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Effects of a Parent-Administered Exercise Program in the Neonatal Intensive Care Unit: Dose Does Matter-A Randomized
Gunn Kristin Øberg1, Gay L Girolami2, Suzann K Campbell3
1Department of Health and Care Sciences, Faculty of Health Sciences, University of Tromsø, The Arctic University of Norway, PB 6050 Langnes, Tromsø, 9037 Norway; and Department of Clinical Therapeutic Services, University Hospital North Norway, Tromsø, Norway.
Physical Therapy
|January 17, 2020
Summary
A parent-administered exercise program in the neonatal intensive care unit (NICU) did not significantly improve motor skills in preterm infants. However, higher intervention doses correlated with better motor outcomes at three months corrected age.
Area of Science:
- Neonatal care
- Developmental pediatrics
- Rehabilitation medicine
Background:
- Preterm infants face risks of delayed motor development.
- Interventions within the neonatal intensive care unit (NICU) and their dosing effects require further investigation.
Purpose of the Study:
- To assess a parent-administered exercise program's effectiveness on preterm infants' motor outcomes at 3 months corrected age (CA).
- To determine the impact of intervention dosage on motor performance in this population.
Main Methods:
- A randomized clinical trial involving 153 infants born before 32 weeks gestational age.
- A 3-week, twice-daily, 10-minute parent-administered exercise program in the NICU.
- Motor outcome assessed using the Test of Infant Motor Performance (TIMP) at 3 months CA.
Main Results:
- No significant difference in TIMP z-scores between intervention and control groups at 3 months CA.
- A significant positive association between total intervention dose and TIMP z-scores.
- Infants receiving less than the median intervention time had approximately 6 times higher odds of a clinical z-score < 0.
Conclusions:
- The parent-administered exercise program showed no overall difference in motor performance at 3 months CA.
- Increased intervention dosage was positively linked to improved motor outcomes.
- Further research is needed, considering limitations such as small sample size for extremely preterm infants and potential spillover effects.
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