Early intervention in infants at risk for developmental disorders: Possible carry-over effects to an activity of daily living (ADL).

Heer, U. de (Uulkje) (2009) Early intervention in infants at risk for developmental disorders: Possible carry-over effects to an activity of daily living (ADL). thesis, Human Movement Sciences.

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Abstract

Background and objective: Infants who are at risk for developmental disorders are often treated by means of early physical therapy interventions. Despite the presence of multiple early intervention programs, evidence for the effectiveness of these programs is limited. A possible cause may be the lack of carry-over effects from treatment to activities of daily living (ADL). To determine effectiveness of early intervention programs it is therefore important to develop knowledge about these possible effects. The aim of the study is to investigate possible carry-over effects of two intervention programs, traditional paediatric physiotherapy (TPP) and COPCA. In the Netherlands TPP is mainly based on principles of NeuroDevelopmental Treatment (NOT). COPCA is a new physiotherapeutic early intervention program, developed because of the lack of evidence of beneficial effects of NOT. The possible carry-over effects of these two programs were investigated by analysing the parent-infant interaction and activities of parent and infant during the daily activity of bathing. Method: 42 infants participated in the study. The infants have been randomized into two groups, each group has been treated according to one of the two intervention programs between 3 and 6 months corrected age (COPCA: n = 21; TPP: n = 21 ). Video recordings of the bathing sessions were analysed of each infant at 3, 6 and 18 months (baseline, after intervention and follow-up). Parent-infant interaction was assessed using the Maternal Behavioral Rating Scale (MBRS). The activities of parent and infant were assessed with help of two protocols. Quantification of the duration of defined actions of parent and infant was assessed with help of a computer program (Observer). Variables involving family involvement, educational actions and communication with the infant were not time based assessed. Results: There were no significant differences in parent-infant interaction between the two groups. However the study indicated significant differences in activities between both groups at six months. Parents of the COPCA-group challenged their child's motor performance significantly more frequently and also offered significantly more opportunities for trial and error than parents of the TPP-group. Conclusion: The study demonstrated two important carry-over effects of COPCA to the daily activity of bathing. Despite the practical and theoretical differences between COPCA and TPP, no other differences were indicated between both interventions during bathing.

Item Type:	Thesis (Thesis)
Supervisor name:	Hadders-Algra, Prof. Dr. M. and Dirks, J.F. and Schoemaker, Dr. M.M.
Faculty:	Medical Sciences
Date Deposited:	25 Jun 2020 10:40
Last Modified:	25 Jun 2020 10:41
URI:	https://umcg.studenttheses.ub.rug.nl/id/eprint/223

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