%0 Journal Article %1 Rothberg1991 %A Rothberg, A. D. %A Goodman, M. %A Jacklin, L. A. %A Cooper, P. A. %D 1991 %J Pediatrics %K Central Nervous System; Cerebral Palsy; Follow-Up Studies; Humans; Infant, Low Birth Weight; Newborn; Premature; Physical Therapy Modalities; Predictive Value of Tests; Risk Factors %N 3 %P 547--552 %T Six-year follow-up of early physiotherapy intervention in very low birth weight infants. %V 88 %X Eighty very low birth weight infants assigned to neurologically normal or at-risk groups on the basis of a neurodevelopmental score were previously described. Infants were assigned to physiotherapy or control groups, and the effect of physiotherapy was assessed at 1 year. At-risk infants had a significantly lower developmental quotient than the normal group and no beneficial effect of physiotherapy was shown. Of the original 80 subjects, 49 were reassessed at a mean age of 74.7 months. As observed previously, physiotherapy until 1 year did not influence subsequent outcome in either normal or at-risk children. At-risk and normal children had similar mean developmental quotients at 6 years, but the locomotor score of at-risk children was significantly below that of normal children. Cerebral palsy occurred in 6 of 24 at-risk vs 0 of 25 normal subjects (P less than .01) and remedial therapy was recommended in 17 of 24 at-risk subjects vs 6 of 25 normal subjects (P less than .001). These results confirm that the neurodevelopmental score predicts a risk for either cerebral palsy or soft neurological problems, and early physiotherapy is of questionable benefit in preventing such problems.

@article{Rothberg1991, abstract = {Eighty very low birth weight infants assigned to neurologically normal or at-risk groups on the basis of a neurodevelopmental score were previously described. Infants were assigned to physiotherapy or control groups, and the effect of physiotherapy was assessed at 1 year. At-risk infants had a significantly lower developmental quotient than the normal group and no beneficial effect of physiotherapy was shown. Of the original 80 subjects, 49 were reassessed at a mean age of 74.7 months. As observed previously, physiotherapy until 1 year did not influence subsequent outcome in either normal or at-risk children. At-risk and normal children had similar mean developmental quotients at 6 years, but the locomotor score of at-risk children was significantly below that of normal children. Cerebral palsy occurred in 6 of 24 at-risk vs 0 of 25 normal subjects (P less than .01) and remedial therapy was recommended in 17 of 24 at-risk subjects vs 6 of 25 normal subjects (P less than .001). These results confirm that the neurodevelopmental score predicts a risk for either cerebral palsy or soft neurological problems, and early physiotherapy is of questionable benefit in preventing such problems.}, added-at = {2014-07-19T21:10:37.000+0200}, author = {Rothberg, A. D. and Goodman, M. and Jacklin, L. A. and Cooper, P. A.}, biburl = {https://www.bibsonomy.org/bibtex/2944887c396dae3b41822e77177891e38/ar0berts}, groups = {public}, interhash = {50aaf222ceeb09fe61e48f62c2d1e92c}, intrahash = {944887c396dae3b41822e77177891e38}, journal = {Pediatrics}, keywords = {Central Nervous System; Cerebral Palsy; Follow-Up Studies; Humans; Infant, Low Birth Weight; Newborn; Premature; Physical Therapy Modalities; Predictive Value of Tests; Risk Factors}, month = Sep, number = 3, pages = {547--552}, pmid = {1881735}, timestamp = {2014-07-19T21:10:37.000+0200}, title = {Six-year follow-up of early physiotherapy intervention in very low birth weight infants.}, username = {ar0berts}, volume = 88, year = 1991 }