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Source publication
Aim:
To investigate the relationship between motor and sensory development in the first 4 months of life in preterm infants born at 32 gestational weeks and below.
Material and methods:
The study consisted of 56 high-risk infants with a corrected age of 1 month who were born at 32 gestational weeks and stayed in the neonatal intensive care unit...
Context in source publication
Context 1
... ratios of the preterm babies who showed low, normal, and excessive performance according to the ISP-2 subscales, are shown in Table 3. According to the ISP-2 subscales, a problem was found in the area of low registration in 89% of babies at the age of 1 month and in 71% of babies at the age of 4 months, in the area of sensory seeking in 86% of babies at the age of 1 month and in 77% of babies at the age of 4 months, and in the area of sensory avoidance in 91% of babies at the age of 1 month and in 85% of babies at the age of 4 months. ...Similar publications
Little is known about the association between body proportionality at birth and neonatal outcomes in preterm infants. Body mass index (BMI) is one of the weigh-for-length ratios that represent body proportionality. The objective of this study was to examine whether BMI at birth affects neonatal outcomes in preterm infants. We assessed 3115 preterm...
Purpose: Magnetic resonance imaging (MRI) is a useful tool for evaluating brain injury and maturation in preterm infants and often requires sedation to acquire images of sufficient quality. Infant sedation is often associated with adverse events, despite extreme precautions. In this study, the swaddling technique was investigated as an alternative...
Background and objectives:
This study aimed to provide morbidity and mortality information on very low birth weight (VLBW) infants with congenital heart disease (CHD-VLBWs).
Methods:
The study used a 10-year cohort of VLBW infants from a single institution. CHD was classified according to International Classification of Diseases, Version 9, Clin...
Little is known about the association between body proportionality at birth and neonatal outcomes in preterm infants. Body mass index (BMI) is one of the weigh-for-length ratios that represent body proportionality. The objective of this study was to examine whether BMI at birth affects neonatal outcomes in preterm infants. We assessed 4,018 preterm...
Importance:
Infection in neonates remains a substantial problem. Advances for this population are hindered by the absence of a consensus definition for sepsis. In adults, the Sequential Organ Failure Assessment (SOFA) operationalizes mortality risk with infection and defines sepsis. The generalizability of the neonatal SOFA (nSOFA) for neonatal la...
Citations
... [28] In addition, a risk in sensory development was identified in 60% of infants with an adjusted age of 10-12 months who were born before the 37 th gestational week and stayed in the NICU for at least 15 days. [29] ...
... Neonatal sensory experiences profoundly shape neurological development, forging and strengthening neural connections, setting the stage for cognitive, emotional, and social growth. [29] The sensory-rich environment of the neonatal period is, therefore, a critical contributor to the formation of neural circuits that underpin a myriad of future abilities and behaviors. [30] Pain experienced by neonates has been linked to lower mental and motor performance at 1 year of corrected age, as assessed by the Bayley-III. ...
Preterm infants often undergo painful medical procedures, and mitigating their pain remains a critical challenge in neonatal care. This manuscript explores the innovative approach of sensory stimulation as a promising horizon in alleviating preterm pain. Through a comprehensive review of existing literature, we examine the current understanding of pain perception in preterm infants and the limitations of conventional pain management strategies. The manuscript deals with the neurobiological underpinnings of pain in preterm neonates, shedding light on the unique challenges posed by their immature nervous systems. Drawing on recent advances in sensory science, we propose a paradigm shift toward personalized sensory stimulation interventions tailored to the developmental stage of preterm infants. A critical analysis of studies investigating the efficacy of various sensory modalities, including music therapy, tactile stimulation, and olfactory interventions, is presented. The manuscript also explores the potential integration of technological innovations, such as virtual reality, into neonatal care to enhance the positive impact of sensory stimulation on pain modulation. By fostering a deeper understanding of the neurobiological basis of pain in preterm neonates and exploring innovative interventions, this work aims to contribute to the ongoing efforts to improve the quality of care for this vulnerable population.
... Studies have reported that sensory problems affect motor and cognitive development. 21,22 In our case, there were improvements in the results of the post-treatment TSFI evaluation in line with the literature. 23 Since it was assumed in the past that babies do not feel pain, their pain status has generally not been questioned. ...
