{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T20:35:51Z","timestamp":1790109351071,"version":"4.0.1"},"reference-count":40,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,9,18]],"date-time":"2024-09-18T00:00:00Z","timestamp":1726617600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec><jats:title>Introduction<\/jats:title><jats:p>Early intervention and parental education for preemies are limited in some low-income countries. Thus, this study aimed to assess whether daily tummy time (TT) associated with usual care (UC) enhances motor and cognitive development in preemies from low-income countries. The main and secondary aim was to assess prone head elevation (PHE) and motor and cognitive functions, respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Thirty-one preemies with a mean gestational age at birth of 33.3 \u00b1 1.6 weeks and weighing &amp;lt;2,500 g were included and 18 completed all assessments. Parents from the TT group were asked to perform TT with their preemies for at least 20 min during daily activities and playtime. Motor and cognitive functions were assessed by a blinded examiner using the motor and cognitive composite scores of Bayley-III after two and four months of corrected age. PHE was given by the angle from the tragus of the ear to the supporting surface of the infant; measurements were obtained using the Kinovea\u00ae software at baseline, after two, three, and four months of corrected age.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The Bayley-III motor composite score of the TT group was higher than the UC group after two and four months of corrected age. The PHE angle increased over time but did not differ between groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>Nevertheless, TT expanded the perspective of preemies to explore their bodies and environment, favoring the stimuli for motor and cognitive patterns. The loss of participants (31%) was one of the limitations of the study, illustrating the challenge of providing continued early interventions to preemies from low-income countries. In this sense, TT practice is a home intervention that may improve motor and cognitive function of preemies immediately after hospital discharge.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fpsyg.2024.1289446","type":"journal-article","created":{"date-parts":[[2024,9,18]],"date-time":"2024-09-18T13:32:37Z","timestamp":1726666357000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":5,"title":["Cognitive and motor improvement by tummy time practice in preemies from low-income settings: a randomized clinical trial"],"prefix":"10.3389","volume":"15","author":[{"given":"Sabrinne Suelen Santos","family":"Sampaio","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathalia Allana","family":"Amorim Rodrigues","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thalyson Luiz Gomes","family":"Souza","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia Raffin","family":"Moura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ingrid Guerra","family":"Azevedo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carolina Daniel","family":"Lima-Alvarez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvana Alves","family":"Pereira","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2024,9,18]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"141","DOI":"10.1146\/annurev-psych-010418-102836","article-title":"Motor development: embodied, embedded, enculturated, and enabling","volume":"70","author":"Adolph","year":"2019","journal-title":"Annu. Rev. Psychol."},{"key":"ref2","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1016\/j.earlhumdev.2018.05.004","article-title":"Kangaroo mother care and infant biopsychosocial outcomes in the first year: a meta-analysis","volume":"122","author":"Akbari","year":"2018","journal-title":"Early Hum. Dev."},{"key":"ref3","doi-asserted-by":"publisher","first-page":"563","DOI":"10.1016\/j.cnc.2018.07.010","article-title":"Neuroprotective care of extremely preterm infants in the first 72 hours after birth","volume":"30","author":"Altimier","year":"2018","journal-title":"Crit. Care Nurs. Clin. North Am."},{"key":"ref4","doi-asserted-by":"publisher","first-page":"e18519","DOI":"10.2196\/18519","article-title":"Understanding the steps toward Mobile early intervention for mothers and their infants exiting the neonatal intensive care unit: descriptive examination","volume":"22","author":"Baggett","year":"2020","journal-title":"J. Med. Internet Res."},{"key":"ref5","volume-title":"Bayley scales of infant and toddler development","author":"Bayley","year":"2006"},{"key":"ref6","doi-asserted-by":"publisher","first-page":"159","DOI":"10.1016\/j.earlhumdev.2015.01.001","article-title":"Kinematic measurement of 12-week head control correlates with 12-month neurodevelopment in preterm infants","volume":"91","author":"Bentzley","year":"2015","journal-title":"Early Hum. Dev."