The Impact of a Novel Postural Supporting Device on Neuromotor and Behavioural Development of Premature Neonates: A Pilot Study

Introduction: Preterm neonates face significant challenges in neurobehavioural development compared to full-term neonates, as they often experience delayed motor coordination and cognitive development. Therapeutic positioning is an essential neurodevelopmental intervention in the Neonatal Intensive...

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Bibliographic Details
Main Authors: Dhwani Chanpura, Neha Mukkamala, Nalina Gupta
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2025-05-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/20946/78475_CE[Ra1]_F(SHU)_QC(AN_OM)_PF1(RI_SS)_redo_PFA(IS)_PN(IS).pdf
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Summary:Introduction: Preterm neonates face significant challenges in neurobehavioural development compared to full-term neonates, as they often experience delayed motor coordination and cognitive development. Therapeutic positioning is an essential neurodevelopmental intervention in the Neonatal Intensive Care Units (NICU), as it supports the infant’s posture and movement. Aim: To develop a new postural supporting device and evaluate its impact on the neuromotor development of premature neonates. Materials and Method: This pilot study was conducted at level III NICU at Dhiraj Hospital, Vadodara, Gujarat, India, from April 2024 to July 2024. Nine medically stable preterm neonates, within the first 72 hours of life and with a gestational age between 30 weeks 0/7 days and 36 weeks 6/7 days, who were referred for physiotherapy, were included in the study. Conventional physiotherapy intervention, along with positioning in a novel postural supporting device, was administered. After one week, their neuromotor behaviour was assessed using the neuromotor behavioural assessment scale. Results: All nine preterm neonates demonstrated significant improvement when comparing pre- and post-outcomes, with p-values of 0.007 for neurological components, 0.007 for behavioural components, 0.011 for autonomic components and 0.016 for motor components. Conclusion: The present study shows that the “New Postural Supporting Device” has a positive impact on neuromotor and behavioural organisation in premature neonates.
ISSN:2249-782X
0973-709X