12629
document
Effect of postural supports on neuromotor function in very preterm infants to term equivalent age . OBJECTIVE To determine the effect of a postural support nappy and/or a postural support roll on neuromotor function in very preterm infants when nursed prone to term equivalent age . METHODS A randomized observer blind controlled trial of 123 very preterm infants was conducted in the neonatal intensive care unit of the sole tertiary referral centre in Western Australia . Infants were stratified by gestational age ( < 29 weeks or 29-30 weeks ) , then randomized into one of three intervention groups : postural support nappy , postural support nappy and postural support roll , or disposable nappy and postural support roll . Interventions started when infants were stable and ceased when routine side-lying commenced . Measurements of shoulder and hip posture were performed pre-intervention , 5 weeks post-intervention and term postmenstrual age . RESULTS Infants nursed with a postural support roll and a postural support nappy demonstrated improved hip posture to term equivalent age compared with infants nursed with either a postural support roll only , or a postural support nappy only . Infants nursed with a postural support roll either with or without a postural support nappy demonstrated improved shoulder posture to term equivalent age . CONCLUSIONS Combined use of a postural support roll and a postural support nappy while very preterm infants are nursed prone improves hip posture up to term postmenstrual age . Use of a postural support roll improves shoulder posture up to term equivalent age .
12630
Intervention_Physical
postural supports
12631
Intervention_Physical
postural support nappy
12632
Intervention_Physical
postural support roll
12633
Intervention_Physical
postural support nappy
12634
Intervention_Physical
postural support nappy and postural support roll
12635
Intervention_Physical
disposable nappy and postural support roll
12636
Intervention_Physical
postural support roll and a postural support nappy
12637
Intervention_Physical
postural support roll
12638
Intervention_Physical
postural support nappy
12639
Intervention_Physical
postural support roll
12640
Intervention_Physical
postural support nappy
12641
Intervention_Physical
postural support roll
12642
Outcome_Physical
neuromotor function
12643
Outcome_Physical
neuromotor function
12644
Outcome_Physical
shoulder and hip posture
12645
Outcome_Physical
hip posture
12646
Outcome_Physical
shoulder posture
12647
Outcome_Physical
hip posture
12648
Outcome_Physical
shoulder posture
12649
Participant_Condition
very preterm
12650
Participant_Age
infants
12651
Participant_Condition
neuromotor function
12652
Participant_Condition
very preterm
12653
Participant_Age
infants
12654
Participant_Sample-size
123
12655
Participant_Condition
very preterm
12656
Participant_Age
infants
12657
Participant_Age
Infants
12658
Participant_Age
29 weeks or 29-30 weeks