Banca de DEFESA: SABRINNE SUELEN SANTOS SAMPAIO

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : SABRINNE SUELEN SANTOS SAMPAIO
DATE: 30/11/2023
TIME: 09:00
LOCAL: Remoto
TITLE:

Tummy time" intervention in the motor and cognitive development of premature newborns - randomized clinical trial

KEY WORDS:

Newborn; Premature Birth; Tummy Time; Prone Position; Infant Development; Low-Income Countries. 

PAGES: 60
BIG AREA: Ciências da Saúde
AREA: Fisioterapia e Terapia Ocupacional
SUMMARY:

Different interventions have been developed in the hope of organizing the neurological outcomes of premature newborns (RNPT). However, offering early organized care and considering parental involvement seems to be an important alternative in this process. With this in mind, Tummy Time (TT) can provide the necessary stimuli to minimize the sequelae of motor and cognitive development. Additionally, it allows babies in developing countries the opportunity for stimuli even in the face of difficulties accessing rehabilitation centers. The objective of this study was to assess whether daily TT experience, added to routine care, would improve motor and cognitive development in premature infants from developing countries. This was a randomized, controlled, double-blind clinical trial involving 31 RNPT with an average gestational age at birth of 33.3+/-1.6 weeks and a weight of less than 2500g. They were followed after hospital discharge until 4 months of corrected age in the Follow-up outpatient clinic. Sixteen babies were included in the TT group, where parents were invited and guided, through an illustrative booklet, to practice TT for at least 30 minutes during their routine activities and playtime. Fifteen babies were in the usual care (UC) group, in which mothers were the main providers of their newborns' biological needs and followed routine care as instructed in outpatient consultations. Motor and cognitive results were evaluated using the Bayley-III motor and cognitive scales at 2 and 4 months of corrected age. Head elevation was measured using the angle between the ear tragus and the baby's support surface at baseline, 2, 3, and 4 months of corrected age, using the Kinovea® software. Result analyses were performed by an examiner blinded to group allocation. The composite motor score of the Bayley was higher in the TT group than in the UC group at 2 months (TT 117.85+/-9.67, UC 85.91+/-13.81, p=<0.001) and 4 months (TT 126.62+/-16.15, UC 87.80+/-18.54, p=0.003) of corrected age. The composite cognitive scale was also higher in the TT group than in the UC group only at 2 (TT 98.57+/-7.44, UC 83.33+/-13.37, p=<0.001) and 4 (TT 105.00+/-14.88, UC 81.00+/-24.24, p=<0.001) months of corrected age. There was an increase in the head elevation angle over time, but the means did not differ between groups (p=0.66). Although head elevation was similar in both groups, TT practice expanded babies' perspective to explore their own body and environment, favoring stimuli for motor and cognitive patterns appropriate for their age. One limitation of the study was that 31% of participants were lost to follow-up in the second assessment. This demonstrates the challenge of providing and sustaining early intervention programs for RNPT in low-income contexts. Thus, TT practice in premature babies can improve motor and cognitive functions as a home-based approach immediately after discharge. 

COMMITTEE MEMBERS:
Externa ao Programa - 1785163 - CAROLINA DANIEL DE LIMA ALVAREZ - nullExterna à Instituição - CIBELLE KAYENNE MARTINS ROBERTO FORMIGA - UEG
Externa à Instituição - Daniele de Almeida Soares- Marangoni
Externo ao Programa - 4098411 - GENTIL GOMES DA FONSECA FILHO - nullPresidente - 1803907 - SILVANA ALVES PEREIRA