Problemi speciali
Il “nido” migliora il movimento del neonato pretermine
“NEST” IMPROVES MOVEMENTS OF PRETERM INFANTS
Fabrizio Ferrari, Natascia Bertoncelli, Maria Federica Roversi, Licia Lugli,
Marisa Pugliese, Alberto Berardi, Claudio Gallo
Cattedra e Struttura Complessa di Neonatologia - Dipartimento Integrato Materno-Infantile
Università di Modena e Reggio Emilia - Azienda Ospedaliero-Universitaria di Modena
Gennaio 2009 - pagg. 27 -33
Abstract
Fragile and unstable preterm infants are exposed in the Neonatal Intensive Care Unit (NICU)
to a non-optimal physiological environment and to invasive procedures and handling,
which may induce pain and stress. One of the major aims of Individualized Developmental
Care is to promote age-adequate postures, thereby reducing the distressing conditions
of extrauterine life of preterm infants which may have negative effects on the immature
brain. The “nest”, adopted by most Italian NICUs, aims at stabilising body posture
and promoting movements towards the body, thus facilitating rest periods and sleep.
Parole chiave
Suggerite dall'AI
Classificazione MeSH
Bibliografia
1. Corchia C, Orzalesi M. Geographic variations
in outcome of very low birth weight infants
in Italy. Acta Paediatr 2007;96:35-8.
2. Krishnan ML, Dyet LE, Boardman JP, et al. Relationship between white matter apparent diffusion coefficients in preterm infants at term equivalent age and developmental outcome at 2 years. Pediatrics 2007,120:604-9.
3. Yung A, Poon G, Qui DQ, et al. White matter volume and anisotropy in preterm children: a pilot study of neurocognitive correlates. Pediatr Res 2007;61:732-36.
4. Mewes AUJ, Huppi PS, Als H, et al. Regional brain development in serial magnetic resonance imaging in low-risk preterm infants. Pediatrics 2006;118:23-33.
5. Nosarti C, Goiuroukou E, Healy E, et al. Grey and white matter distribution in very preterm adolescent mediates neurodevelopmental outcome. Brain 2008;131:205-17.
6. Morelius E, Hellström-Westas L, Carlén C, Norman E, Nelson N. Is a nappy changing stressful to neonates? Early Hum Dev 2006;82: 669-76.
7. Ferrari F, Bertoncelli N, Gallo C, et al. Posture and movement of healthy preterm infants in supine position in and outside the nest. Arch Dis Child Fetal Neonatal Ed 2007; 92:386-90.
8. Cuttini M, Maraschini A, Greisen G, et al. Developmental care for preterm neonates: a survey of practices in European neonatal units. Barcelona: ESPR, Book of Abstracts, 2006.
9. Fleisher BE, VandenBerg K, Constantinou J, et al. Individualized Developmental Care for Very Low-Birth-Weight Premature Infants. Clin Pediatr 1995;34:523-9.
10. Westrup B, Kleberg A, von Eichwald K, Stjernqvist K, Lagercrantz H. A randomized controlled trial to evaluate the effects of the newborn individualized developmental care and assessment program in a Swedish setting. Pediatrics 2000;105:66-72.
11. Prechtl HFR. General movement assessment as a method of developmental neurology: new paradigm and their consequences. The 1999 Ronnie McKeith Lecture. Dev Med Child Neurol 2001;43:836-42.
12. Prechtl HFR. Continuity of Neural Functions from Prenatal to Postnatal life. Clin Dev Med N. 94. Oxford: Blackwell, 1984.
13. Precthl HFR. Qualitative changes of spontaneous movements in fetus and preterm infant are a marker of neurological dysfunction. Early Hum Dev 1990;23:151-8.
14. Oppenheim RW. Ontogenetic adaptation in neural and behavioural development, towards a more ‘ecological’ development psychobiology. In: Prechtl HFR (Ed). Continuity of Neural Functions from Prenatal to Postnatal life. Clin Dev Med N. 94. Oxford: Blackwell, 1984:16-30.
15. Hopkins B, Prechtl HFR. A qualitative approach to the development of movements during early infancy. In: Prechtl HFR (Ed). Continuity of Neural Functions from Prenatal to Postnatal life. Clin Dev Med N. 94. Oxford: Blackwell, 1984:179-97.
16. Prechtl HFR, Bos AF, Cioni G, Einspieler C, Ferrari F. Spontaneous motor activity as a diagnostic tool. Demostration Video. London and Graz: The GM Trust, 1997.
17. Einspieler C, Prechtl HFR, Ferrari F, Cioni G, Bos AF. The qualitative assessment of general movements in preterm, term and young infants - review of the methodology. Early Hum Dev 1997;50:47-60.
18. Ferrari F, Cioni G, Prechtl HFR. Qualitative changes in general movements in preterm infants with brain lesions. Early Hum Dev 1990;23:193-233.
