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The Coping with and Caring for Infants with Special Needs intervention was associated with improved motor development

Schirin Akhbari Ziegler1, Michael von Rhein2,3, André Meichtry1

  • 1School of Health Professions, Institute of Physiotherapy, Zurich University of Applied Sciences ZHAW, Winterthur, Switzerland.

Acta Paediatrica (Oslo, Norway : 1992)
|October 13, 2020
PubMed

Insights

The family-centered Coping with and Caring for Infants with Special Needs (COPCA) program showed better infant motor outcomes compared to standard physiotherapy for premature infants without brain lesions.

Area of Science:

  • Neonatal care
  • Pediatric physiotherapy
  • Developmental pediatrics

Background:

  • Infants born before 32 weeks gestation are at risk for motor delays.
  • Standard infant physiotherapy is common, but family-centered approaches may offer benefits.

Purpose of the Study:

  • To compare the effectiveness of the Coping with and Caring for Infants with Special Needs (COPCA) program against standard infant physiotherapy.
  • To evaluate motor outcomes in preterm infants without significant brain lesions.

Main Methods:

  • Randomized controlled trial conducted in Switzerland (2016-2019).
  • Inclusion of infants born before 32 weeks gestation without significant brain lesions.
  • Primary outcome measured by the Infant Motor Profile (IMP).

Main Results:

  • COPCA participants showed significantly greater improvement in IMP variation and performance domains at 18 months compared to the standard care group.
  • COPCA coaching positively correlated with 18-month IMP scores.
  • Some standard care actions were negatively associated with motor outcomes.

Conclusions:

  • The family-centered COPCA program demonstrated superior motor outcomes for preterm infants compared to standard physiotherapy.
  • COPCA represents a promising intervention for improving motor development in high-risk infants.
Abstract

Keywords:
early physiotherapyfamily outcomesfamily-centred practicemotor outcomepreterm infants

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