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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT05319158
Other study ID # 2021-2025
Secondary ID
Status Recruiting
Phase N/A
First received
Last updated
Start date April 30, 2022
Est. completion date September 1, 2025

Study information

Verified date September 2023
Source Institut d'Investigació Biomèdica de Girona Dr. Josep Trueta
Contact Susana Trallero, MsC
Phone 675255810
Email sue.trallero@gmail.com
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

This study aims to assess the effect of a parent-administered intervention program based on MIT-PB in preterm with abnormal general movements during the preterm period. We will describe the short and long-term differences between infants exposed to MIT-PB and infants who follow current standard care.


Description:

The quasi-experimental design has been planned to assess the effect of a physiotherapy program carried out in neonatal intensive care and at home during the first months of life. Preterm babies born before 32 weeks gestational age (GA) and/or with less than 1500g showing an abnormal General Movement Assessment (GMA) at 34-36 weeks will be included. Standardized tests will be performed at baseline, at term, 44 weeks post-menstrual age (PMA), 54 weeks PMA, 6 months, and 12 months. A qualitative study has been designed to assess the physiotherapy performance and parents' experience. Two different Hospitals with similar care protocols and sizes will recruit the sample (n=36). The Intervention group (n=18) will be located at Hospital Josep Trueta of Girona and the control group (n=18) will be located at Hospital Parc Taulí of Sabadell (Barcelona).


Recruitment information / eligibility

Status Recruiting
Enrollment 138
Est. completion date September 1, 2025
Est. primary completion date March 1, 2024
Accepts healthy volunteers No
Gender All
Age group 24 Weeks to 32 Weeks
Eligibility Inclusion Criteria: - Preterm infants born before 32w GA and less than 1500g weight. - Infants who show Abnormal General Movements (CS-PR pattern) at 34-36w postmenstrual age (PMA). - Families able to understand/speak Catalan, Spanish or English. - Families willing to participate who have the informed consent Exclusion Criteria: - Infants with congenital abnormalities and/or genetic disorders - Infants with invasive ventilation or Continuous Positive Airway Pressure (CPAP) at 36 weeks PMA. - Infants with Normal General Movements at 34-36 w PMA. - Families not willing to participate.

Study Design


Related Conditions & MeSH terms


Intervention

Other:
MIT-PB, movement imitation therapy for preterm.
The instant an infant showed CS or PR movements, the therapists (or a therapist and a parent) intervened by gently guiding the infants' limbs so as to maneuver and smoothen their movements, thereby imitating normal GM sequences as closely as possible, adding variability to the movement

Locations

Country Name City State
Spain Hospital Universitari Josep Trueta de Girona Girona
Spain Hospital Parc Taulí de Sabadell Sabadell Barcelona

Sponsors (2)

Lead Sponsor Collaborator
Institut d'Investigació Biomèdica de Girona Dr. Josep Trueta Hospital Parc Taulí, Sabadell

Country where clinical trial is conducted

Spain, 

Outcome

Type Measure Description Time frame Safety issue
Other Describe families experiences with the MIT-PB • Families will fill up a questionnaire at the end of the intervention to give their opinion about their experience with the therapy. 6 months CA
Other Study family's participation and treatment adherence Parents will get a software application in order to register the number of treatments achieved during the intervention period. 6 months CA
Primary The quality of General Movement by General Movements Optimality Score (GMOS) and Motor Optimality Score (MOS). We will videotape General Movements at 34, 38-40, 44 and 54 weeks PMA. The baseline measure( 34w) will be performed by the main researcher and an independent and experienced certified rater. This rater will be blind regarding infant group.
The assessments at 38-40, 44 and 54 weeks will be performed by the independent, blind and certified rater in order to guarantee the study validity.
The GMOS global assessment can be Normal (N), Poor Repertoire (PR), Cramped Syncronized (CS) or Chaotic (CH). On the detailed score ,the maximum value is 42. The MOS global assessment can be classified as Fidgety (F), Abnormal Fidgety (AF) or Absent Fidgety (F-). On the detailed score the maximum value is 28. Higher scores in both scales are correlated with better global outcome.
Each participant will be assessed from birth to the 54 weeks PMA.
Secondary Motor development by Hammersmith Infant Neurological Scale (HINE). Infants will assessed at 6 months CA by an independent neuro-pediatrician using the HINE.
It is a standardized neurological exam for infants adjusted age 2 to 24 months. The HINE evaluates nerve function, movements, reflexes and reactions, posture, and tone and can help clinicians identify movement disorders including cerebral palsy (CP)The maximum global score is 78. Higher scores indicate better neurological performance.
6 months CA
Secondary Global development by Bayley III An independent neuropsychologists will assess Global Development by Bayley III at 12 months CA.
Bayley-III provides information about whether a child's developmental trajectory in the cognitive domain is proceeding as expected, relative to same-age peers. It also includes a motor score, and fine and gross motor subtest scores. The assessment indicates mild, moderate or severe delay.
12 months CA
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