Does parent administered physiotherapy delivered to preterm/term infants at high risk of CP or motor delay improve motor outcomes at 16 weeks corrected age compared to usual care?

Royal North Shore Hospital0 个研究点目标入组 30 人开始时间: 2019年6月14日最近更新: 2022年8月15日

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•The key inclusion criteria are (i) Infants deemed at risk of CP and (ii) parents likely to uptake parent-administered interventions for their infants and (iii) infants deemed likely to benefit from motor learning interventions. The criteria for eligibility include:
•1. Any preterm or term Infant with other identifiable risk factors such as
•(i) Grade 3 or 4 intra-ventricular haemorrhage (IVH), periventricular leukomalacia (PVL) and cystic PVL, periventricular infarction, lesions of the basal ganglia and thalamus, unilateral parenchymal injury, cortical malformation or other MRI identified brain injury eg ischaemic injury
•(ii) seizures
•(iii) significant post-natal infections infection such as meningitis, blood culture positive gram negative septicaemia or other congenitial TORCH infections (Toxoplasmosis, other [syphilis, varicella-zoster, parvovirus B19], Rubella, Cytomegalovirus (CMV), and Herpes infections).
•(iv) chronic lung disease (CLD) who received post-natal dexamethasone
•(v) Intra-uterine growth retardation (IUGR) = 3rd centile.
•(vi) Abnormal General Movements assessment scoring cramped synchronous at term age in the Writhing movements” period
•2. Term infants with hypoxic ischaemic encephalopathy (HIE): Sarnat Stage 2 (moderate) or Sarnat Sage 3 (severe) or MRI identified brain injury
•3. Preterm infants less than or equal to 27+6 weeks gestational age.

•1. Parents unable to understand and speak English.
•2. Infants with syndromes, cortical visual impairment (detected using the RICCI scale).
•3. Retinopathy of Prematurity (ROP) Grade 3.
•4. Significant auditory impairment.
•5. Infants having undergone major surgery.

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