},{"key":"ref7","doi-asserted-by":"publisher","first-page":"144","DOI":"10.1007\/s40617-018-0212-5","article-title":"Effects of activation of preferred stimulus on tummy time behavior of an infant with down syndrome and associated Hypotonia","volume":"11","author":"Boutot","year":"2018","journal-title":"Behav. Anal. Pract."},{"key":"ref8","volume-title":"Aten\u00e7\u00e3o Humanizada ao Rec\u00e9m \u2013 Nascido \u2013 M\u00e9todo Canguru","author":"Brazil","year":"2017"},{"key":"ref9","article-title":"Atlas of human development","year":"2024"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"7403397010p1","DOI":"10.5014\/ajot.2020.743001","article-title":"Occupational therapy practice guidelines for early childhood: birth-5 years","volume":"74","author":"Clark","year":"2020","journal-title":"Am. J. Occup. Ther."},{"key":"ref11","author":"Dallal","year":"2013"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"e38355","DOI":"10.7759\/cureus.38355","article-title":"Kangaroo mother Care for low-Birth-Weight Babies in low and middle-income countries: a narrative review","volume":"15","author":"Dhage","year":"2023","journal-title":"Cureus"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"455","DOI":"10.3233\/BMR-170882","article-title":"Parameters characterizing the posture of preterm children in standing and sitting position un corrected proof version correct","volume":"33","author":"Drza\u0142-grabie","year":"2019","journal-title":"J. Back Musculoskelet. Rehabil."},{"key":"ref14","doi-asserted-by":"publisher","first-page":"103771","DOI":"10.1016\/j.midw.2023.103771","article-title":"The effect of kangaroo mother care or skin-to-skin contact on infant vital signs: a systematic review and meta-analysis","volume":"125","author":"Durmaz","year":"2023","journal-title":"Midwifery"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"3154","DOI":"10.3390\/s20113154","article-title":"Reliability of Kinovea \u00ae software and agreement with a three-dimensional motion system for gait","volume":"20","author":"Fern\u00e1ndez-Gonz\u00e1lez","year":"2020","journal-title":"Sensors"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"20","DOI":"10.1016\/j.jped.2019.05.002","article-title":"Effects of early interventions focused on the family in the development of children born preterm and\/or at social risk: a meta-analysis","volume":"96","author":"Ferreira","year":"2020","journal-title":"J. Pediatr."},{"key":"ref17","doi-asserted-by":"publisher","first-page":"411","DOI":"10.1016\/j.neubiorev.2018.05.009","article-title":"Early human motor development: from variation to the ability to vary and adapt","volume":"90","author":"Hadders-Algra","year":"2018","journal-title":"Neurosci. Biobehav. Rev."},{"key":"ref18","doi-asserted-by":"publisher","first-page":"88","DOI":"10.1016\/j.infbeh.2017.11.008.Child","article-title":"Correlates of tummy time in infants aged 0\u201312 months old: a systematic review","volume":"49","author":"Hewitt","year":"2017","journal-title":"Infant Behav. Dev."},{"key":"ref19","doi-asserted-by":"publisher","first-page":"684","DOI":"10.1111\/dmcn.14485","article-title":"Effect of neonatal therapy on the motor, cognitive, and behavioral development of infants born preterm: a systematic review","volume":"62","author":"Khurana","year":"2020","journal-title":"Dev. Med. Child Neurol."},{"key":"ref20","doi-asserted-by":"publisher","first-page":"106","DOI":"10.1097\/00004703-199304000-00005","article-title":"Prediction of the development of low birth weight preterm infants by a new neonatal medical index","volume":"14","author":"Korner","year":"1993","journal-title":"J. Dev. Behav. Pediatr."},{"key":"ref21","doi-asserted-by":"publisher","first-page":"1503","DOI":"10.1111\/cdev.12206","article-title":"Crawling and walking infants see the world differently","volume":"85","author":"Kretch","year":"2014","journal-title":"Child Dev."},{"key":"ref22","doi-asserted-by":"publisher","first-page":"935","DOI":"10.2522\/ptj.20110196","article-title":"Early intensive postural and MovementTraining advances head control in very young infants","volume":"92","author":"Lee","year":"2012","journal-title":"Phys. Ther."},{"key":"ref23","doi-asserted-by":"publisher","first-page":"1521","DOI":"10.1186\/s12913-022-08894-3","article-title":"\u2018They said, let's teach you how you are going to care for the child at home\u2026\u2019: caregivers' and healthcare worker's perceptions and experiences of post-discharge preterm care in eastern Uganda","volume":"22","author":"Lyne","year":"2022","journal-title":"BMC Health Serv. Res."