PMID- 35341469 OWN - NLM STAT- MEDLINE DCOM- 20220823 LR - 20220926 IS - 1541-3144 (Electronic) IS - 0194-2638 (Linking) VI - 42 IP - 5 DP - 2022 TI - Telehealth Program for Infants at Risk of Cerebral Palsy during the Covid-19 Pandemic: A Pre-post Feasibility Experimental Study. PG - 490-509 LID - 10.1080/01942638.2022.2057209 [doi] AB - Aim: To verify the effects of a telerehabilitation program for infants at high risk for Cerebral Palsy (CP) during the COVID-19 pandemic.Method: Longitudinal study. Infants were aged 3-18 months corrected age, at risk of developmental delay. The General Movement Assessment or a neurologic examination were performed to identify the risk of CP. Motor function was assessed using the Gross Motor Function Measure-88 (GMFM-88) and the Alberta Infant Motor Scale (AIMS). Caregivers of infants at high risk of CP applied a home-based program supervised by a Physical therapist, five times a week over 12 weeks. The program included guidance for optimal positioning, optimization of goal-directed activities, environmental enrichment, and educational strategies.Results: 100 infants at risk for delayed motor development were recruited. Eighteen infants were classified at high risk of CP, and 10 families completed telerehabilitation (83% final retention rate). No adverse events were reported. Adherence to the telecare program was high (90%). The costs were low. We found increased scores for all dimensions and the total score of the GMFM-88, and the AIMS percentile at the end of the intervention. Most infants presented a clinically significant change for the GMFM-88.Conclusions: The telecare program was feasible. FAU - Schlichting, Tatiane AU - Schlichting T AUID- ORCID: 0000-0002-3712-9524 AD - Department of Health Science, Federal University of Santa Catarina, Ararangua, Santa Catarina, Brazil. FAU - Martins da Silva, Kaitiana AU - Martins da Silva K AUID- ORCID: 0000-0003-3902-2197 AD - Interdisciplinary Post-Graduation Program in Health Sciences, Federal University of Sao Paulo, Santos, Sao Paulo, Brazil. FAU - Silva Moreira, Rafaela AU - Silva Moreira R AUID- ORCID: 0000-0003-1973-834X AD - Department of Health Science, Federal University of Santa Catarina, Ararangua, Santa Catarina, Brazil. FAU - Marques de Moraes, Marcus Vinicius AU - Marques de Moraes MV AD - Department of Physical Therapy, Regional University of Blumenau, Blumenau, Santa Catarina, Brazil. FAU - Cicuto Ferreira Rocha, Nelci Adriana AU - Cicuto Ferreira Rocha NA AUID- ORCID: 0000-0002-3191-3086 AD - Departament of Physical Therapy, Federal University of Sao Carlos, Sao Carlos, Sao Paulo, Brazil. FAU - Boyd, Roslyn N AU - Boyd RN AUID- ORCID: 0000-0002-4919-5975 AD - Queensland Cerebral Palsy and Rehabilitation Research Centre, Faculty of Medicine, The University of Queensland, Brisbane, Queensland, Australia. FAU - Neves Dos Santos, Adriana AU - Neves Dos Santos A AUID- ORCID: 0000-0002-3763-4969 AD - Department of Health Science, Federal University of Santa Catarina, Ararangua, Santa Catarina, Brazil. LA - eng PT - Journal Article DEP - 20220327 PL - England TA - Phys Occup Ther Pediatr JT - Physical & occupational therapy in pediatrics JID - 8109120 SB - IM MH - *COVID-19 MH - *Cerebral Palsy/rehabilitation MH - Feasibility Studies MH - Humans MH - Infant MH - Longitudinal Studies MH - Motor Skills MH - Pandemics MH - *Telemedicine OTO - NOTNLM OT - Infants OT - cerebral palsy OT - physical therapy OT - rehabilitation OT - telehealth EDAT- 2022/03/29 06:00 MHDA- 2022/08/24 06:00 CRDT- 2022/03/28 05:25 PHST- 2022/03/29 06:00 [pubmed] PHST- 2022/08/24 06:00 [medline] PHST- 2022/03/28 05:25 [entrez] AID - 10.1080/01942638.2022.2057209 [doi] PST - ppublish SO - Phys Occup Ther Pediatr. 2022;42(5):490-509. doi: 10.1080/01942638.2022.2057209. Epub 2022 Mar 27.