Effect of Chest Physiotherapy on the Development of Preterm Infants.

Efecto De La Fisioterapia Respiratoria Sobre El Desarrollo De Niños/as Prematuros. Estudio Longitudinal.

The aim of this study is to investigate the effect of the stimulation of "reflex rolling" from the Vojta method and the effect of the expiratory flow increase technique on the development of the preterm infants. In the same way, it will be assessed whether the application of these techniques produce pain.

This application will be carried out in preterm infants of less than 32 weeks of gestation with neonatal respiratory distress syndrome (SDR) and carriers of mechanical ventilation. The intervention will take place in the neonatal intensive care unit (NICU) The intervention period is one month (4 weeks) and different follow-ups will be carried out at term age, at 3, 6, 9 and 12 months of corrected age.

Inclusion Criteria:

• Preterm Infants <32 gestational age
• Admitted to the NICU
• With SDR
• Hemodynamically stable
• Stable convulsive pictures
• Controlled thermoregulation
• Mechanical ventilation (invasive or non-invasive)
• Parents / guardians of legal age, with sufficient cognitive ability to understand consent
• Signature of consent

Exclusion Criteria:

• Periventricular leukomalacia
• Grade III and IV intraventricular hemorrhage
• Rib fracture
• Asphyxia at birth
• Necrotizing enterocolitis > or = II B

Abandoned Criteria:

• Appearance of any of the complications mentioned above
• Hospital transfer
• Hospital discharge (if the intervention at home cannot be followed)
• Voluntary decision of parents / guardians to abandon the study
• Medical decision