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The aim of this study is to investigate the feasibility and short-term effectiveness of early intervention delivered via telerehabilitation on the gross motor development of preterm infants.
The motor development of preterm infants will be assessed through video recordings. Based on these assessments and in collaboration with the parents, an intervention program will be developed. The parents will implement this intervention with their infants over a three-month period. Following this, motor development will be reassessed via video recordings.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Infant | Experimental | The study was conducted using a single-arm design to investigate the feasibility and short-term effectiveness of early intervention delivered via telerehabilitation on the gross motor development of preterm infants. The intervention was individualized for each infant, based on principles of typical motor development, motor learning, and environmental enrichment |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Early intervention with telerehabilitation | Other | All premature infants aged 3 to 5 months included in the study were assessed for motor development using the General Movements Assessment (GMs) and the Alberta Infant Motor Scale (AIMS), based on videos submitted by their parents. Following the video evaluations, parents were contacted via video call. An intervention program was developed in collaboration with the parents, guided by the video-based assessments. The intervention program focused on the acquisition of age-appropriate motor development and included components such as massage, positioning, trunk control, movement selectivity, and anti-gravity activities. It was delivered to parents through synchronous. Parents were advised to implement the program for 30 minutes per day, 4 days a week, over a 12-week period. After the intervention, the infants were re-evaluated using the AIMS via video call. |
| Measure | Description | Time Frame |
|---|---|---|
| Motor Optimality Score-Revised (MOS-R) - A numerical result is obtained by observing the spontaneous motor movements, movement pattern, age adequate movement repertoire, postural patterns and movement character of infants. | The infant's spontaneous motor movements in the fidgety period (corrected 3-5 months) are recorded on video for 3-5 minutes. The infant must be active and awake, and no external stimuli should be provided. The MOS-R is made with Gestalt perception on this recording. MOS-R consists of the sum of five subcategories. Spontaneous motor movements (normal=12, abnormal=4, absent=1 point), movement pattern (normal>abnormal=4, normal=abnormal=2 point, normal<abnormal=1 point), age adequate movement repertoire (present=4, reduced=2, absent=1 point), postural patterns (normal>abnormal=4, normal=abnormal=2, normal\ | MOS-R will be administered on Day 1 (baseline). If the baseline MOS-R score is ≤14, the MOS-R will be repeated on Days 8, 15, 22, and 29. If the score is greater than 14, no further MOS-R assessments will be performed. |
| Alberta Infant Motor Scale (AIMS) - A numerical value is obtained by observing the child's gross motor development in the prone, supine, sitting and standing positions. | It is a norm-referenced tool that evaluates the gross motor development of infants between 0-18 months. This tool evaluates weight transfer, posture and movement against gravity in prone, supine, sitting and standing positions. The infant receives a score between 0 and 58, depending on age. This score is then converted to a percentile. A higher percentile mean a better outcome. | AIMS will be administered twice: once at baseline (Day 1) and once 13 weeks after baseline. |
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| Measure | Description | Time Frame |
|---|---|---|
| Characteristics of infants and mothers | Gestational age (week) | It will be recorded at study baseline. |
| Characteristics of infants and mothers | Birth weight (gram) |
Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hacettepe Üniversitesi | Ankara | 06100 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 35341469 | Background | Schlichting T, Martins da Silva K, Silva Moreira R, Marques de Moraes MV, Cicuto Ferreira Rocha NA, Boyd RN, Neves Dos Santos A. Telehealth Program for Infants at Risk of Cerebral Palsy during the Covid-19 Pandemic: A Pre-post Feasibility Experimental Study. Phys Occup Ther Pediatr. 2022;42(5):490-509. doi: 10.1080/01942638.2022.2057209. Epub 2022 Mar 27. |
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Since the results will be analyzed from the infants' whole body images, it will not be appropriate to share the data.
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| ID | Term |
|---|---|
| D047928 | Premature Birth |
| ID | Term |
|---|---|
| D007752 | Obstetric Labor, Premature |
| D007744 | Obstetric Labor Complications |
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
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| ID | Term |
|---|---|
| D018479 | Early Intervention, Educational |
| D000069350 | Telerehabilitation |
| ID | Term |
|---|---|
| D002662 | Child Health Services |
| D003153 | Community Health Services |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |
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|
| It will be recorded at study baseline. |
| Characteristics of infants and mothers | Gender (female/male) | It will be recorded at study baseline. |
| Characteristics of infants and mothers | Multiple pregnancy (single/twin) | It will be recorded at study baseline. |
| Characteristics of infants and mothers | Maternal age (year) | It will be recorded at study baseline. |
| Characteristics of infants and mothers | Maternal education (primary/high/higher school) | It will be recorded at study baseline. |
| Characteristics of infants and mothers | Number of siblings (number) | It will be recorded at study baseline. |
| Characteristics of infants and mothers | Duration of hospital (day) | It will be recorded at study baseline. |
| Characteristics of infants and mothers | Respiratuar distress syndrome (yes/no) | It will be recorded at study baseline. |
| Characteristics of infants and mothers | Preeclampsia (yes/no) | It will be recorded at study baseline. |
| Characteristics of infants and mothers | Seizure (yes/no) | It will be recorded at study baseline. |
| Characteristics of infants and mothers | Intracranial hemorrhage (yes/no) | It will be recorded at study baseline. |
| Characteristics of infants and mothers | Retinopathy of prematurity (yes/no) | It will be recorded at study baseline. |
| Characteristics of infants and mothers | Economic status (low/moderate/high) | It will be recorded at study baseline. |
| D000091642 | Urogenital Diseases |
| D011314 | Preventive Health Services |
| D012046 | Rehabilitation |
| D000359 | Aftercare |
| D003266 | Continuity of Patient Care |
| D005791 | Patient Care |
| D013812 | Therapeutics |
| D017216 | Telemedicine |
| D003695 | Delivery of Health Care |
| D010346 | Patient Care Management |
| D006298 | Health Services Administration |