Health Condition 1: P220- Respiratory distress syndrome of newborn
Conditions
Interventions
Intervention1: 1. Neurophysiological facilitation techniques along with routine medical & nursing care
2. Movement Imitation therapy with sensory stimulation: 1. Neurophysiological facilitation (NPF)
Four times a day with at least 2 hours of interval period and total of 20 minutes per day (till infant reaches 34 weeks of gestation).
Two of the NPF techniques, i.e. Intercostal stretch and Co-contra
Sponsors
Manasa K R
Eligibility
Inclusion criteria
Inclusion criteria: 1.Very preterm infants, Gestational age – 26 to 30 weeks 2.Birth weight >750 grams 3.Invasive / non-invasive modes of ventilation Understanding of parental experience in delivering the early stimulation program-Secondary Objective Study design: Qualitative in-depth interview Study setting: Neonatal Intensive Care and Pediatric Physiotherapy outpatient department, Kasturba Hospital, Manipal Subjects: Parents of preterm infants from both the groups with low, average & high scores of HINE & BSID - III Sampling method: Purposive Time of interview: 3 – 4 months follow up Sample size: 12 1. Parents who are able to comprehend simple instructions 2. Has functional reading comprehension and communication in English/Kannada 3. Willing to participate
Exclusion criteria
Exclusion criteria: 1.Uncompensated acid-base balance 2.Bradycardia or tachycardia ( 180bpm) 3.Cardiac arrest survivor 4.Untreated/symptomatic congenital heart disease 5.Diaphragmatic hernia 6.Severe congenital anomalies Understanding of parental experience in delivering the early stimulation program-Secondary Objective Study design: Qualitative in-depth interview Study setting: Neonatal Intensive Care and Pediatric Physiotherapy outpatient department, Kasturba Hospital, Manipal Subjects: Parents of preterm infants from both the groups with low, average & high scores of HINE & BSID - III Sampling method: Purposive Time of interview: 3 – 4 months follow up Sample size: 12 1.Parents who are not able to comprehend simple instructions 2.Not able to read and write 3.Not willing to participate
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Modified Downes score 2. Silverman Anderson scoreTimepoint: Everyday, before and after the intervention during 26 to 32 weeks | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Prechtl’s General Movement Assessment (GMA) 2. Neurobehavioral assessment of the Preterm Infant (NAPI) 3. Test of Infant Motor Performance (TIMP) 4. Hammersmith Infant Neurological Examination (HINE) 5. Bayley Scale of Infant and Toddler Development – 3rd edition (BSID-III)Timepoint: Baseline assessment using GMA, NAPI and TIMP at 32 weeks At the time of discharge from the hospital, assessment is done using GMA, NAPI and TIMP At 3 to 4 months follow up assessment using GMA, TIMP, HINE and BSID-III At 6 months follow up, assessment using HINE and BSID-III | — |
Countries
India
Contacts
Public ContactDr Bhamini Krishna Rao
Manipal College of Health Professions/ Manipal Academy of Higher Education
Outcome results
None listed