Neonatal and Home-Based PT Improves Neurodevelopmental Outcomes of Preterm Infants-A Randomized Clinical Trial.

IF 1.5 4区医学 Q3 PEDIATRICS Pediatric Physical Therapy Pub Date : 2025-04-01 Epub Date: 2025-01-07 DOI:10.1097/PEP.0000000000001181

Sonia Khurana, Leslie E Lewis, Daniel M Russell, Stacey C Dusing, Bhamini Krishna Rao

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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.

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新生儿和家庭PT改善早产儿神经发育结局：一项随机临床试验

目的：探讨结构化新生儿物理治疗方案（SNP）对中晚期早产儿（MLP）神经发育结局的影响。方法：60例MLP患儿随机分为常规护理组（UC）和SNP组。先前的出版物报道了新生儿SNP成分在出院时的影响。本文采用双路混合设计方差分析，研究了SNP对3个月和6个月时运动、认知和语言结果的影响。结果：两组的运动评分在基线时相似。在随后的所有时间点，接受SNP治疗的婴儿明显优于UC。在3个月和6个月时，SNP在认知和语言结果上明显优于UC。结论：SNP可有效改善MLP患儿的神经发育结局。然而，在解释其对认知和语言的影响时，我们建议谨慎，因为我们缺乏基线分数来比较纵向轨迹。

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来源期刊

Pediatric Physical Therapy PEDIATRICS-REHABILITATION

CiteScore

1.50

自引率

18.80%

发文量

147

审稿时长

>12 weeks

期刊介绍： Pediatric Physical Therapy is an indexed international journal, that publishes peer reviewed research related to the practice of physical therapy for children with movement disorders. The editorial board is comprised of an international panel of researchers and clinical scholars that oversees a rigorous peer review process. The journal serves as the official journal for the pediatric physical therapy professional organizations in the Netherlands, Switzerland, New Zealand, Canada, and the United States. The journal includes articles that support evidenced based practice of physical therapy for children with neuromuscular, musculoskeletal, cardiorespiratory and developmental conditions that lead to disorders of movement, and research reports that contribute to the foundational sciences of pediatric physical therapy, ranging from biomechanics and pediatric exercise science to neurodevelopmental science. To these ends the journal publishes original research articles, systematic reviews directed to specific clinical questions that further the science of physical therapy, clinical guidelines and case reports that describe unusual conditions or cutting edge interventions with sound rationale. The journal adheres to the ethical standards of theInternational Committee of Medical Journal Editors.