19. Ferrari F, Cioni G, Einspieler C, et al. Cramped synchronised general movements in preterm infants as an early marker for cerebral palsy. Arch Pediatr Adolesc Med 2002; 156:460-7.
20. Young J. Positioning premature babies. Nursing preterm babies in intensive care. Which position is the best? J Neon Nursing 1994;1:27-31.
21. Stevens B, Petryshen P, Hawkins J, Smith B, Taylor P. Developmental versus conventional care: a comparison of clinical outcomes for very low birth weight infants. Can J Nurs Res 1996;28:97-113.
22. Brown LD, Heermann JA. The effect of developmental care on preterm infant outcome. Appl Nurs Res 1997;10:190-7.
23. Symington A, Pinelli J. Developmental care for promoting development and preventing morbidity in preterm infants. Cochrane Database Syst Rev 2006;(2):CD001814.
24. Slevin M, Murphy JFA, Daly L, O’Keefe M. Retinopathy of prematurity screening, stress related responses, the role of nesting. Br J Ophthalmol 1997;81:762-4.
25. De Graaf-Peters VB, De Groot-Hornstra AH, Dirks T, Hadders-Algra M. Specific postural support promotes variation in motor behaviour of infants with minor neurological dysfunction. Dev Med Child Neurol 2006;48: 966-72.
26. Marlow N, Wolke D, Bracewell MA, Samara M. Neurologic and developmental disability at six years of age after extremely preterm birth. N Engl J Med 2005;352:9-19.
27. Ververs IA, Van Gelder-Hasker MR, De Vries JI, Hopkins B, Van Geijn HP. Prenatal development of arm posture. Early Hum Dev 1998;51:61-70.
28. Zoia S, Blason L, D’Ottavio G, et al. Evidence of early development of action planning in the human foetus: a kinematic study. Exp Brain Res 2006;21:217-6.
29. Ferrari F, Bertoncelli N, Roversi MF, Cattani S, Ori L, Ranzi A. Motor and Postural Behavior in Low-Risk Preterm Infants from 30-33 to 46-54 weeks postmenstrual age: an observational study. Prenat Neonat Med 2001;6:166-83.
30. Dubowitz LMS, Dubowitz V, Mercuri E. The neurological assessment of the preterm and full-term newborn infant. 2nd Ed. Clin Dev Med N. 148. Cambridge: Mac Keith Press, 1999.
31. Ferrari F, Roversi MF. Fattori di rischio pre, peri e neonatali e la “care” del neonato pretermine in Terapia Intensiva Neonatale. Riabilitazione Oggi 1998;8:7-14.
32. Woollacott M, Sveistrup H. The development of sensorimotor integration underlying posture control in infants during the transition to independence stance. In: Eds Interlimb Coordination: Neural Dynamical and Cognitive Constraints. City: Academic Press, 1994: 371-89.
33. Hadders-Algra M. The Neuronal Group Selection Theory: an attractive framework to explain variation in normal motor development. Dev Med Child Neurol 2000;42:566-72.
34. 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.
35. Buehler DM, Als H, Duffy FH, McAnulty GB, Liederman J. Effectiveness of individualized developmental care for low-risk preterm infants: Behavioral and electrophysiologic evidence. Pediatrics 1995;96:923-32.
36. Als H, Gilkerson L, Duffy FH, et al. A three center, randomized, controlled trial of individualized developmental care for very low birth weight preterm infants: medical, neurodevelopmental, parenting, and caregiving effects. J Dev Behav Pediatr 2003;24:399-408.
37. Als H, Duffy FH, McAnulty GB, et al. Early experience alters brain function and structure. Pediatrics 2004;113:846-57.
38. Smith KM, Butler S, Als H. Newborn Individualized Developmental Care Assessment Program (NIDCAP): changing the future for infants and their families in intensive and special care nursery. Ital J Pediatr 2007;33:79-91.
39. Kleberg A, Hellstrom-Westas L, Widstrom AM. Mothers’ perception of Newborn Individualized Developmental Care and Assessment Program (NIDCAP) as compared to conventional care. Early Hum Dev 2007;83: 403-11.
40. Als H, Lawhon G, Duffy FH, McAnulty GB, Gibes-Grossman R, Blickman JG. Individualized Developmental Care for the Very Low-Birth-Weight Preterm Infant: medical and neurofunctional effects. JAMA 1994;272: 853-8.
41. van der Pal SM, Maguire C, le Cessie S, Wit JM, Walther FJ. Parental experience during the first period at the neonatal unit after two developmental care interventions. Acta Paediatr 2007;96:1611-6.
42. Westrup B, Bohm B, Lagercrantz H, Stjernqvist K. Preschool outcome in children born very prematurely and cared for according to the Newborn Individualized Developmental Care Assessment Program (NIDCAP). Acta Paediatr 2004;93:498-507.
