TY - JOUR
T1 - Effects on motor development of kicking and stepping exercise in preterm infants with periventricular brain injury
T2 - A pilot study
AU - Campbell, Suzann K.
AU - Gaebler-Spira, Deborah
AU - Zawacki, Laura
AU - Clark, April
AU - Boynewicz, Kara
AU - Deregnier, Raye Ann
AU - Kuroda, Maxine M.
AU - Bhat, Rama
AU - Yu, Jinsheng
AU - Campise-Luther, Rose
AU - Kale, Dipti
AU - Bulanda, Michelle
AU - Zhou, Xiaohong Joe
PY - 2012
Y1 - 2012
N2 - Background: Preterm infants with periventricular brain injury (PBI) have a high incidence of atypical development and leg movements. Objective: Determine whether kicking and treadmill stepping intervention beginning at 2 months corrected age (CA) in children with PBI improves motor function at 12 months CA when compared with control subjects. Method: In a multi-center pilot study for a controlled clinical trial, sixteen infants with PBI were randomly assigned to home exercise consisting of kicking and treadmill stepping or a no-training control condition. Development was assessed at 2, 4, 6, 10, and 12 months CA with the Alberta Infant Motor Scale (AIMS). At 12 months children were classified as normal, delayed, or with cerebral palsy (CP). Results: At 12 months CA 3 of 7 (43%) of the exercise group children walked alone or with one hand held versus 1 of 9 (11%) in the control group (p=0.262), but no significant differences in AIMS scores were found at any age. Half of the subjects had CP or delay; the outcomes of these infants were not improved by exercise. Compliance with the home program was lower than requested and may have affected results. Conclusion: Although not statistically significant with a small sample size, self-produced kicking and treadmill exercise may lower age at walking in infants with normal development following PBI, but improvements of the protocol to increase and document compliance are needed before a larger study is implemented.
AB - Background: Preterm infants with periventricular brain injury (PBI) have a high incidence of atypical development and leg movements. Objective: Determine whether kicking and treadmill stepping intervention beginning at 2 months corrected age (CA) in children with PBI improves motor function at 12 months CA when compared with control subjects. Method: In a multi-center pilot study for a controlled clinical trial, sixteen infants with PBI were randomly assigned to home exercise consisting of kicking and treadmill stepping or a no-training control condition. Development was assessed at 2, 4, 6, 10, and 12 months CA with the Alberta Infant Motor Scale (AIMS). At 12 months children were classified as normal, delayed, or with cerebral palsy (CP). Results: At 12 months CA 3 of 7 (43%) of the exercise group children walked alone or with one hand held versus 1 of 9 (11%) in the control group (p=0.262), but no significant differences in AIMS scores were found at any age. Half of the subjects had CP or delay; the outcomes of these infants were not improved by exercise. Compliance with the home program was lower than requested and may have affected results. Conclusion: Although not statistically significant with a small sample size, self-produced kicking and treadmill exercise may lower age at walking in infants with normal development following PBI, but improvements of the protocol to increase and document compliance are needed before a larger study is implemented.
KW - Infant motor development
KW - exercise intervention
KW - periventricular brain injury
KW - preterm infants
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U2 - 10.3233/PRM-2011-0185
DO - 10.3233/PRM-2011-0185
M3 - Article
C2 - 22543889
AN - SCOPUS:84860252029
SN - 1874-5393
VL - 5
SP - 15
EP - 27
JO - Journal of pediatric rehabilitation medicine
JF - Journal of pediatric rehabilitation medicine
IS - 1
ER -