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Vojta therapy in the reduction of perinatal risk in preterm infants with respiratory distress syndrome and bronchopulmonary dysplasia
The 4th European Congress of the ER-WCPT / Physiotherapy 102S (2016) eS67–eS282
The control group had large effect size for EG and CS at 3M (0.91 and 0.86) and moderate for FS (0.65); at 6M a low size for FS (0.45) and moderate for GS and CS (0.65 and 0.60). Whereas Vojta therapy demonstrated had high effect FS (0.93), moderate for CS (0.65) and low the GS (0.40) at 18M. Discussion and conclusions: Infants treated with Vojta therapy had improved scores during every assessment despite starting at lower scores in the first time points. Using the BSID-III motor scale, preterm infants treated with Vojta showed a superior motor development at 18 months, especially in the fine motor skills, compared to infants treated with other modalities of physical therapy. Impact and implications: Vojta method is effective in promoting motor development of preterm infants receiving during the first 18 months of corrected age. Additionally, it contributes to improve the protocol of physical therapy interventions and prevent future disabilities in this population. Funding acknowledgement: It is not funding. No acknowledgement is required. http://dx.doi.org/10.1016/j.physio.2016.10.241 POS184 Vojta therapy in the reduction of perinatal risk in preterm infants with respiratory distress syndrome and bronchopulmonary dysplasia A. Gomez-Conesa 1,∗ , F.J. Fernández Rego 1 , J.J. Agüera Arenas 2 1 University
of Murcia, Physical Therapy Department, Espinardo-Murcia, Spain 2 Virgen de la Arrixaca University Hospital, Neonatal Intensive Care Unit, Murcia, Spain Relevance: Preterm infants are at increased risk of suffering respiratory problems and concomitant diseases due to the immaturity of their systems, increasing the days of hospitalization and the risk of disorders in their development. Purpose: To study if Vojta therapy can reduces the perinatal risk and decrease the days of hospitalization of preterm infants with Respiratory Distress Syndrome (RDS) and Bronchopulmonary Dysplasia (BPD). Methods/analysis: Sixty preterm infants with gestational age (GE) ≤ 32 weeks and a diagnosis of RDS were randomly allocated into two groups: experimental group (EG, n = 32 preterm infants; 15 girls and 17 boys), and a control group (CG, n = 28 preterm infants; 11 girls and 17 boys). Both groups received standard of care in the neonatal intensive care unit (NICU), additionally the EG received two daily sessions of 10 minutes during 30 days of Vojta physiotherapy. There were no significant differences between the groups in GE [EG: 28.2 weeks, CG: 28.9weeks, P-value = 0.218], birth weight [EG: 1122.56 g, CG: 1160.35 g, P-value = 0.630] and gender distribution [P-value = 0.554].
eS199
All infants were assessed with the Perinatal Risk Inventory (PERI) when discharged. Two t-Student tests were carried out of mean differences for independent samples between the scores of perinatal risk and of the days of hospitalization of both groups. D statistic was calculated to determine the effect size. Results: Our findings reveal significant differences between both groups, with significantly better outcome among the infants who received Vojta Therapy; infants in EG obtained lower PERI scores [P-value < 0.001] and were less days in hospital [P = 0.001] when compared to the CG. The effect size was large among the EG in the reduction of perinatal risk (d = 0.95) and of the days in hospital (d = 1.86). Discussion and conclusions: The Vojta method has high clinical relevance; it is effective in reducing perinatal risk scores and days of hospitalization of preterm infants with RDS and BPD. Impact and implications: Early treatment with Vojta method in the NICU can be effective in reducing perinatal risk and the days of hospitalization in preterm infants with RDS and BPD. This reduction in risk can lead to a better development of these infants, decreasing the possibilities of future disabilities. Applying Vojta methods in the NICU may lead to reduced health, social and educational expenses generated by this population. Funding acknowledgement: It is not funding. No acknowledgement is required. http://dx.doi.org/10.1016/j.physio.2016.10.242 POS185 The development of a specialist model of care for transitional paediatric neuromuscular patients: collaboration between respiratory, neurological and neuro-rehabilitation specialties R. Moses 1,∗ , A. Vyas 1 , D. Shakespeare 2 , C. Degoode 3 1 Lancashire
Teaching Hospitals, Respiratory Medicine, Preston, United Kingdom 2 Lancashire Teaching Hospitals, Neuro-Rehabilitation, Preston, United Kingdom 3 Lancashire Teaching Hospitals, Paediatric Neurology, Preston, United Kingdom Relevance: Physiotherapy has an integral role in ensuring the development of children with complex health care needs. As children transition into adult services they will experience a number of physical, emotional, social and behavioural changes. The impact on this can have huge implications on their physical and mental health. Often these children have complex needs that necessitate a high demand on a number of services. The physiotherapists working with these chil-
