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Investigation of the effectiveness of family collaborative physiotherapy programs applied to high-risk infants
Hatice Adiguzel1, Yusuf Unal Sarikabadayi2, Bulent Elbasan3
1Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Kahramanmaras Sutcu Imam University, Dulkadiroglu, Turkey.
Insights
Family-centered early intervention is effective for high-risk infants. The Family Collaborative Approach (FCA) showed superior outcomes compared to Neurodevelopmental Therapy (NDT)-based family training.
Area of Science:
- Pediatric Rehabilitation
- Developmental Pediatrics
- Early Intervention
Background:
- Family involvement in infant intervention programs enhances adherence and outcomes.
- Naturalistic, enriched environments fostering communication and interaction are crucial for high-risk infant rehabilitation.
Purpose of the Study:
- To compare the efficacy of the Family Collaborative Approach (FCA) against Neurodevelopmental Therapy (NDT)-based family training for high-risk infants.
Main Methods:
- Sixty-three high-risk infants (mean age 32.60 ± 4.53 months) participated in a 12-week early intervention study.
- Assessments included Prechtl's General Movements (GMs), Hammersmith Neonatal Neurological Examination (HNNE), Hammersmith Infant Neurological Examination (HINE), and BAYLEY-III Scales of Infant and Toddler Development (BSID-III).
Main Results:
- Significant improvements were observed in HINE and BSID-III scores for the FCA group compared to NDT and control groups.
- The FCA group demonstrated superior cognitive, language, and motor development at 6 months and language development at 12 months post-intervention.
- Both FCA and NDT interventions showed significant differences compared to the control group in neurological examination scores.
Conclusions:
- Early physiotherapy interventions are effective for high-risk infants.
- The Family Collaborative Approach (FCA) is more effective than Neurodevelopmental Therapy (NDT) for improving developmental outcomes in high-risk infants.
Background:
The inclusion of families in intervention programs for infants may be more effective in ensuring adherence and positive outcomes. Approaches that include natural and enriched environments that provide communication and family interaction are important in the rehabilitation of high-risk infants.
Objective:
To compare the effectiveness of Family Collaborative Approach (FCA) and Neurodevelopmental Therapy (NDT)-based family training.
Methods:
High-risk infants (n = 63) with a mean age of 32.60 ± 4.53 months received early intervention for 12 weeks. Prechtl's General movements (GMs) assessment, Hammersmith Neonatal Neurological Examination (HNNE), Hammersmith Infant Neurological Examination (HINE), BAYLEY-III Scales of Infant and Toddler Development, and Third Addition (BSID-III) were performed.
Results:
Significant differences between groups were found in HINE scores at the 3rd, 6th, and 12th months (p ≤ .028), and in BSID-III scores at the 6th month (cognitive, language, and motor) (p < .001) and the 12th month (language) (p = .031). There was significant difference between NDT and control group in 3rd month HINE scores and Reflex&Reactions scores (p ≤ .021). FCA group and NDT group was significantly different from control group in 6th month HINE (p = .032) and 12th month HINE scores (p = .007). FCA group significantly different from NDT group (p ≤ .002) and control group (p < .001) in 6th month BSID-III cognitive, language, and motor scores. There was significant difference between FCA and control group in 12 month BSID-III language scores (p = .024).
Conclusions:
Early physiotherapy interventions were effective in high-risk infants and FCA program was superior to NDT.
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