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The acute effects of physiotherapy on general movement patterns in preterm infants: A single-blind study
Büşra Kepenek-Varol1, Müberra Tanrıverdi2, Akın İşcan3
1Nuh Naci Yazgan University, Faculty of Health Sciences, Physiotherapy and Rehabilitation Department, Kayseri, Turkey.
Insights
A single physiotherapy session did not acutely impact spontaneous movements in preterm infants. Further research is needed to understand the short and long-term effects of early physiotherapy on infant motor development.
Area of Science:
- Neonatal development
- Physiotherapy
- Movement assessment
Background:
- The General Movement Assessment (GMA) analyzes infant spontaneous movements.
- While GMA is used in preterm infants, research on early intervention effects is limited.
Purpose of the Study:
- To assess acute effects of a single early physiotherapy session on preterm infants' general spontaneous movements.
- To evaluate changes in the Motor Optimality Scale (MOS) score post-intervention.
Main Methods:
- Prospective, single-blind study involving 32 preterm infants (12-16 weeks postterm).
- General Movement Assessment (GMA) video analysis before and after a single physiotherapy session.
- Motor Optimality Scale (MOS) scoring by a blinded evaluator.
Main Results:
- No statistically significant difference in MOS sub-category or total scores before and after the physiotherapy session (p > 0.05).
- A single early physiotherapy intervention did not acutely affect spontaneous movements in preterm infants at 12-16 weeks postterm.
Conclusions:
- A single physiotherapy session does not yield immediate improvements in spontaneous movements for preterm infants.
- Further studies are required to determine the short- and long-term benefits of early physiotherapy for high-risk infants.
Background:
The General Movement Assessment (GMA) is a video analysis method developed by Heinz Prechtl that examines the infant's spontaneous movements. In recent years, although many studies have been performed in preterm infants by applying GMA, few studies have shown the effects of early intervention on GMA.
Aims:
Current study was planned to determine the acute effects of a single-session early physiotherapy approach on preterm infants' general spontaneous movements, and to reveal the change in Motor Optimality Scale (MOS) score including FMs.
Study Design:
Prospective, single-blind study.
Subjects:
Current study was carried out with 32 preterm infants at postterm 12-16 weeks.
Outcome Measures:
The infants included in the study were videotaped by a physiotherapist during 10-15 min before the physiotherapy session at postterm 12-16 weeks for GMA. After a single physiotherapy session, the same physiotherapist performed the same video footage second time. A blind evaluator assessed the videos taken before and after session and scored Motor Optimality Scale (MOS).
Results And Conclusions:
There was no statistically significant difference between MOS sub-category and total score of the infants before and after the session (p > 0.05). According to the results of present study, a single-session early physiotherapy intervention did not have an acute effect on the spontaneous movements of preterm infants at postterm 12-16 weeks. Future studies are needed to demonstrate the short and long-term effects of early physiotherapy approaches to risky infants.
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