Effect of Early Intervention on Post Tracheostomy Infants on Developmental Delay

Authors

  • K.Preetha
  • Jagatheesan Alagesan
  • Senthil kumar N

DOI:

https://doi.org/10.37506/akrs4x83

Keywords:

Postural and movement training, Neck control exercises, High-risk infants, Clinical rating scale for head control, GMFM-88.

Abstract

Background: In the pediatric population, tracheostomy is most common to provide good ventilator support, and
that too is most commonly performed in the infant population. Tracheostomy is frequently associated with devices
such as ventilators, which can further interrupt the neck motion and this in turn, may also affect the gross motor
development.
Purpose: To determine the effectiveness of early intervention in post-tracheostomy infants with developmental
delays.
Materials and Methods: A randomized control trial was conducted with a total of 20 tracheostomy infants with a
mean age of 2 months. Subjects were randomized into the early intervention group (n = 10) and the conventional
group (n = 10). Both groups were treated with routine chest care in the Pediatric Intensive Care Unit. In addition,
the early intervention group included neck postural and movement activities for 20 minutes per day for 5 days
for 4 weeks.
Results: One outcome concentrated on neck control by using a clinical rating scale for head control (HCS), and
another outcome concentrated on gross motor milestones (lying and rolling components) by using the Gross
Motor Functional Measure (GMFM-88). Both groups were similar at baseline, with a p-value of 0.8493 in HCS and
0.56866 in GMFM. Following improvement in head control, the GMFM score improves from 29% to 74% in the
conventional group. Early intervention groups progressed from 25% to 89%.
Conclusion: Early intervention programs concentrated on post-tracheostomy infants showed significant
improvement in the development of neck control and rolling. And organized head movement in space was noted
when compared to conventional groups.

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Author Biographies

  • K.Preetha

    Post graduateSaveetha College of Physiotherapy, Saveetha Institute Of Medical and Technical Sciences, Chennai, Tamil Nadu, India.

  • Jagatheesan Alagesan

    Professor & Principal Saveetha College of Physiotherapy, Saveetha Institute Of Medical and Technical Sciences, Chennai, Tamil Nadu, India.

  • Senthil kumar N

    Assistant Professor, Saveetha College of Physiotherapy, Saveetha Institute Of Medical and Technical Sciences, Chennai, Tamil Nadu, India.

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Published

2024-01-21

How to Cite

Effect of Early Intervention on Post Tracheostomy Infants on Developmental Delay. (2024). Indian Journal of Physiotherapy & Occupational Therapy - An International Journal, 18(5), 261-267. https://doi.org/10.37506/akrs4x83