LEARN 2 MOVE 0-2 years: effects of a new intervention program in infants at very high risk for cerebral palsy; a randomized controlled trialReportar como inadecuado

LEARN 2 MOVE 0-2 years: effects of a new intervention program in infants at very high risk for cerebral palsy; a randomized controlled trial - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

BMC Pediatrics

, 10:76

First Online: 02 November 2010Received: 03 June 2010Accepted: 02 November 2010


BackgroundIt is widely accepted that infants at risk for cerebral palsy need paediatric physiotherapy. However, there is little evidence for the efficacy of physiotherapeutic intervention. Recently, a new intervention program, COPCA Coping with and Caring for infants with special needs - a family centered program, was developed. COPCA has educational and motor goals. A previous study indicated that the COPCA-approach is associated with better developmental outcomes for infants at high risk for developmental disorders. LEARN 2 MOVE 0-2 years evaluates the efficacy and the working mechanisms of the COPCA program in infants at very high risk for cerebral palsy in comparison to the efficacy of traditional infant physiotherapy in a randomized controlled trial. The objective is to evaluate the effects of both intervention programs on motor, cognitive and daily functioning of the child and the family and to get insight in the working elements of early intervention methods.

Methods-designInfants are included at the corrected age of 1 to 9 months and randomized into a group receiving COPCA and a group receiving traditional infant physiotherapy. Both interventions are given once a week during one year. Measurements are performed at baseline, during and after the intervention period and at the corrected age of 21 months. Primary outcome of the study is the Infant Motor Profile, a qualitative evaluation instrument of motor behaviour in infancy. Secondary measurements focus on activities and participation, body functions and structures, family functioning, quality of life and working mechanisms. To cope with the heterogeneity in physiotherapy, physiotherapeutic sessions are video-recorded three times baseline, after 6 months and at the end of the intervention period. Physiotherapeutic actions will be quantified and related to outcome.

DiscussionLEARN 2 MOVE 0-2 years evaluates and explores the effects of COPCA and TIP. Whatever the outcome of the project, it will improve our understanding of early intervention in children with cerebral palsy. Such knowledge is a prerequisite for tailor-made guidance of children with CP and their families.

Trial registrationThe trial is registered under NTR1428.

AbbreviationsL2MLearn 2 Move

CPCerebral Palsy

COPCACoping with and Caring for Infants with special needs - a family centered program

VIPVroegtijdig Interventie Project

NGSTNeuronal Group Selection Theory

TIPTraditional Infant Physiotherapy

UMCGUniversity Medical Center Groningen

RCTRandomized Controlled Trial

CAcorrected age

IMPInfant Motor Profile

SDStandard Deviation

NDTNeuroDevelopmental Treatment

AIMSAlberta Infant Motor Scales

GMFMGross Motor Function Measure

BSIDBayley Scales of Infant Development

MDIMental Developmental Index

PDIPsychomotor Developmental Index

VABSVineland Adaptive Behaviour Scales

PEDIPediatric Evaluation of Disability Inventory

ITQOLInfant and Toddler Quality of Life Questionnaire

UCLUtrechtse Coping List

NOSI-KNijmeegse Ouderlijke Stress Index - short version

RDIReaction to Diagnosis Interview

MPOCMeasure of Processes of Care

MPOC-SPMeasure of Processes of Care for Service Providers

FESFamily Empowerment Scale

CBSCentraal Bureau voor de Statistiek


DAISDaily Activities of Infants Scale

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Autor: Tjitske Hielkema - Elisa G Hamer - Heleen A Reinders-Messelink - Carel GB Maathuis - Arend F Bos - Tineke Dirks - Lily 

Fuente: https://link.springer.com/

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