43. Kleberg A, Westrup B, Stjernqvist K, Lagercrantz H. Indications of improved cognitive development at one year of age among infants born very prematurely who received care based on the Newborn Indivualized Developmental Care Assessment Program (NIDCAP). Earl Hum Dev 2002;68:83-91.
44. Kleberg A, Westrup B, Stjernqvist K. Developmental outcome, child behaviour and mother-children interaction at 3 years of age following Newborn Individualized Developmental Care Assessment Program (NIDCAP). Earl Hum Dev 2000;60:123-35.
2. Krishnan ML, Dyet LE, Boardman JP, et al. Relationship between white matter apparent diffusion coefficients in preterm infants at term equivalent age and developmental outcome at 2 years. Pediatrics 2007,120:604-9.
3. Yung A, Poon G, Qui DQ, et al. White matter volume and anisotropy in preterm children: a pilot study of neurocognitive correlates. Pediatr Res 2007;61:732-36.
4. Mewes AUJ, Huppi PS, Als H, et al. Regional brain development in serial magnetic resonance imaging in low-risk preterm infants. Pediatrics 2006;118:23-33.
5. Nosarti C, Goiuroukou E, Healy E, et al. Grey and white matter distribution in very preterm adolescent mediates neurodevelopmental outcome. Brain 2008;131:205-17.
6. Morelius E, Hellström-Westas L, Carlén C, Norman E, Nelson N. Is a nappy changing stressful to neonates? Early Hum Dev 2006;82: 669-76.
7. Ferrari F, Bertoncelli N, Gallo C, et al. Posture and movement of healthy preterm infants in supine position in and outside the nest. Arch Dis Child Fetal Neonatal Ed 2007; 92:386-90.
8. Cuttini M, Maraschini A, Greisen G, et al. Developmental care for preterm neonates: a survey of practices in European neonatal units. Barcelona: ESPR, Book of Abstracts, 2006.
9. Fleisher BE, VandenBerg K, Constantinou J, et al. Individualized Developmental Care for Very Low-Birth-Weight Premature Infants. Clin Pediatr 1995;34:523-9.
10. Westrup B, Kleberg A, von Eichwald K, Stjernqvist K, Lagercrantz H. A randomized controlled trial to evaluate the effects of the newborn individualized developmental care and assessment program in a Swedish setting. Pediatrics 2000;105:66-72.
11. Prechtl HFR. General movement assessment as a method of developmental neurology: new paradigm and their consequences. The 1999 Ronnie McKeith Lecture. Dev Med Child Neurol 2001;43:836-42.
12. Prechtl HFR. Continuity of Neural Functions from Prenatal to Postnatal life. Clin Dev Med N. 94. Oxford: Blackwell, 1984.
13. Precthl HFR. Qualitative changes of spontaneous movements in fetus and preterm infant are a marker of neurological dysfunction. Early Hum Dev 1990;23:151-8.
14. Oppenheim RW. Ontogenetic adaptation in neural and behavioural development, towards a more ‘ecological’ development psychobiology. In: Prechtl HFR (Ed). Continuity of Neural Functions from Prenatal to Postnatal life. Clin Dev Med N. 94. Oxford: Blackwell, 1984:16-30.
15. Hopkins B, Prechtl HFR. A qualitative approach to the development of movements during early infancy. In: Prechtl HFR (Ed). Continuity of Neural Functions from Prenatal to Postnatal life. Clin Dev Med N. 94. Oxford: Blackwell, 1984:179-97.
16. Prechtl HFR, Bos AF, Cioni G, Einspieler C, Ferrari F. Spontaneous motor activity as a diagnostic tool. Demostration Video. London and Graz: The GM Trust, 1997.
17. Einspieler C, Prechtl HFR, Ferrari F, Cioni G, Bos AF. The qualitative assessment of general movements in preterm, term and young infants - review of the methodology. Early Hum Dev 1997;50:47-60.
18. Ferrari F, Cioni G, Prechtl HFR. Qualitative changes in general movements in preterm infants with brain lesions. Early Hum Dev 1990;23:193-233.
19. Ferrari F, Cioni G, Einspieler C, et al. Cramped synchronised general movements in preterm infants as an early marker for cerebral palsy. Arch Pediatr Adolesc Med 2002; 156:460-7.
20. Young J. Positioning premature babies. Nursing preterm babies in intensive care. Which position is the best? J Neon Nursing 1994;1:27-31.
21. Stevens B, Petryshen P, Hawkins J, Smith B, Taylor P. Developmental versus conventional care: a comparison of clinical outcomes for very low birth weight infants. Can J Nurs Res 1996;28:97-113.
