Document Detail

Six-year follow-up of early physiotherapy intervention in very low birth weight infants.
MedLine Citation:
PMID:  1881735     Owner:  NLM     Status:  MEDLINE    
Eighty very low birth weight infants assigned to neurologically normal or at-risk groups on the basis of a neurodevelopmental score were previously described. Infants were assigned to physiotherapy or control groups, and the effect of physiotherapy was assessed at 1 year. At-risk infants had a significantly lower developmental quotient than the normal group and no beneficial effect of physiotherapy was shown. Of the original 80 subjects, 49 were reassessed at a mean age of 74.7 months. As observed previously, physiotherapy until 1 year did not influence subsequent outcome in either normal or at-risk children. At-risk and normal children had similar mean developmental quotients at 6 years, but the locomotor score of at-risk children was significantly below that of normal children. Cerebral palsy occurred in 6 of 24 at-risk vs 0 of 25 normal subjects (P less than .01) and remedial therapy was recommended in 17 of 24 at-risk subjects vs 6 of 25 normal subjects (P less than .001). These results confirm that the neurodevelopmental score predicts a risk for either cerebral palsy or soft neurological problems, and early physiotherapy is of questionable benefit in preventing such problems.
A D Rothberg; M Goodman; L A Jacklin; P A Cooper
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pediatrics     Volume:  88     ISSN:  0031-4005     ISO Abbreviation:  Pediatrics     Publication Date:  1991 Sep 
Date Detail:
Created Date:  1991-10-02     Completed Date:  1991-10-02     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  0376422     Medline TA:  Pediatrics     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  547-52     Citation Subset:  AIM; IM    
Department of Paediatrics, University of the Witwatersrand, Johannesburg, South Africa.
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MeSH Terms
Central Nervous System / growth & development
Cerebral Palsy / etiology
Follow-Up Studies
Infant, Low Birth Weight / growth & development*
Infant, Newborn
Infant, Premature / growth & development*
Physical Therapy Modalities*
Predictive Value of Tests
Risk Factors

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

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