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Physiotherapy to Improve Feeding Skills in Preterm Infants

U

Universidad de Almeria

Status

Completed

Conditions

Motor Disorders
Neurodevelopmental Disorders
Parenteral Nutrition
Sucking Behavior
Premature Birth

Treatments

Other: Neurodevelopmental stimulation + Oral stimulation
Other: Oral stimulation

Study type

Interventional

Funder types

Other

Identifiers

Details and patient eligibility

About

INTRODUCTION: Suction problems are very common in premature children due to a lack of maturation and orofacial control, the manifestation of a low muscle tone and the incoordination during sucking-swallow-breathe. In addition, there are some problems in different systems that get it worse.

AIM: compare oral stimulation programme with a neurodevelopmental stimulation intervention programme combined with an oral stimulation programme, evaluating its effectiveness on feeding development, neuromotor development and other aspects of development.

METHODOLOGY: we proposed a prospective parallel group clinical trial with two randomized and independent experimental groups. All preterm infants born between 2022-2023 at University Hospital Torrecárdenas, with nasogastric tube and gestational age between 27-32 weeks will be included.

EXPECTED BENEFITS: to have better results when the preterm infant is approached globally, also considering the postural situation of the preterm infant. In addition, it is expected that the development of children treated by combining oral stimulation with neurodevelopmental stimulation will be equated or close to healthy and born-to-term child.

RESULTS APPLICABILITY: Improved eating performances will reduce length of hospital stay as well as a greater autonomy improving family situation. It will also allow the reduction of hospital costs and the creation of a new way to attend this problem in preterm children.

Enrollment

56 patients

Sex

All

Ages

27 to 32 weeks old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

Premature infants with a gestational age between 27 and 32 weeks, with an adequate weight for their gestational age, admitted to the unit of Neonatology, hemodynamically stable and with enteral nutrition

Exclusion criteria

  • Neurological disorders
  • Invasive mechanical ventilation
  • Congenital disorders
  • Necrotising enterocolitis
  • Metabolic diseases
  • Intraventricular hemorrhage grade 3-4
  • Genetic disorders
  • Oral disorders that make this process difficult(cleft palate, cleft lip...)
  • Serious illnesses according to medical criteria

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Single Blind

56 participants in 2 patient groups

GEO+N
Experimental group
Description:
Neurodevelopmental stimulation intervention programme combined with an oral stimulation programme. They recives 10 sesions of 15 minutes of stimulation.
Treatment:
Other: Oral stimulation
Other: Neurodevelopmental stimulation + Oral stimulation
GEO
Experimental group
Description:
Oral stimulation programme. They recives 10 sesions of 15 minutes of stimulation.
Treatment:
Other: Oral stimulation

Trial contacts and locations

1

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Data sourced from clinicaltrials.gov

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