22. Brown LD, Heermann JA. The effect of developmental care on preterm infant outcome. Appl Nurs Res 1997;10:190-7.
23. Symington A, Pinelli J. Developmental care for promoting development and preventing morbidity in preterm infants. Cochrane Database Syst Rev 2006;(2):CD001814.
24. Slevin M, Murphy JFA, Daly L, O’Keefe M. Retinopathy of prematurity screening, stress related responses, the role of nesting. Br J Ophthalmol 1997;81:762-4.
25. De Graaf-Peters VB, De Groot-Hornstra AH, Dirks T, Hadders-Algra M. Specific postural support promotes variation in motor behaviour of infants with minor neurological dysfunction. Dev Med Child Neurol 2006;48: 966-72.
26. Marlow N, Wolke D, Bracewell MA, Samara M. Neurologic and developmental disability at six years of age after extremely preterm birth. N Engl J Med 2005;352:9-19.
27. Ververs IA, Van Gelder-Hasker MR, De Vries JI, Hopkins B, Van Geijn HP. Prenatal development of arm posture. Early Hum Dev 1998;51:61-70.
28. Zoia S, Blason L, D’Ottavio G, et al. Evidence of early development of action planning in the human foetus: a kinematic study. Exp Brain Res 2006;21:217-6.
29. Ferrari F, Bertoncelli N, Roversi MF, Cattani S, Ori L, Ranzi A. Motor and Postural Behavior in Low-Risk Preterm Infants from 30-33 to 46-54 weeks postmenstrual age: an observational study. Prenat Neonat Med 2001;6:166-83.
30. Dubowitz LMS, Dubowitz V, Mercuri E. The neurological assessment of the preterm and full-term newborn infant. 2nd Ed. Clin Dev Med N. 148. Cambridge: Mac Keith Press, 1999.
31. Ferrari F, Roversi MF. Fattori di rischio pre, peri e neonatali e la “care” del neonato pretermine in Terapia Intensiva Neonatale. Riabilitazione Oggi 1998;8:7-14.
32. Woollacott M, Sveistrup H. The development of sensorimotor integration underlying posture control in infants during the transition to independence stance. In: Eds Interlimb Coordination: Neural Dynamical and Cognitive Constraints. City: Academic Press, 1994: 371-89.
33. Hadders-Algra M. The Neuronal Group Selection Theory: an attractive framework to explain variation in normal motor development. Dev Med Child Neurol 2000;42:566-72.
34. 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.
35. Buehler DM, Als H, Duffy FH, McAnulty GB, Liederman J. Effectiveness of individualized developmental care for low-risk preterm infants: Behavioral and electrophysiologic evidence. Pediatrics 1995;96:923-32.
36. Als H, Gilkerson L, Duffy FH, et al. A three center, randomized, controlled trial of individualized developmental care for very low birth weight preterm infants: medical, neurodevelopmental, parenting, and caregiving effects. J Dev Behav Pediatr 2003;24:399-408.
37. Als H, Duffy FH, McAnulty GB, et al. Early experience alters brain function and structure. Pediatrics 2004;113:846-57.
38. Smith KM, Butler S, Als H. Newborn Individualized Developmental Care Assessment Program (NIDCAP): changing the future for infants and their families in intensive and special care nursery. Ital J Pediatr 2007;33:79-91.
39. Kleberg A, Hellstrom-Westas L, Widstrom AM. Mothers’ perception of Newborn Individualized Developmental Care and Assessment Program (NIDCAP) as compared to conventional care. Early Hum Dev 2007;83: 403-11.
40. Als H, Lawhon G, Duffy FH, McAnulty GB, Gibes-Grossman R, Blickman JG. Individualized Developmental Care for the Very Low-Birth-Weight Preterm Infant: medical and neurofunctional effects. JAMA 1994;272: 853-8.
41. van der Pal SM, Maguire C, le Cessie S, Wit JM, Walther FJ. Parental experience during the first period at the neonatal unit after two developmental care interventions. Acta Paediatr 2007;96:1611-6.
42. Westrup B, Bohm B, Lagercrantz H, Stjernqvist K. Preschool outcome in children born very prematurely and cared for according to the Newborn Individualized Developmental Care Assessment Program (NIDCAP). Acta Paediatr 2004;93:498-507.
43. Kleberg A, Westrup B, Stjernqvist K, Lagercrantz H. Indications of improved cognitive development at one year of age among infants born very prematurely who received care based on the Newborn Indivualized Developmental Care Assessment Program (NIDCAP). Earl Hum Dev 2002;68:83-91.
44. Kleberg A, Westrup B, Stjernqvist K. Developmental outcome, child behaviour and mother-children interaction at 3 years of age following Newborn Individualized Developmental Care Assessment Program (NIDCAP). Earl Hum Dev 2000;60:123-35.
Corrispondenza: fabrizio.ferrari@unimore.it