The control group had large effect size for EG and CS at 3M (0.91 and 0.86) and moderate for FS (0.65); at 6M a low size for FS (0.45) and moderate for GS and CS (0.65 and 0.60). Whereas Vojta therapy demonstrated had high effect FS (0.93), moderate for CS (0.65) and low the GS (0.40) at 18M. Discussion and conclusions: Infants treated with Vojta therapy had improved scores during every assessment despite starting at lower scores in the first time points. Using the BSID-III motor scale, preterm infants treated with Vojta showed a superior motor development at 18 months, especially in the fine motor skills, compared to infants treated with other modalities of physical therapy. Impact and implications: Vojta method is effective in promoting motor development of preterm infants receiving during the first 18 months of corrected age. Additionally, it contributes to improve the protocol of physical therapy interventions and prevent future disabilities in this population. Funding acknowledgement: It is not funding. No acknowledgement is required. http://dx.doi.org/10.1016/j.physio.2016.10.241 POS184 Vojta therapy in the reduction of perinatal risk in preterm infants with respiratory distress syndrome and bronchopulmonary dysplasia A. Gomez-Conesa 1,∗ , F.J. Fernández Rego 1 , J.J. Agüera Arenas 2 1 University
of Murcia, Physical Therapy Department, Espinardo-Murcia, Spain 2 Virgen de la Arrixaca University Hospital, Neonatal Intensive Care Unit, Murcia, Spain Relevance: Preterm infants are at increased risk of suffering respiratory problems and concomitant diseases due to the immaturity of their systems, increasing the days of hospitalization and the risk of disorders in their development. Purpose: To study if Vojta therapy can reduces the perinatal risk and decrease the days of hospitalization of preterm infants with Respiratory Distress Syndrome (RDS) and Bronchopulmonary Dysplasia (BPD). Methods/analysis: Sixty preterm infants with gestational age (GE) ≤ 32 weeks and a diagnosis of RDS were randomly allocated into two groups: experimental group (EG, n = 32 preterm infants; 15 girls and 17 boys), and a control group (CG, n = 28 preterm infants; 11 girls and 17 boys). Both groups received standard of care in the neonatal intensive care unit (NICU), additionally the EG received two daily sessions of 10 minutes during 30 days of Vojta physiotherapy. There were no significant differences between the groups in GE [EG: 28.2 weeks, CG: 28.9weeks, P-value = 0.218], birth weight [EG: 1122.56 g, CG: 1160.35 g, P-value = 0.630] and gender distribution [P-value = 0.554].
eS199
All infants were assessed with the Perinatal Risk Inventory (PERI) when discharged. Two t-Student tests were carried out of mean differences for independent samples between the scores of perinatal risk and of the days of hospitalization of both groups. D statistic was calculated to determine the effect size. Results: Our findings reveal significant differences between both groups, with significantly better outcome among the infants who received Vojta Therapy; infants in EG obtained lower PERI scores [P-value < 0.001] and were less days in hospital [P = 0.001] when compared to the CG. The effect size was large among the EG in the reduction of perinatal risk (d = 0.95) and of the days in hospital (d = 1.86). Discussion and conclusions: The Vojta method has high clinical relevance; it is effective in reducing perinatal risk scores and days of hospitalization of preterm infants with RDS and BPD. Impact and implications: Early treatment with Vojta method in the NICU can be effective in reducing perinatal risk and the days of hospitalization in preterm infants with RDS and BPD. This reduction in risk can lead to a better development of these infants, decreasing the possibilities of future disabilities. Applying Vojta methods in the NICU may lead to reduced health, social and educational expenses generated by this population. Funding acknowledgement: It is not funding. No acknowledgement is required. http://dx.doi.org/10.1016/j.physio.2016.10.242 POS185 The development of a specialist model of care for transitional paediatric neuromuscular patients: collaboration between respiratory, neurological and neuro-rehabilitation specialties R. Moses 1,∗ , A. Vyas 1 , D. Shakespeare 2 , C. Degoode 3 1 Lancashire
Teaching Hospitals, Respiratory Medicine, Preston, United Kingdom 2 Lancashire Teaching Hospitals, Neuro-Rehabilitation, Preston, United Kingdom 3 Lancashire Teaching Hospitals, Paediatric Neurology, Preston, United Kingdom Relevance: Physiotherapy has an integral role in ensuring the development of children with complex health care needs. As children transition into adult services they will experience a number of physical, emotional, social and behavioural changes. The impact on this can have huge implications on their physical and mental health. Often these children have complex needs that necessitate a high demand on a number of services. The physiotherapists working with these chil-