Interventions for Motor Disorders in High-Risk Neonates

Lynda McNamara; Catherine Morgan; Iona Novak

doi:10.1016/j.clp.2022.11.002

Interventions for Motor Disorders in High-Risk Neonates

Clin Perinatol. 2023 Mar;50(1):121-155. doi: 10.1016/j.clp.2022.11.002.

Authors

Lynda McNamara¹, Catherine Morgan², Iona Novak³

Affiliations

¹ The Children's Hospital Westmead Clinical School, The University of Sydney, Locked Bag 4001, Westmead, Sydney, NSW 2145, Australia.
² Cerebral Palsy Alliance Research Institute, Specialty of Child and Adolescent Health, Sydney Medical School, The University of Sydney, PO Box 171, Forestville, Sydney, NSW 2006, Australia.
³ Cerebral Palsy Alliance Research Institute, Specialty of Child and Adolescent Health, Sydney Medical School, The University of Sydney, PO Box 171, Forestville, Sydney, NSW 2006, Australia. Electronic address: iona.novak@sydney.edu.au.

PMID: 36868702
DOI: 10.1016/j.clp.2022.11.002

Abstract

Early childhood affords rapid brain development and advancement of the motor system. In High-Risk Infant Follow-Up programs, watchful waiting and monitoring of infants at high risk is shifting toward active surveillance and early diagnosis, followed by immediate targeted very early interventions. Infants with delayed motor skills benefit from developmental care, NIDCAP, and generic or specific motor training. Infants with cerebral palsy benefit from enrichment, targeted skills interventions, and task-specific motor training at high intensity. Infants with degenerative conditions benefit from enrichment but also require accommodations such as powered mobility.

Keywords: Cerebral palsy; Degenerative; High-risk infants; Motor interventions; Occupational therapy; Physical therapy; Preterm.

Publication types

Review

MeSH terms

Cerebral Palsy*
Child, Preschool
Early Intervention, Educational
Humans
Infant
Infant, Newborn
Motor Disorders*