant Motor Performance (TIMP) <br/ ><br>4. Hammersmith Infant Neurological Examination (HINE) <br/ ><br>5. Bayley Scale of Infant and Toddler Development â?? 3rd edition (BSID-III)Timepoint: Baseline assessment using GMA, NAPI and TIMP at 32 weeks <br/ ><br> <br/ ><br>At the time of discharge from the hospital, assessment is done using GMA, NAPI and TIMP <br/ ><br> <br/ ><br>At 3 to 4 months follow up assessment using GMA, TIMP, HINE and BSID-III <br/ ><br> <br/ ><br>At 6 months follow up, assessment using HINE and BSID-III