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J Phys Ther. 2013; 8(1): 12-17


Effects of Early Intervention on the Behavior of Premature Neonates- a clinical trial

Kirti Joshi a*, Anjali Puntambekar b..

Abstract
Objective:- To assess the effect of early intervention in the form of environment modification and maternal participation on the
behavior of premature neonates during the early extrauterine adjustment period .
Method:- 32 premature clinically stable neonates (gestational age 32-36 weeks), weighing between 1500-2500 grams were
enrolled in the study after taking their mother’s consent. 16 neonates each were assigned into two groups Control (A) and
Study group (B). The neonatal behavior assessment scale (NBAS) was administered to both the groups on the third day of
life. Both groups underwent standard nursery care. Group B additionally received early intervention in the form of positioning
and sensory motor stimulation by mothers under supervision. Both the groups were reassessed with NBAS after five days that
is on the eight day of life.
Results:- Group B showed significant improvement in the clusters of orientation (t=2.9), Autonomic stability (t=3.35) and
individual items of Cost of attention (t=2.78), Robustness and endurance (t=2.25), Regulatory capacity (t=2.98) and
Reinforcement value of infant behavior (t=3.0).
Conclusion:- The study shows that early intervention in the form of environment modification and maternal participation
enhances the self – organization and interaction and thus brings about a positive change in premature neonates behavior.

Key words: Premature neonates, maternal participation, environment modification, neonatal behavior assessment scale, neurophysiological development



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