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It is reported that the thesis section is available, to publish abstracts of postgraduate theses in the disciplinary field. Who submits your thesis, must present the title, abstract, key words (include Occupational Therapy), and a summary of 2 to 3 pages of your thesis. And `present it in Spanish, English and / or Portuguese.

Early intervention in infants at high-risk of developing cerebral palsy; a systematic review

Authors

  • Andrea Cortés Tremún, centro de estimulación y desarrollo infantil; Centro Althea, crecimiento y desarrollo integral
  • Daniela Wachholtz Universidad de Los Andes

Abstract

The goal was to determine the evidence on the effectiveness of early interventions on motor development in children at high risk of developing cerebral palsy. Method: A literature search was conducted in databases and journals relevant to the topic (CINAHL, The Cochrane Library, EMBASE, PEDro and PubMed). Selection criteria considered very preterm infants (<32 weeks’ gestation) and/or with extremely low birth weight (<1,500 g), infants with neonatal encephalopathy and newborns (preterm or term) that have abnormal MRI and/or abnormal cranial ultrasound and / or evaluation of altered general movements. Methodological quality of the studies was assessed with the PEDro scale and level of evidence with the classification based center for Evidence of Oxford scale. Results: 9 studies were analyzed, comprising 687 infants under 18 months, which reflect a variety regarding the type and frequency of interventions and evaluation tools used. The therapeutic benefits associated components are: the involvement of parents in interventions and stimulation to production of movement by the baby during activities of daily living. Discussion: It is evident, that early intervention programs which include caregivers to promote motor and cognitive development seem to have more beneficial effects in the long run. More research on this subject, and methodological improvements for more consistent results is required, to establish the level of effectiveness of early intervention programs.

Keywords:

cerebral palsy, early intervention, infants at high-risk