Intervention with the recently developed COPCA method improves developmental outocme at 6 and 18 months more than traditional types of early physiotherapeutical intervention.
ID
Bron
Verkorte titel
Aandoening
High risk of cerebral palsy indicated by the presence of definitely abnormal general movements at the corrected age of 3 months.
Ondersteuning
University Medical Centre Groningen
Postbus 30001 9700 RB Groningen
Bezoekadres Hanzeplein 1 Groningen
Prof. Dr. M. Hadders-Algra
Stichting Fonds de Gavere
Onderzoeksproduct en/of interventie
Uitkomstmaten
Primaire uitkomstmaten
Neuromotor condition.
Achtergrond van het onderzoek
The VIP project is designed for children with a high risk of the development of developmental disabilities.
Recently, it has been demonstrated that the quality of general movements (GM), i.e. complex movements which involve head, trunk and legs, at the age of 2 to 4 months corrected age has a predictive value for further developmental outcome.
Definitely abnormal GM’s at this age are associated with a high risk for the development of cerebral palsy. The early detection of infants at high risk offers the opportunity for intervention at young age during a phase in which the central nervous system is characterized by high plasticity.
A new type of intervention named COPCA, Coping with and Caring for infants with neurological dysfunction, is evaluated in this project.
The goals of the project are to evaluate the COPCA intervention on motor and psychosocial functioning of the child and autonomy of the child and its parents and to evaluate the application of COPCA in daily practice. To this end, 40 infants with definitely abnormal General Movements in the tenth week corrected age will be selected.
The children will be recruited from the children born in the UMC Groningen. After randomization these children will be allocated into two groups of 20 children, COPCA or control.
The effects of the COPCA intervention are determined at both short (during and immediately after intervention) and long term (1 year after the end of the intervention).
The evaluation focuses on 3 functional levels:
a) neuromotor functioning,
b) psychosocial functioning, including parent-infant interaction,
c) neurophysiological parameters of postural control.
Doel van het onderzoek
Intervention with the recently developed COPCA method improves developmental outocme at 6 and 18 months more than traditional types of early physiotherapeutical intervention.
Onderzoeksproduct en/of interventie
COPCA = COPing with and CAring for infants with neurological dysfunction.
Publiek
P.O. Box 30.001
M. Hadders-Algra
Hanzeplein 1
Groningen 9700 RB
The Netherlands
+31 (0)50 3614252
m.hadders-algra@med.umcg.nl
Wetenschappelijk
P.O. Box 30.001
M. Hadders-Algra
Hanzeplein 1
Groningen 9700 RB
The Netherlands
+31 (0)50 3614252
m.hadders-algra@med.umcg.nl
Belangrijkste voorwaarden om deel te mogen nemen (Inclusiecriteria)
Infants who have been referred to the NICU of the Beatric Children's Hosptial of the UMCG and who have definitely abnormal general movements at the corrected age of 3 months.
Belangrijkste redenen om niet deel te kunnen nemen (Exclusiecriteria)
1. Presence of severe congenital anomaly;
2.Inappropriate parental understanding of the Dutch language.
Opzet
Deelname
Opgevolgd door onderstaande (mogelijk meer actuele) registratie
Geen registraties gevonden.
Andere (mogelijk minder actuele) registraties in dit register
Geen registraties gevonden.
In overige registers
| Register | ID |
|---|---|
| NTR-new | NL323 |
| NTR-old | NTR361 |
| Ander register | : N/A |
| ISRCTN | ISRCTN85728836 |
Samenvatting resultaten
Hadders-Algra M, Dirks T, Blauw-Hospers C, De Graaf-Peters V. The Kozijavkin method: giving parents false hope? Lancet 2005; 365:842.<br>
Blauw-Hospers CH, Hadders-Algra M. A systematic review on the effects of early intervention on motor development. Dev Med Child Neurol 2005; 47: 421-32.