Preterm Infants Clinical Trial
Official title:
Multicentric Prospective Randomised Single-blind Controlled Clinical Study Assessing the Effect and the Safety of Primebrain Sensorimotor Stimulation on Neurological Development of Preterm Infants (Born Before 32 Weeks' Gestation) or Infants Born Weighing Less Than 1500 g
Background : Brain vulnerability is particularly marked in preterm neonates and has long-term
consequences. Unlike lesions affecting other organs, those that affect the brain can
currently not 'be repaired' by producing new cells. However, exeprience-driven brain
plasticity allows the brain to reorganise its connections to compensate (at least partially)
the effects of an injury.
Purpose : To evaluate the influence of Primebrain stimulation programme administred by
parents until 6 months post-term on motor and neurophysiological development of infants born
<32 weeks' gestation or with birth weight <1500 g.
Preterm and very low birth weight infants are at risk for neurodevelopmental disorders,
including cerebral palsy, sensory impairment and intellectual disability. Several early
intervention approaches have been designed in the hope of optimising neurological development
in this context. These programmes show high variety in the type of intervention, frequency of
sessions and total duration of the intervention, as well as the duration of follow-up.
Depending on studies, there is an inconstant benefit on cognitive and behavioural development
in the first 2 years and preschool age. According to the most recent studies, it seems
important that the intervention takes into account parental mental health, focuses on
parent-child interactions and lasts sufficiently long.
This prospective randomized-controlled clinical study has been designed to evaluate the
effects of an additional parent-administed programme to the usual care in this developmental
risk population,.
The intervention is carried out at home by parents coached by physiotherapist from term-age
to 6 months of corrected age. The monitoring and evaluation period for all infants
participating in the study ends at 24 months of corrected age and includes clinical,
neurodevelopmental, parental stress and neurophysiological assessments using high density
electroencephalography and recording of event-related potentials at term age, 3, 6, 12 ,18
and 24 months of corrected age (ActiveTwo, BioSemi).
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