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Effects of a neurodevelopmental treatment-based trunk protocol for infants with posture and movement dysfunction
Arndt SW, Chandler LS, Sweeney JK, Sharkey MA, McElroy JJ
Pediatric Physical Therapy 2008 Spring;20(1):11-22
clinical trial
4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

PURPOSE: This study was used to evaluate the efficacy of a neurodevelopmental treatment (NDT)-based sequenced trunk activation protocol for change in gross motor function of infants aged 4 to 12 months with posture and movement dysfunction. Infants who received a dynamic co-activation trunk protocol were compared with a control group who received a parent-infant interaction and play protocol. METHOD: A repeated measures randomized block design was used. A masked reliable examiner assessed infants before, immediately after, and 3 weeks after intervention using the Gross Motor Function Measure (GMFM). RESULTS: The NDT-based protocol group made significantly (p = 0.048) more progress than the control group from pretest to posttest. CONCLUSIONS: Cautious support was found for (1) sequenced, dynamic trunk co-activation intervention compared to generalized infant play; (2) high-frequency, short-term, task-specific intervention; and (3) direct service by NDT-trained pediatric therapists specializing in infant intervention.
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