Neonatal and Home-Based PT Improves Neurodevelopmental Outcomes of Preterm Infants-A Randomized Clinical Trial
- PMID: 39792781
- DOI: 10.1097/PEP.0000000000001181
Neonatal and Home-Based PT Improves Neurodevelopmental Outcomes of Preterm Infants-A Randomized Clinical Trial
Abstract
Purpose: Investigate the effect of structured neonatal physical therapy program (SNP) on neurodevelopmental outcomes of moderate and late preterm (MLP) infants.
Methods: Sixty MLP infants were randomly allocated to usual care (UC) or SNP. A previous publication reported the effect of neonatal component of SNP at hospital discharge. This paper examined SNP's effect on motor, cognitive and language outcomes at 3 and 6 months using a 2-way mixed design ANOVA.
Results: Both groups were similar at baseline for motor scores. Infants receiving SNP significantly outperformed UC at all subsequent time points. At 3 and 6 months, SNP significantly outscored UC in cognitive and language outcomes.
Conclusion: SNP is effective in improving neurodevelopmental outcomes of MLP infants. However, caution is suggested in interpreting its effect on cognition and language as we lacked baseline scores to compare the longitudinal trajectory.
Copyright © 2025 Academy of Pediatric Physical Therapy of the American Physical Therapy Association.
Conflict of interest statement
The authors declare no conflict of interest.
References
-
- Blencowe H, Cousens S, Chou D, et al. Born too soon: the global epidemiology of 15 million preterm births. Reprod Health. 2013;10(Suppl S1):S2. doi:10.1186/1742-4755-10-S1-S2. - DOI
-
- Cheong JL, Doyle LW, Burnett AC, et al. Association between moderate and late preterm birth and neurodevelopment and social-emotional development at age 2 years. JAMA Pediatr. 2017;171(4):e164805. doi:10.1001/jamapediatrics.2016.4805. - DOI
-
- den Heijer AE, Jansen ASN, van Kersbergen M, et al. Neurocognitive outcomes in moderately preterm born adolescents. Early Hum Dev. 2024;193:106020. doi:10.1016/j.earlhumdev.2024.106020. - DOI
-
- Spittle A, Orton J, Anderson PJ, Boyd R, Doyle LW. Early developmental intervention programmes provided post hospital discharge to prevent motor and cognitive impairment in preterm infants. Cochrane Database Syst Rev. 2015;2015(11):CD005495. doi:10.1002/14651858.CD005495.pub4. - DOI
-
- Spittle AJ, Walsh JM, Potter C, et al. Neurobehaviour at term-equivalent age and neurodevelopmental outcomes at 2 years in infants born moderate-to-late preterm. Dev Med Child Neurol. 2017;59(2):207-215. doi:10.1111/dmcn.13297. - DOI
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