The purpose of the present study is to document the possible effects of the prevalence of positional preference and DP, positional and motor asymmetry, interventions, and postional habits in the first two years of age, on the motor development,…
ID
Source
Brief title
Condition
- Other condition
- Bone disorders (excl congenital and fractures)
Synonym
Health condition
groei en motorische ontwikkeling
Research involving
Sponsors and support
Intervention
Outcome measures
Primary outcome
Data collection:
Possible determinants are gathered: child factors (age, gender), environmental
factors (family, sleep, feeding), educational factors (positioning at day and
night time), activities, intervention (pediatric physical therapy),
anthropometric variables and motor development.
Primary outcome at five years of age:
Skull shape by using plagiocephalometry.
Secondary outcome
Secundary outcome at five years of age:
1. Qualitative and quantitative motor development by using the M-ABC II test.
2. Cervical range of motion by using an arthrodial protractor (goniometry).
3. Perception: questionnaires regarding asymmetry, skull deformation and motor
development.
Background summary
The recommendations that healthy term infants should be positioned on their
side or back to sleep, to prevent sudden infant death syndrome, led to a rise
in the prevalence of deformational plagiocephaly and positional preference. In
a former study, a cohort of infants is followed prospectively till 24 months of
age. The study supports the hypothesis that specific nursing habits as well as
motor development and positional preference are primarily associated with the
development of DP. Furthermore a four-month standardized pediatric physical
therapy program on positional preference reduces significantly the prevalence
of severe deformational plagiocephaly compared to usual care.
Frequently it is suggested in peer reviewed literature as well as in public
literature, internet, etc., that positional preference and skull deformation in
infancy should lead to permanent negative consequences later. Several
therapeutic professionals use this hypotheses to underpin their practices, even
without scientific evidence. There are no scientific studies concerning long
term effects of skull deformation in infancy.
Study objective
The purpose of the present study is to document the possible effects of the
prevalence of positional preference and DP, positional and motor asymmetry,
interventions, and postional habits in the first two years of age, on the motor
development, cervical range of motion, skull shape and parental perceptions at
five years of age.
Study design
Trans sectional study of 234 children of a cohort of 312 children (expected
respons 75%) who followed the prospectiev cohort study "Asymmetry in Infancy"
in Veghel, The Netherlands in the period dec 2004-sept 2007. The parents of all
312 children agreed with a future call for follow up assessments at five years
the age, when they finished the initial studiy at 24 months of age. The
assessement data at the ages 0 and 7 weeks, 6, 12 and 24 months of age will
operate as baseline data.
Study burden and risks
None.
Postbus 9101
6500 HB Nijmegen
NL
Postbus 9101
6500 HB Nijmegen
NL
Listed location countries
Age
Inclusion criteria
Trans sectional study of 234 children of a cohort of 312 children (expected respons 75%) who followed the prospectiev cohort study "Asymmetry in Infancy" in Veghel, The Netherlands in the period dec 2004-sept 2007. The parents of all 312 children agreed with a future call for follow up assessments at five years the age, when they finished the initial studiy at 24 months of age. The assessement data at the ages 0 and 7 weeks, 6, 12 and 24 months of age will operate as baseline data.
Inclusion: all of 312 children of the last assessments at 24 months of age will be called and with an expected respons of 75% we will assess 234 children.
Exclusion criteria
Children with syndromal diseases.
Design
Recruitment
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| ISRCTN | ISRCTN84132771 |
| CCMO | NL30937.091.09 |