Effect of Early Intervention on Post Tracheostomy Infants on Developmental Delay.

Background: In the pediatric population, tracheostomy is most common to provide good ventilator support, and that too is most commonly performed in the infant population. Tracheostomy is frequently associated with devices such as ventilators, which can further interrupt the neck motion and this in t...

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Publicado en:Indian Journal of Physiotherapy & Occupational Therapy Vol. 18; pp. 261 - 268
Autores principales: Preetha, K., Alagesan, Jagatheesan, N., Senthil kumar
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: Institute of Medico-legal publications Pvt Ltd 2024 Special Issue
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Effect of Early Intervention on Post Tracheostomy Infants on Developmental Delay.
      aug:
        au:
          Preetha, K.
          Alagesan, Jagatheesan
          N., Senthil kumar
        affil: Post graduate, Saveetha College of Physiotherapy, Saveetha Institute Of Medical and Technical Sciences, Chennai, Tamil Nadu, India
      sug:
        subj:
          Early Intervention
          Tracheostomy In Infancy and Childhood
          Developmental Disabilities
          Treatment Outcomes
          Neck Physiology
          Human
          Randomized Controlled Trials
          Ventilators, Mechanical
          Intensive Care Units, Pediatric
          Scales
          Descriptive Statistics
          Experimental Studies
          Therapeutic Exercise
          Pretest-Posttest Control Group Design
          Motor Skills
          Infant
          Infant: 1-23 months
      ab: Background: In the pediatric population, tracheostomy is most common to provide good ventilator support, and that too is most commonly performed in the infant population. Tracheostomy is frequently associated with devices such as ventilators, which can further interrupt the neck motion and this in turn, may also affect the gross motor development. Purpose: To determine the effectiveness of early intervention in post-tracheostomy infants with developmental delays. Materials and Methods: A randomized control trial was conducted with a total of 20 tracheostomy infants with a mean age of 2 months. Subjects were randomized into the early intervention group (n = 10) and the conventional group (n = 10). Both groups were treated with routine chest care in the Pediatric Intensive Care Unit. In addition, the early intervention group included neck postural and movement activities for 20 minutes per day for 5 days for 4 weeks. Results: One outcome concentrated on neck control by using a clinical rating scale for head control (HCS), and another outcome concentrated on gross motor milestones (lying and rolling components) by using the Gross Motor Functional Measure (GMFM-88). Both groups were similar at baseline, with a p-value of 0.8493 in HCS and 0.56866 in GMFM. Following improvement in head control, the GMFM score improves from 29% to 74% in the conventional group. Early intervention groups progressed from 25% to 89%. Conclusion: Early intervention programs concentrated on post-tracheostomy infants showed significant improvement in the development of neck control and rolling. And organized head movement in space was noted when compared to conventional groups.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
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