Neurofunctional Study of Preterm Infants' Brain Activity

Study Overview
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Brief Summary
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During hospital stay, a family centered therapeutic approach is increasingly seen as the preferred clinical and care model to be adopted, since it is effective in promoting the neurobehavioral development of the infant and the psychophysical health of the family. In preterm infant, parental relationship and parental relationship-centered interventions, such as kangaroo mother care (KMC), are actively promoted. Studies carried out with electroencephalography showed that preterm infants who participated in KMC interventions have, when reach term equivalent age, a similar level of maturity as healthy full-term infants. It has also been observed that KMC carried out in preterm infant with gestational age <33 weeks promotes adequate development of the primary motor cortex during adolescence. Recent scientific evidence showed an early response to relational stimulations, in particular to their emotional content, of term infants. After few days of life, the infant's brain picks up messages from the human context and interacts with them. For example, a study using near-infrared spectroscopy (NIRS) showed increased activation of the right frontal cortex in infants in association with their mother's direct speech. Similar neuroimaging studies have not yet been conducted in preterm infants during hospitalization. The aim of this study is to assess the activation of the cerebral cortex of the preterm infant in the course of 1) KMC and 2) listening to their mother's voice, using optical topography, a multichannel NIRS system.

Official Title
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Neurofunctional Study of the Brain Activity of Preterm Infants During Family-centered Interventions

Conditions
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Brain Activity, Preterm

Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: gestational age at birth ≤32 weeks absence of brain injury and neurological problems newborn-mother pairs in KMC adherence to research by parents. Exclusion Criteria: contraindications to KMC and NIRS, according to internal protocol

Ages Eligible for Study
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Maximum Age: 28 Days

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Values of cortical oxy-haemoglobin (HbO2) during KMC in preterm infants | Multichannel near-infrared spectroscopy will be used to estimate cerebral cortex activation by measuring cortical oxy-haemoglobin (HbO2) values | During hospital stay, between 30 to 36 weeks of postmenstrual age | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Values of cortical oxy-haemoglobin (HbO2) during the experience of listening the mother's voice and the voice of an unknown woman in preterm infants | Multichannel near-infrared spectroscopy will be used to estimate cerebral cortex activation by measuring cortical oxy-haemoglobin (HbO2) values | During hospital stay, between 30 to 36 weeks of postmenstrual age | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Preterm infant, Kangaroo Mother care, family-centered interventions, near-infrared spectroscopy