Ignite Creation Date:
2024-10-26 @ 3:36 PM
Last Modification Date:
2024-10-26 @ 3:36 PM
Study NCT ID:
NCT06531330
Status:
COMPLETED
Last Update Posted:
None
First Post:
2024-07-24
Brief Title:
Use of Tools for Early Detection of Cerebral Palsy
Sponsor:
None
Organization:
None
Study Overview
Official Title:
Use of Tools for Early Detection of Cerebral Palsy A Study on Pediatric Physiotherapists in Turkey
Status:
COMPLETED
Status Verified Date:
2024-07
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
No
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
tooluse
Brief Summary:
High risk of infant is defined as an infant who has a history of negative environmental and biological factors and these factors can cause neuromotor development problems This group is a heterogeneous group that includes premature babies born under thirty-seven weeks term babies with low birth weight LBW or babies with developmental delays for various reasons These infants are also monitored for Cerebral Palsy CP CP is the most common physical disability in childhood with an incidence of 21 per 1000 birthsIn a 2017 clinical review of early diagnosis tools a group of international experts published best practice recommendations calling for early diagnosis to be made as a result of timely use of the recommended tools The diagnosis of CP is typically made by a physician between 12 and 24 months of age but in some cases it is delayed until 42 monthsCorrect and early use of the key tools required for early diagnosis may allow much earlier detection of CP for infants younger than 5 months or olderEarly detection and monitoring of infants in the community for CP is essential only with appropriate valid and reliable tools in order to minimize possible sequelae through timely implementation of CP-specific interventions According to international guidelines babies with high risk of CP should be followed up This follow-up should be done by an interdisciplinary team such as neonatologist pediatrician pediatric neurologist physiotherapist speech-language-swallowing therapist and special education specialist Pediatric physiotherapists are an important part of this team in terms of developmental follow-up and rehabilitation Therefore it is important that the awareness level of pediatric physiotherapists in this field in our country is sufficient they are equipped with various trainings and reach the international level In this way families at risk of CP can provide early guidance for their children ensure early diagnosis of CP and initiate treatmentThe aim of this study is to evaluate the use of early diagnostic evaluation tools in at-risk of infants between the ages of 0-2 at risk of CP in pediatric physiotherapy practice in Turkey
Detailed Description:
Prematures make up the majority of risky babies perinatal asphyxia hypoxic ischemic encephalopathy HIE periventricular leukomalacia PVL intraventricular hemorrhage IVH respiratory distress syndrome RSD bronchopulmonary dysplasia BPD hyperbilirubinemia viral infections fetal alcohol syndrome muscle tone disorders hydrocephalus and They may encounter risk factors such as microcephalyIt is important to detect early atypical neurodevelopmental findings that may occur in at-risk of infants at later ages and direct them to the necessary intervention programsIn this context all healthcare professionals in the follow-up of at-risk babies should follow developmental and medical follow-up guidelines and use various neuromotor assessment methods It is also stated in the guidelines of the American Academy of Pediatrics APA and the high-risk baby monitoring guide of the Turkish Neonatology Association that these babies should be monitored periodically by a teamThe importance of monitoring all premature infants especially very low birth weight VLBW babies 1500g at least twice in the first year of their lives with age-appropriate neuromotor and developmental evaluations is emphasized In this way infants By determining motor sensory cognitive and social developmental delays developmental problems in later ages can be predicted In addition physiotherapy and rehabilitation or special education needs can be determined in terms of early intervention and motor development and early referral to appropriate support programs can be providedThe 3 methods with the best predictable validity that can determine CP before the corrected 5-month period are Neonatal MRI 86-89 sensitivity Prechtls GMs Evaluation 98 sensitivity HINE 90 sensitivity Using the HINE test alone was also found to be reliable in determining the development of CP In recent years studies have shown that the diagnosis of high-risk CP can be detected at the 3rd month with predictive validity and reliability by evaluating the quality of Prechtls GMs movementsEarly physiotherapy and rehabilitation in CP includes approaches starting from the neonatal period and up to 24 months The main aim is to provide normal functional movements and normal sensory input by using the rapid learning ability resulting from brain plasticityVelde et al In order to implement a new evidence-based clinical guideline for early diagnosis in Australia a study aimed to determine the age at diagnosis suitability for recommended tests and acceptability of the early diagnosis clinic for parents and referrers by following patients according to international guidelines estimated CP diagnosis between 4-8 months They showed The follow-up clinic in this study was found to be highly acceptable to parents and referrers During this follow-up period pediatricians had the highest referral rates 39 followed by auxiliary healthcare professionals 31 primary caregivers 14 and other healthcare professionals 16In a study conducted among American pediatricians it was stated that there was uncertainty about how to diagnose and refer babies with motor delays and variability in knowledge and practices regarding the identification of motor delays in these babies A study conducted with clinicians pediatricians physiotherapists and occupational therapists in New Zealand investigated current clinical practices regarding awareness and use of diagnostic tools for the detection of CP Despite high awareness of the risk of CP in New Zealand current use of international best practice tools in the clinic has been observed to be low Clinicians who do not make diagnoses within their professional roles also reported that the assessment tools were rarely used with 74 never using GMs or HINE and 54 in assessing children at risk for CP Barriers to use have been cited as lack of time or funding lack of clear guidelines and inadequate management support In a study conducted with pediatric physiotherapists in Spain the average age at which CP was suspected was 126 months To evaluate and diagnose the risk of CP most physiotherapists stated that they used the childs clinical history 881 AIMS 413 and Vojta Assessment Procedure 321 In Spain physiotherapists were found to rarely use GMs 257 and HINE 284 These results showed that pediatric physiotherapists in Spain rely on clinical history and older tools to identify children with CPIn this study it was aimed to determine the awareness levels about the importance of the use of these tools in terms of early diagnosis and intervention in CP in Turkey the frequency of use and the reasons for the obstacles if they cannot be used In this context the awareness levels of physiotherapists in Turkey will be determined through a digital survey administered digitally to pediatric physiotherapists in Spain and translated into Turkish after obtaining the necessary permissions
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None