Document Detail

Effect of postural supports on neuromotor function in very preterm infants to term equivalent age.
MedLine Citation:
PMID:  12654143     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To determine the effect of a postural support nappy and/or a postural support roll on neuromotor function in very preterm infants when nursed prone to term equivalent age. METHODS: A randomized observer blind controlled trial of 123 very preterm infants was conducted in the neonatal intensive care unit of the sole tertiary referral centre in Western Australia. Infants were stratified by gestational age (< 29 weeks or 29-30 weeks), then randomized into one of three intervention groups: postural support nappy, postural support nappy and postural support roll, or disposable nappy and postural support roll. Interventions started when infants were stable and ceased when routine side-lying commenced. Measurements of shoulder and hip posture were performed pre-intervention, 5 weeks post-intervention and term postmenstrual age. RESULTS: Infants nursed with a postural support roll and a postural support nappy demonstrated improved hip posture to term equivalent age compared with infants nursed with either a postural support roll only, or a postural support nappy only. Infants nursed with a postural support roll either with or without a postural support nappy demonstrated improved shoulder posture to term equivalent age. CONCLUSIONS: Combined use of a postural support roll and a postural support nappy while very preterm infants are nursed prone improves hip posture up to term postmenstrual age. Use of a postural support roll improves shoulder posture up to term equivalent age.
L Monterosso; L J Kristjanson; J Cole; S F Evans
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of paediatrics and child health     Volume:  39     ISSN:  1034-4810     ISO Abbreviation:  J Paediatr Child Health     Publication Date:  2003 Apr 
Date Detail:
Created Date:  2003-03-25     Completed Date:  2003-07-30     Revised Date:  2007-09-24    
Medline Journal Info:
Nlm Unique ID:  9005421     Medline TA:  J Paediatr Child Health     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  197-205     Citation Subset:  IM    
King Edward Memorial and Princess Margaret Hospitals, Edith Cowan University, Perth, Western Australia, Australia.
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MeSH Terms
Child Development / physiology*
Gestational Age
Infant Care / instrumentation*,  methods
Infant, Newborn
Infant, Premature*
Infant, Very Low Birth Weight
Intensive Care Units, Neonatal
Motor Activity / physiology
Observer Variation
Orthotic Devices*
Posture / physiology*
Prone Position
Risk Assessment
Single-Blind Method
Supine Position
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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