Cerebral Palsy Clinical Trial
Official title:
NEO Rehab Program for Premature Infants at Risk for Cerebral Palsy
NCT number | NCT04330859 |
Other study ID # | UVirginia |
Secondary ID | |
Status | Completed |
Phase | N/A |
First received | |
Last updated | |
Start date | May 25, 2019 |
Est. completion date | August 1, 2021 |
Verified date | July 2022 |
Source | University of Virginia |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The goal of this project is to investigate the acceptability, feasibility and fidelity of an innovative NICU rehabilitation program that will include six multimodal, gestational age (GA) appropriate, parent-administered interventions (vocal soothing, scent exchange, comforting touch, kangaroo care, infant massage and physical therapy). Using the general movement assessment (GMA) instrument, the investigators will determine the effects of this program on short-term motor outcomes (general movements (GMs), cranial nerves, posture, movements, tone, and reflexes) in premature infants (≤32 week's gestation and/or ≤1500 grams birthweight) identified as at-risk for CP. The short-term motor outcomes will be measured using the GMA, the Test of Infant Motor Performance (TIMP) and the Hammersmith Infant Neurological Examination (HINE) instruments. This novel program will be applied during the neonatal intensive care unit (NICU) hospitalization when the brain is highly plastic and actively developing with the goal to mitigate severity of brain injury and its impact on development.
Status | Completed |
Enrollment | 70 |
Est. completion date | August 1, 2021 |
Est. primary completion date | October 10, 2020 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 23 Weeks to 32 Weeks |
Eligibility | Inclusion Criteria: - GA at birth: =32 weeks gestation and/or birthweight =1500 grams - Infants 7 days or older - Ability of parents or identified designated surrogate (e.g. grandparent) to perform the interventions - Abnormal writhing GMs defined by the presence of a poor repertoire pattern on 2 consecutive assessments or the presence of a cramped-synchronized pattern on any assessment Exclusion Criteria: - Clinically unstable (requiring high frequency mechanical ventilation, vasopressor support, need for continuous intravenous pain or sedation medication) - If their parents do not speak English - If parental participation is hindered (e.g. incarceration). |
Country | Name | City | State |
---|---|---|---|
United States | University of Virginia | Charlottesville | Virginia |
Lead Sponsor | Collaborator |
---|---|
University of Virginia |
United States,
Letzkus L, Conaway M, Miller-Davis C, Darring J, Keim-Malpass J, Zanelli S. A feasibility randomized controlled trial of a NICU rehabilitation program for very low birth weight infants. Sci Rep. 2022 Feb 2;12(1):1729. doi: 10.1038/s41598-022-05849-w. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Parental satisfaction of a parent-driven NeoRehab bundle in preterm infants at risk for cerebral palsy. | The following measure will be used to measure study parental satisfaction:
Weekly interviews with parental participants |
2 years | |
Primary | Acceptability of a parent-driven NeoRehab bundle in preterm infants at risk for cerebral palsy. | The following measure will be used to measure study acceptability:
Recruitment rates |
2 years | |
Primary | Retention rates of a parent-driven NeoRehab bundle in preterm infants at risk for cerebral palsy. | The following measure will be used to assess the retention rate of study participants:
- Rate of follow-up at the 3 month outpatient visit |
2 years | |
Primary | Adherence rates to study protocol | Activity logs | 2 years | |
Primary | Impact of the NeoRehab bundle on motor performance using the Test of Infant Motor Performance (TIMP) | Motor outcomes will be assessed at NICU discharge and at 3 months using the Test of Infant Motor Performance (TIMP). The lower the score the poorer the motor function. | 2 years | |
Primary | Impact of the NeoRehab bundle on neurologic function as assessed by the Hammersmith Infant Neurological Examination (HINE). | Neurologic function will be assessed at NICU discharge and at 3 months postmenstrual age using the Hammersmith Infant Neurological Examination (HINE) instrument. The HINE is a 26 items scale that evaluates cranial nerve function, posture, quality and quantity of movements, muscle tone, and reflexes and reactions. Lower the score the poorer the motor function. The HINE has a sensitivity of 90% for prediction of motor outcome. | 2 years | |
Primary | Impact of the NeoRehab bundle on infants' general movements. | The impact of the intervention on the infants' general movement will be assessed at NICU discharge and at 3 months postmenstrual age using the general movement assessment (GMA) tool. The GMA has been shown to reliably identify infants at high risk for CP and can be implemented shortly after birth making it an ideal screening tool for preterm infants. Cramped-synchronized writhing general movements followed by absent fidgety general movements is a movement pattern that has been shown to be highly specific of later development of cerebral palsy. | 2 years |
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