Effects of continuous pillow use on cranial deformity and gross motor development in very low-birth weight infants at 3-months of corrected age

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  • Uchio Yuu
    Department of Rehabilitation, Tokyo Women's Medical University Department of Physical Therapy, Graduate School of Human Health Sciences, Tokyo Metropolitan University ［Present］ Department of Rehabilitation, Faculty of Health Sciences, University of Tokyo Health Science
  • Shima Naoko
    Department of Rehabilitation, Tokyo Women's Medical University
  • Nakamura Kaho
    Department of Rehabilitation, Tokyo Women's Medical University
  • Ikai Tetsuo
    Department of Rehabilitation Medicine, Tokyo Women's Medical University
  • nitta Osamu
    Department of Physical Therapy, Graduate School of Human Health Sciences, Tokyo Metropolitan University

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Other Title
  • 極低出生体重児に対する枕使用が修正 3 か月の頭部変形、粗大運動発達に及ぼす影響
  • ゴクテイ シュッショウ タイジュウジ ニ タイスル マクラ シヨウ ガ シュウセイ 3カゲツ ノ トウブ ヘンケイ 、 ソダイ ウンドウ ハッタツ ニ オヨボス エイキョウ

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Abstract

【Purpose】The objective of this study was to evaluate the effects of continuous use of a pillow on cranial deformity and development of gross motor functions in preterm infants. 【Methods】A prospective, comparative study design was adopted. Patients of this study were nine very low-birth weight （VLBW） infants with no neurological abnormalities. From April 2019 onwards, continuous use of a pillow was initiated in four of the infants, after discharge from the neonatal intensive care unit, up to a corrected age of 3 months. Patients were divided into two groups: pillow and non-pillow groups, consisting of four and five infants discharged prior to and after the introduction of continuous pillow use, respectively. We compared cranial deformity and development of gross motor functions in the two groups at a corrected age of 3 months. 【Results】Less asymmetrical cranial deformity was noted in the pillow group compared to that in the non-pillow group at a corrected age of 3 months. No significant intergroup differences were observed in the development of gross motor functions. 【Conclusion】Continuous use of a pillow in VLBW infants with no neurological abnormalities was effective in reducing the asymmetrical cranial deformity at a corrected age of 3 months, and its use did not affect the development of gross motor functions.

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