},{"key":"ref24","doi-asserted-by":"publisher","first-page":"189","DOI":"10.1590\/1982-43272664201606","article-title":"Bayley-III scales of infant and toddler development: transcultural adaptation and psychometric properties","volume":"26","author":"Madaschi","year":"2016","journal-title":"Paid\u00e9ia (Ribeir\u00e3o Preto)"},{"key":"ref25","year":"2024"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"1","DOI":"10.3389\/fped.2022.981976","article-title":"Early care and support for young children with developmental disabilities and their caregivers in Uganda: the baby Ubuntu feasibility trial","volume":"10","author":"Nanyunja","year":"2022","journal-title":"Front. Pediatr."},{"key":"ref27","doi-asserted-by":"publisher","first-page":"3","DOI":"10.1007\/s11910-020-1022-z","article-title":"State of the evidence traffic lights 2019: systematic review of interventions for preventing and treating children with cerebral palsy","volume":"20","author":"Novak","year":"2020","journal-title":"Curr. Neurol. Neurosci. Rep."},{"key":"ref28","doi-asserted-by":"publisher","first-page":"1","DOI":"10.5281\/zenodo.2843847","article-title":"Validity and reliability of the Kinovea program in obtaining angles and distances using coordinates in 4 perspectives","volume":"14","author":"Puig-div\u0131","year":"2019","journal-title":"PLoS One"},{"key":"ref29","doi-asserted-by":"publisher","first-page":"38","DOI":"10.1542\/peds.2012-1662","article-title":"Part C early intervention for infants and toddlers: percentage eligible versus served","volume":"131","author":"Rosenberg","year":"2013","journal-title":"Pediatrics"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"2375","DOI":"10.3390\/ijerph20032375","article-title":"Effects of prone positioning on head control in preterm infants: randomized and controlled clinical trial protocol","volume":"20","author":"Sampaio","year":"2023","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"ref31","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1155\/2023\/4153523","article-title":"\u201cI am afraid of positioning my baby in prone\u201d: beliefs and knowledge about tummy time practice","volume":"2023","author":"Silva","year":"2023","journal-title":"Int. J. Pediatr."},{"key":"ref32","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1186\/s12887-016-0769-5","article-title":"Barriers and enablers of health system adoption of kangaroo mother care: a systematic review of caregiver perspectives","volume":"17","author":"Smith","year":"2017","journal-title":"BMC Pediatr."},{"key":"ref33","doi-asserted-by":"publisher","first-page":"138","DOI":"10.1111\/infa.12039","article-title":"Postural position constrains multimodal object exploration in infants","volume":"19","author":"Soska","year":"2014","journal-title":"Infancy"},{"key":"ref34","doi-asserted-by":"publisher","first-page":"467","DOI":"10.1016\/j.dhjo.2017.01.009","article-title":"Factors related to early intervention part C enrollment: a systematic review","volume":"10","author":"Twardzik","year":"2017","journal-title":"Disabil. Health J."},{"key":"ref35","doi-asserted-by":"publisher","first-page":"282","DOI":"10.1089\/bfm.2020.0358","article-title":"Positive effects of kangaroo mother care on long-term breastfeeding rates, growth, and neurodevelopment in preterm infants","volume":"16","author":"Wang","year":"2021","journal-title":"Breastfeed. Med."},{"key":"ref36","doi-asserted-by":"publisher","first-page":"188","DOI":"10.1097\/ANC.0b013e3181e9414b","article-title":"Understanding neurodevelopmental outcomes of prematurity","volume":"10","author":"Watson","year":"2013","journal-title":"Adv. Neonatal Care"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"68","DOI":"10.1097\/PEP.0000000000000335","article-title":"Importance of initiating a tummy time intervention early in infants with down syndrome","volume":"29","author":"Wentz","year":"2017","journal-title":"Pediatr. Phys. Ther."},{"key":"ref38","doi-asserted-by":"publisher","first-page":"76","DOI":"10.1111\/j.1651-2227.2006.tb02378.x","article-title":"WHO child growth standards 528 based on length\/height, weight and age","volume":"450","year":"2006","journal-title":"Acta Paediatr."},{"key":"ref39","volume-title":"Guidelines on physical activity, sedentary behaviour and sleep for children under 5 years of age","year":"2019"},{"key":"ref40","volume-title":"Born too soon: decade of action on preterm birth","year":"2023"}],"container-title":["Frontiers in Psychology"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyg.2024.1289446\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,18]],"date-time":"2024-09-18T13:32:39Z","timestamp":1726666359000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpsyg.2024.1289446\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,9,18]]},"references-count":40,"alternative-id":["10.3389\/fpsyg.2024.1289446"],"URL":"https:\/\/doi.org\/10.3389\/fpsyg.2024.1289446","relation":{},"ISSN":["1664-1078"],"issn-type":[{"value":"1664-1078","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,9,18]]},"article-number":"1289446"}}