Congenital Central Hypoventilation Syndrome is a rare genetic disorder that presents from birth and prevents automatic control of respiration. Our aim in this study was to examine the effectiveness of a 6-month physical therapy program applied to a patient with Congenital Central Hypoventilation Syndrome and cerebral palsy. A 6-month-old patient who was diagnosed with Congenital Central Hypoventilation Syndrome and subsequently developed Cerebral Palsy due to asphyxia was included in the study. The case was enrolled in a physical therapy program for 2 days a week for 6 months in the home environment where they lived. The case was evaluated before and after treatment. In our case, the Modified Ashworth Scale, the Alberta Infant Motor Scale, the Hammersmith Infant Neurological Examination, Test of Sensory Functions in Infants, and the Face, Legs, Activity, Cry, Consolability scale were used. In our case, pre-treatment and post-treatment scores were as follows, respectively: Alberta Infant Motor Scale score 3-8, Hammersmith Infant Neurological Examination score 6-17, Test of Sensory Functions in Infants score 2-9, and Face, Legs, Activity, Cry, Consolability scale score 8-3. In our case, there was a significant improvement in Modified Ashworth Scale scores before and after treatment. Additionally, at the conclusion of the study, it was noted that the heightened pain and sensitivity resulting from the patient's extended stay in the intensive care unit reduced with the treatment. We believe that the administered physiotherapy and rehabilitation program offered support to the patient in achieving neuro-motor and sensory integration, underscoring the essential role of physiotherapy in rare diseases.
... Although major premature infants follow a normal developmental curve, the risk of developmental delay in cognitive, motor, and language areas can increase by up to 10 times. Preterm infants may experience various negative consequences, such as cognitive, motor, language, and social impairments (Aylward, 2014;Kara et al., 2020;Ment et al., 2003), and their natural developmental trajectory may lag behind that of full-term infants (Ferreira R de et al., 2020;Gasparini et al., 2017). However, in our study, the average scores for all skills increased in both groups and the number of children with developmental delays decreased. ...
Introduction
Preterm infants are at high risk for developmental disabilities, and their parents are at increased risk for high stress. Early intervention programs are applied to reduce these adverse outcomes. The primary aim is to compare the efficacy of the novel Explorer Baby early intervention program for the holistic development of preterm infants. The second objective was to compare the stress levels of their mothers.
Methods
Randomized clinical trial with 38 weeks–6 months corrected age preterm infants at low risk for cerebral palsy, randomly assigned to experimental (Explorer Baby) or active control neurodevelopmental therapy (NDT) groups. Fifty‐seven infants were enrolled in the study, and 51 (26 Explorer Baby, 25 NDT) completed it. Bayley III was used as a primary outcome before, during, and after the intervention.
Results
When we compared the changes between the groups before and after therapy, no significant differences were found in any of the primary or secondary outcomes (between‐group comparisons). When comparing the changes in both groups before and after therapy (in‐group comparison), the Explorer Baby group demonstrated significant improvements in cognitive (Hedges’ g = .83) and explorative language skills (Hedges’ g = .65), whereas the NDT group showed improved parent–child dysfunctional interaction (Hedges’ g = 2.66) between T0–T1 and T0–T2.
Conclusions
The Explorer Baby early intervention program may be a preferred option to support premature infants without brain injury, as it shows greater skill acquisition than NDT, although not statistically significant. Both methods are safe as they support premature babies without negatively affecting mothers’ overall stress levels.
... Very preterm infants are usually admitted in the neonatal intensive care units (NICU) to provide special care and management. In the NICU, very preterm infants face many stressful situations such as excessive sound, bright light, painful medical applications, and lack of parental contact, which they would not have experienced in utero [8]. Excessive sensory load on tactile, olfactory, gustatory, visual, and auditory systems during this critical period of brain development impairs baby's physiological responses and may impact negatively on their neuromotor and behavioral development. ...
Background
Globally, very preterm birth is a health concern leading to various developmental difficulties such as poor motor and/or cognitive function. For infants born very preterm, family-centered care (FCC) might promote developmental skills over the time in an appropriate enriched environment. The purpose of this study is to systematically review and assess the evidence of FCC interventions on the motor and neurobehavioral development in very preterm infants. Additionally, this review aims to determine the factors that might affect infant development.
