Indian Journal of Physical Medicine and Rehabilitation

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VOLUME 24 , ISSUE 1 ( March, 2013 ) > List of Articles


Impact of Early Physiotherapy Intervention on Neurodevelopment in Preterm Low Birth Weight Infants during the First Six Months of Life

N. Meena, V. K. Mohandas Kurup, S. Ramesh, R. Sathyamoorthy

Citation Information : Meena N, Kurup VK, Ramesh S, Sathyamoorthy R. Impact of Early Physiotherapy Intervention on Neurodevelopment in Preterm Low Birth Weight Infants during the First Six Months of Life. Indian J Phy Med Rehab 2013; 24 (1):3-8.

DOI: 10.5005/ijopmr-24-1-3

Published Online: 01-03-2013

Copyright Statement:  Copyright © 2013; The Author(s).


A prospective, controlled trial was conducted to assess the outcome of early physical therapy intervention on preterm low birth weight infants during the first six months of life. A cohort of 100 preterm low birth weight infants who got admitted in neonatal intensive care unit (NICU) and referral newborn (RNB) of Raja Muthiah Medical College and Hospital (RMMC & H) were included prospectively. Infants who received regular early physiotherapy intervention were assigned as interventional group (EI) and infants who were advised but did not turn up for early intervention as comparison group (NEI). The Amiel-Tison neurologic examination and Denver developmental screening test (DDST) were used and results were compared. Better performance of infants was found in EI group in neurologic and developmental domains. The data suggest significant benefit of the use of EI programme over NEI in the neurodevelopmental outcome of preterm LBW infants at 6 months of corrected age.

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  1. Improved neurodevelopmental outcomes for extremely low birth weight infants in 2000-2002. Pediatrics 2007;119:37-45.
  2. Outcome among surviving very low birth weight infants: a meta analysis. Arch Dis Child 1991;66:204-11.
  3. Association between intelligence quotient scores and extremely low-birth weight in school-age Children. Arch Med Res 2006;37:639-45.
  4. Ch 7. Born too soon, born too small. In Children with disabilities: A medical primer. (Eds.). Baltimore: Paul H. Brooks
  5. Extremely low birth weight infant. Emedicine 2002, 10: 3.
  6. Neurobehavioral deficits in premature graduates of intensive care-potential medical and neonatal environmental risk factors. Pediatrics 2001, 108: 1339-48.
  7. Early physiotherapy in the treatment of spastic diplegia, Dev Med and Child Neuro 1984;26:438-44.
  8. “Early Identification and Treatment of Infants with Neurologic Damage (in Spanish),” Editors de Textos Mexicanos, México City, 2003.
  9. Neuro developmental follow up-“Module on Early Stimulation,” Editors Tanmay R. Amladi, 2004.
  10. A Simplified Method for Diagnosis of Gestational Age in the Newborn Infant,” Jour Pediatr 1978;93:120-2.
  11. Pediatric somatometry. follow-up study in infants and children from México city,” Arch Med Res 1975;6:83-396.
  12. Effects of early intervention and stimulation on the preterm infant,” Pediatrics 1980;83-90.
  13. Effects of early multimodal stimulation on premature newborn infant. Boletin Medico del Hospital Infantil de Mexico 1989;46:789-95.
  14. Neurological Assessment during the First Year of Life. New York: Oxford University press 1986;96-145.
  15. Clinics in physical therapy-physical therapy assessment in early infancyedited by Irma J. Wilhelm
  16. Introduction to the theory of statistics, Mcgraw Hill, 3rd edition.
  17. Supplemental stimulation of the premature infant. In: Field TM, ed. Infant Born at Risk. Behaviour and Development. New York: Spectrum publication 1979;367-87.
  18. An integrative view of early intervention efficacy studies with at risk children. Implication for the handicapped: analysis and intervention in developmental disabilities 1985;5:7-31.
  19. Trivandrum Model. Indian J Pediatr 1992;59:663-7.
  20. Outcomes of children of extremely low birth weight and gestational age in the 1990's. Early Hum Dev 1999;53:193-218.
  21. Preschool language outcomes of children with history of bronchopulmonary dysplasia and very low birth weight. Jour Dev Behavi Pediatr 2001;22:19-26.
  22. Longitudinal neurologic follow-up in neonatal intensive care unit survivors with various neonatal morbidities. Pediatrics 2000;106:1397-405.
  23. The effect of early referral &intervention on developmentally disabled infants: evaluation at 18 months of age; JAM Board Fampract 1990, jul-sep;(3): 163-70.
  24. Early developmental intervention program post hospital discharge to prevent motor and cognitive impairments in preterm infants. Cochrane Database syst Dev. 2007.
  25. Assessing the intellectual consequences of early intervention with high risk infants. AMJM ent Defic 1977;81:214-8.
  26. Early intervention improves cognitive outcomes for preterm infants: randomized controlled trial. Pediatrics 2010;126:1088-94.
  27. Tactile / kinesthetic stimulation effects on preterm neonates. Pediatrics 1986;7:654-8.
  28. Follow-up study of children with cerebral coordination disturbance (CCD, Vojta),” Brain Dev 1983; 5: 311-4.
  29. Early physical therapy effects on the high-risk infant: a randomized controlled trial. Pediatrics 1986;78:216-24.
  30. “Six-year follow-up of early physiotherapy intervention in very low birth weight infants. Pediatrics 1991;88:547-52.
  31. Low birth weight and home intervention strategies: preterm infants. Jour Dev Behav Pediatr 1986;7:361-6.
  32. Making a multidisciplinary neonatal developmental care team a reality. Neonatal Network 1999;18:47-9.
  33. Follow -up of infants after intensive care. Perinatol Neonatol 1986;10:23-38.
  34. Effect of a developmental program on motor performance in infants born preterm. Aust Jour of Physiother 2001;47:169-76.
  35. Low birth weight and home intervention strategies: preterm infants. Jour Deve Behav Pediatr 1986;7:361-6.
  36. The effects of an early physical therapy intervention for very preterm, very low birth weight infants: a randomized controlled clinical trial. Pediatr Phys Ther 2005,17:107-19.
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