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Publication type: Article in scientific journal
Type of review: Peer review (publication)
Title: The coping with and caring for infants with special needs intervention was associated with improved motor development in preterm infants
Authors: Akhbari Ziegler, Schirin
Rhein, Michael
Meichtry, André
Wirz, Markus
Hielkema, Tjitske
Hadders‐Algra, Mijna
et. al: No
DOI: 10.1111/apa.15619
Published in: Acta Paediatrica
Volume(Issue): 110
Issue: 4
Page(s): 1189
Pages to: 1200
Issue Date: 12-Oct-2020
Publisher / Ed. Institution: Wiley
ISSN: 0803-5253
Language: English
Subjects: Early physiotherapy; Family outcome; Family-centred practice; Motor outcome; Preterm infant
Subject (DDC): 615.82: Physical therapy
618.92: Pediatrics
Abstract: Aim: We compared the impact of standard infant physiotherapy and the family-centred programme, Coping with and Caring for Infants with Special Needs (COPCA), in infants born before 32 weeks without significant brain lesions. Methods: This randomised controlled trial was carried out in patients' homes and outpatient settings in Switzerland between January 2016 and October 2019. We used data from the national SwissNeoNet register and an assessment battery that included infant and family outcomes and video analyses of therapy sessions. The Infant Motor Profile was the primary outcome instrument. Results: The COPCA group comprised six boys and two girls with a median gestational age of 27 weeks (range 25-30), and the standard care group comprised seven boys and one girl with a median gestational age of 29.5 weeks (range 26-31). COPCA participants improved significantly more between baseline and 18 months in the IMP variation (9.0 percentage points, 95% confidence interval: 0.3-17.5) and performance (12.0 percentage points, 95% confidence interval: 4.1-20.6) domains than standard care participants. COPCA coaching was positively associated with IMP scores at 18 months, but some standard care actions were negatively associated. Conclusion: COPCA was associated with better motor outcome in infants born before 32 weeks than standard infant physiotherapy.
Fulltext version: Published version
License (according to publishing contract): CC BY-NC-ND 4.0: Attribution - Non commercial - No derivatives 4.0 International
Departement: School of Health Sciences
Organisational Unit: Institute of Physiotherapy (IPT)
Published as part of the ZHAW project: Physiotherapeutische Intervention bei Säuglingen mit neuromotorischen Funktionsstörungen
Appears in collections:Publikationen Gesundheit

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