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Randomised controlled trial of PREMM: early somatosensory stimulation (massage) in preterm infants
Author(s) -
T MOULTON,
J BARNUM,
A NICHOLS,
E SALZMAN,
D GAEBLER-SPIRA,
M LAI,
G DACUNTO,
A GUZZETTA,
J FRIPP,
S ROSE,
N NGENDA,
K WHITTINGHAM,
A CHAN,
K SHEN,
R BOYD
Publication year - 2015
Publication title -
developmental medicine and child neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.658
H-Index - 143
eISSN - 1469-8749
pISSN - 0012-1622
DOI - 10.1111/dmcn.34_12886
Subject(s) - massage , somatosensory system , medicine , stimulation , physical medicine and rehabilitation , physical therapy , randomized controlled trial , anesthesia , pediatrics , psychology , alternative medicine , psychiatry , pathology
both cohorts. Children’s GMFM-66 scores were converted to ageand GMFCS-normed percentile scores, and compared using linear regression (adjusted for age, GMFCS and motor type). Domain scores from GMFM-88 were analyzed using age and gender matched cases from Australia to the Bangladesh sample. Results: Mean total GMFM-66 scores for each sample were lower in Bangladesh (38.4, SD=15.7) compared to Australia (50.5, SD 15.5). Children’s scores in Bangladesh remained significantly lower when converted to percentiles and compared accounting for GMFCS motor type and age (11 percentile units, p=0.025). The differences were significantly lower for children classified GMFCS level III (26.9 percentile units lower, p=0.005) and GMFCS IV-V (14.2 percentile units lower, p=.024). GMFCS I and II were not significantly different. The Australian sample was reflective of the normative data from the original Ontario Motor study. Conclusions/Significance: Children from Bangladesh have lower gross motor capacity when compared to Australian children of equivalent age and motor performance. Further studies are required to establish possible differences in motor growth curves in populations of children with CP in low resource settings. Use of GMFCS is helpful in optimizing service delivery and prioritizing appropriate early interventions for children with CP in these settings, however motor performance varies.