One-year outcome of auditory-tactile-visual-vestibular intervention in the neonatal intensive care unit: effects of severe prematurity and central nervous system injury.
Thirty-seven infants with severe central nervous system injury or extreme prematurity were randomly assigned to a multisensory (auditory-tactile-visual-vestibular) intervention or control group. Intervention began in the hospital at 33 weeks' postconceptional age and continued twice daily in the home until 2 months' corrected age. Mother-infant interactions during feedings were videotaped, and the Bayley Scales of Infant Development were administered. Control mothers stimulated their infants more during feeding, but these significant differences dissipated by 4 months. The presence of periventricular leukomalacia was associated with significantly poorer mental development, regardless of group assignment. Experimental infants tended to exhibit better motor and mental performance and had 23\% fewer cerebral palsy diagnoses at 1 year, but these trends were not statistically significant. The type of brain injury was more important in determining 1-year developmental outcome than type of postnatal experience, suggesting that periventricular leukomalacia presents a major challenge for infant development.
%0 Journal Article
%1 Nelson2001
%A Nelson, M. N.
%A White-Traut, R. C.
%A Vasan, U.
%A Silvestri, J.
%A Comiskey, E.
%A Meleedy-Rey, P.
%A Littau, S.
%A Gu, G.
%A Patel, M.
%D 2001
%J J Child Neurol
%K Birth Injuries; Central Nervous System; Cerebral Palsy; Child Development; Female; Humans; Infant; Infant, Newborn; Premature; Intervention Studies; Leukomalacia, Periventricular; Male; Mother-Child Relations; Motor Skills Disorders; Prognosis; Risk Factors; Sensory Thresholds; Treatment Outcome
%N 7
%P 493--498
%T One-year outcome of auditory-tactile-visual-vestibular intervention in the neonatal intensive care unit: effects of severe prematurity and central nervous system injury.
%V 16
%X Thirty-seven infants with severe central nervous system injury or extreme prematurity were randomly assigned to a multisensory (auditory-tactile-visual-vestibular) intervention or control group. Intervention began in the hospital at 33 weeks' postconceptional age and continued twice daily in the home until 2 months' corrected age. Mother-infant interactions during feedings were videotaped, and the Bayley Scales of Infant Development were administered. Control mothers stimulated their infants more during feeding, but these significant differences dissipated by 4 months. The presence of periventricular leukomalacia was associated with significantly poorer mental development, regardless of group assignment. Experimental infants tended to exhibit better motor and mental performance and had 23\% fewer cerebral palsy diagnoses at 1 year, but these trends were not statistically significant. The type of brain injury was more important in determining 1-year developmental outcome than type of postnatal experience, suggesting that periventricular leukomalacia presents a major challenge for infant development.
@article{Nelson2001,
abstract = {Thirty-seven infants with severe central nervous system injury or extreme prematurity were randomly assigned to a multisensory (auditory-tactile-visual-vestibular) intervention or control group. Intervention began in the hospital at 33 weeks' postconceptional age and continued twice daily in the home until 2 months' corrected age. Mother-infant interactions during feedings were videotaped, and the Bayley Scales of Infant Development were administered. Control mothers stimulated their infants more during feeding, but these significant differences dissipated by 4 months. The presence of periventricular leukomalacia was associated with significantly poorer mental development, regardless of group assignment. Experimental infants tended to exhibit better motor and mental performance and had 23\% fewer cerebral palsy diagnoses at 1 year, but these trends were not statistically significant. The type of brain injury was more important in determining 1-year developmental outcome than type of postnatal experience, suggesting that periventricular leukomalacia presents a major challenge for infant development.},
added-at = {2014-07-19T20:54:15.000+0200},
author = {Nelson, M. N. and White-Traut, R. C. and Vasan, U. and Silvestri, J. and Comiskey, E. and Meleedy-Rey, P. and Littau, S. and Gu, G. and Patel, M.},
biburl = {https://www.bibsonomy.org/bibtex/2d70306408168b202de16c2c18684828a/ar0berts},
groups = {public},
interhash = {0a8187859d3bcb1ef8c0103b724729af},
intrahash = {d70306408168b202de16c2c18684828a},
journal = {J Child Neurol},
keywords = {Birth Injuries; Central Nervous System; Cerebral Palsy; Child Development; Female; Humans; Infant; Infant, Newborn; Premature; Intervention Studies; Leukomalacia, Periventricular; Male; Mother-Child Relations; Motor Skills Disorders; Prognosis; Risk Factors; Sensory Thresholds; Treatment Outcome},
month = Jul,
number = 7,
pages = {493--498},
pmid = {11453445},
timestamp = {2014-07-19T20:54:15.000+0200},
title = {One-year outcome of auditory-tactile-visual-vestibular intervention in the neonatal intensive care unit: effects of severe prematurity and central nervous system injury.},
username = {ar0berts},
volume = 16,
year = 2001
}