Preterm Infants
Conditions
Brief summary
Background : Brain vulnerability is particularly marked in preterm neonates and has long-term consequences. Unlike lesions affecting other organs, those that affect the brain can currently not 'be repaired' by producing new cells. However, exeprience-driven brain plasticity allows the brain to reorganise its connections to compensate (at least partially) the effects of an injury. Purpose : To evaluate the influence of Primebrain stimulation programme administred by parents until 6 months post-term on motor and neurophysiological development of infants born \<32 weeks' gestation or with birth weight \<1500 g.
Detailed description
Preterm and very low birth weight infants are at risk for neurodevelopmental disorders, including cerebral palsy, sensory impairment and intellectual disability. Several early intervention approaches have been designed in the hope of optimising neurological development in this context. These programmes show high variety in the type of intervention, frequency of sessions and total duration of the intervention, as well as the duration of follow-up. Depending on studies, there is an inconstant benefit on cognitive and behavioural development in the first 2 years and preschool age. According to the most recent studies, it seems important that the intervention takes into account parental mental health, focuses on parent-child interactions and lasts sufficiently long. This prospective randomized-controlled clinical study has been designed to evaluate the effects of an additional parent-administed programme to the usual care in this developmental risk population,. The intervention is carried out at home by parents coached by physiotherapist from term-age to 6 months of corrected age. The monitoring and evaluation period for all infants participating in the study ends at 24 months of corrected age and includes clinical, neurodevelopmental, parental stress and neurophysiological assessments using high density electroencephalography and recording of event-related potentials at term age, 3, 6, 12 ,18 and 24 months of corrected age (ActiveTwo, BioSemi).
Interventions
OTHERPrimebrain
Primebrain stimulation programme aims to facilitate the infant's self-organization of postural competences by proposing varied sensorimotor experiences in a context supporting parent-child interaction.
Sponsors
Queen Fabiola Children's University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Infants born before 32 weeks of gestation or with a birth weight less than 1500 grams
Exclusion criteria
* Severe congenital malformation (cerebral, cardiac or within a syndrome) * Neurodevelopmental genetic syndrome * Cytomegalovirus, rubella or toxoplasmosis congenital infection * Neonatal hypothyroidism * Peripheral neurological disorder or congenital muscular disorder * Neurodegenerative disorder
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Motor development using Bayley Scales of Infant Development (BSID-III) | at 24 months of corrected age. |
Secondary
| Measure | Time frame |
|---|---|
| Language and cognitive development using Bayley Scales of Infant Development (BSID-III) | at 6, 12, 18 and 24 months of corrected age |
| Parental Stress Index (PSI), short form | at 6, 12,18 and 24 months of corrected age. |
Other
| Measure | Time frame | Description |
|---|---|---|
| high-density electroencephalography recording | at age-term, 3, 6, 12,18 and 24 months of corrected age | Exploratory outcome, evaluation of neurophysiological maturation |
Countries
Belgium
Outcome results
None listed