Methods
Systematic review will be carried out by including (a) quasi-randomized controlled trials and randomized controlled trials (b) of very preterm born infants (born < 32 weeks of gestation), and their primary caregivers will be included in the review (c) who received FCC-based interventions such as collaborative interaction between a healthcare professional and a parent, home program, home visits, and parent education, and (d) measure motor and neurobehavioral function. Electronic databases such as Scopus, PubMed, Embase, Cochrane Library, Web of Science, CINAHL, and PsycINFO will be searched using database-specific terms. Additionally, searches will be carried out in ProQuest, and references of included studies will be searched. Two review authors, independently, will conduct the screening, data extraction, and critical appraisal of included studies. If possible, a meta-analysis will be undertaken to assess the effect of the FCC on the motor and neurobehavior of premature infants.
Conclusion
The review will provide insights regarding the effect of the FCC on preterm infants. This systematic review will guide the clinicians on the feasibility of practicing FCC that might support and promote the integration of parents into various rehabilitation settings.
Systematic review registration
Protocol has been registered in PROSPERO on August 26, 2020.
... Very preterm infants are usually admitted in the Neonatal Intensive Care Units (NICU) to provide special care and management. In the NICU, very preterm infants face many stressful situations such as excessive sound, bright light, painful medical applications, and lack of parental contact, which they would not have experienced in utero [8]. Excessive sensory load on tactile, olfactory, gustatory, visual, and auditory systems during this critical period of brain development impairs baby's physiological responses and may impact negatively on their neuromotor and behavioral development. ...
Background: Globally, very preterm birth is a health concern leading to various developmental difficulties such as poor motor and/or cognitive function. For infants born very preterm, Family-Centered Care (FCC) might promote developmental skills over the time in an appropriate enriched environment. The purpose of this study is to systematically review and assess the evidence of FCC interventions on the motor and neurobehavioral development in very preterm infants. Additionally, this review aims to determine the factors that might affect infant development.
Methods: Systematic review will be carried out by including a) quasi-randomized controlled trials and randomized controlled trials b) of very preterm born infants (born < 32 weeks of gestation) and their primary caregivers will be included in the review c) who received FCC based interventions such as collaborative interaction between a healthcare professional and a parent, home program, home visits, and parent education and d) measure motor and neurobehavioral function. Electronic databases such as Scopus, PubMed, EMBASE, Cochrane Library, Web of Science, CINAHL, and PsycINFO will be searched using database-specific terms. Additionally, searches will be carried out in ProQuest, and references of included studies will be searched. Two review authors, independently, will conduct the screening, data extraction, and critical appraisal of included studies. If possible, a meta-analysis will be undertaken to assess the effect of the FCC on the motor and neurobehavior of premature infants.
Conclusion: The review will provide insights regarding the effect of the FCC on preterm infants. This systematic review will guide the clinicians on the feasibility of practicing FCC that might support and promote the integration of parents into various rehabilitation settings.
Systematic review registration: Protocol has been registered in PROSPERO on August 26, 2020.
... Very preterm infants are usually admitted in the neonatal intensive care units (NICU) to provide special care and management. In the NICU, very preterm infants face many stressful situations such as excessive sound, bright light, painful medical applications, and lack of parental contact, which they would not have experienced in utero [7]. Excessive sensory load on tactile, olfactory, gustatory, visual, and auditory systems during this critical period of brain development impairs the baby's physiological responses and may impact negatively on their neuromotor and behavioral development [8]. ...
... Excessive sensory load on tactile, olfactory, gustatory, visual, and auditory systems during this critical period of brain development impairs the baby's physiological responses and may impact negatively on their neuromotor and behavioral development [8]. Therefore, the relationship between preterm birth and the aforementioned chain of events might affect the development of motor skills and neurobehavior in the later span of life [7]. ...
Background: Globally, preterm birth is a health concern leading to various developmental difficulties such as poor motor and/or cognitive function. For infants born preterm, FCC promotes developmental skills over the time in an appropriate enriched environment. The purpose of this study is to systematically review and assess the evidence of FCC interventions on motor and neurobehavioral development in very preterm infants. Additionally, this review aims to determine the factors that might affect the infant development.
Methods: Systematic review will be carried out by including quasi-experimental controlled trials and randomized controlled trials. Electronic databases such as Scopus, PubMed, EMBASE, Cochrane Library, Web of Science, CINAHL, and PsycINFO will be searched using database specific terms. Additionally, searches will be carried out in ProQuest, and references of included studies will be searched. Two review authors, independently, will conduct the screening, data extraction, and critical appraisal of included studies. If possible, meta-analysis will be undertaken to assess the effect of FCC on motor and neurobehavior of premature infants.
Conclusion: The review will provide insights regarding the effect of the FCC on preterm infants. This systematic review will guide the clinicians on the feasibility of practicing FCC that might support and promote the integration of parents into various rehabilitation settings.
Systematic review registration: Protocol has been submitted to PROSPERO on July 26, 2020.
Importance:
Preterm infants are at higher risk of motor development abnormalities and sensory processing difficulties. Few studies have examined both movement development and sensory processing in the early months of life, and the results are controversial.
Objective:
In this cross-sectional study, we investigated (1) differences in early spontaneous movements and sensory processing between preterm infants born at <32 wk gestation and those born at 32 to 36 wk gestation when they reached corrected (postterm) age 3 to 5 mo and (2) the relationship between early spontaneous movements and sensory processing.
Participants:
We included 50 preterm infants born at <32 wk gestation and 61 preterm infants born at 32 to 36 wk gestation.
Outcomes and measures:
We assessed early spontaneous movements, including fidgety movements, using the General Movements Assessment (GMA), which provides the Motor Optimality Score (MOS), and sensory processing using the Infant Sensory Profile-2.
Results:
The preterm infants born at <32 wk gestation had lower MOS results (p = .035) and more sensory processing difficulties (p = .006) than those born at 32 to 36 wk gestation. We found no significant relationship between early spontaneous movements and sensory processing (p > .05).
Conclusions and relevance:
Preterm infants born at <32 wk gestation are at increased risk for motor development abnormalities and sensory processing difficulties. What This Article Adds: Assessment of both motor development and sensory processing can play a crucial role in identifying infants who need early intervention.
Background
Parent-infant interactions provide the foundation for the development of infant socioemotional wellbeing. Preterm birth can have a substantial, and often detrimental, impact on the quality of early parent-infant interactions. Sensory processing difficulties, common in preterm infants, are further associated with poorer interaction quality. There is a paucity of research, however, examining the links between the quality of parent-infant interaction, preterm birth, and sensory processing difficulties. This study aimed to characterise the quality of interactions of parent-infant dyads involving preterm infants who may display sensory processing differences and examine the associations between parent-infant interaction quality, preterm status and infant sensory processing.
Method
67 parent-infant dyads (12-months infant age, 22 preterm, 45 full-term) participated in a recorded, semi-structured 15-minute play interaction. Parents also filled out questionnaires on demographics, and infant sensory processing (Infant and Toddler Sensory Profile-2; ITSP-2). Interaction quality was rated using the Parenting Interactions with Children: Checklist of Observations Linked to Outcomes (PICCOLO).
Results
Preterm and full-term infants differed in sensory processing and parent-infant interaction. Infant prematurity was associated with the sensory domains of; visual (r = − 0.37, p = .005), touch (r = − 0.39, p = .002), and movement (rs = − .32, p = .01), as well as the interaction domains of; responsivity (rs;= − .43, p = .001), teaching (rs = − .31, p = .02), and interaction total score (r = − 0.34, p = .01). Interaction quality was related to sensory registration (rs = − .38, p = .008), auditory (rs = − .34, p = .02), seeking (rs = .29, p = .05) and sensory behavioural scores (rs = − .52, p < .001). Overall, interaction quality was best predicted by infant prematurity and auditory scores, R2 = .15, F(1, 47) = 4.01, p = .02.
Discussion
Preterm infants differed from their full-term peers in both their sensory processing and in their dyadic interactions with parents. Preterm status was associated with less responsivity and teaching and was found to predict overall interaction quality. Poorer infant sensory processing was associated with less parental teaching, affection and responsivity during interactions. Our results suggest that preterm birth is related to sensory processing difficulties, and that prematurity and sensory processing are differentially associated with aspects of interaction quality. These findings support the further examination of the interplay between preterm birth, sensory processing, and parent-infant interaction quality.
