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The Developmental Effects of NICU Positioning

This study has been completed.
Information provided by (Responsible Party):
Roberta Pineda, Washington University School of Medicine Identifier:
First received: June 19, 2012
Last updated: April 10, 2015
Last verified: April 2015
The purpose of this study is to investigate the developmental effects of two different types of positioning used with premature infants in the neonatal intensive care unit.

Condition Intervention Phase
Premature Birth of Newborn
Device: Dandle Roo/Dandle Wrap
Other: Traditional NICU Positioning
Phase 2

Study Type: Interventional
Study Design: Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Randomized Clinical Trial Investigating the Developmental Effects of Two Different Methods of Neonatal Positioning in the NICU

Further study details as provided by Washington University School of Medicine:

Primary Outcome Measures:
  • NICU Network Neurobehavioral Scale (NNNS) [ Time Frame: 35 to 41 weeks (term equivalent); prior to NICU discharge ] [ Designated as safety issue: No ]
    The NNNS wasl used to assess neurobehavioral outcome near term equivalent (between 35 weeks and 41 weeks postmenstrual age). This tool consists of eliciting neonatal reflexes and observing behavior. From the assessment, 13 summary scores were determined for each of the following constructs: habituation (1-9), orientation (1-9), self regulation (1-9), tolerance of handling (0-1), hypertonia (0-10), hypotonia (0-10), asymmetry (0-16), lethargy (0-15), excitability (0-15), sub-optimal reflexes (0-15), arousal (1-9), quality of movement (1-9) and stress (0-1). Each summary score is analyzed for associations with subsequent developmental outcome. A higher score in each category indicates more of that construct. Specifically, for the summary score of asymmetry (the significant finding in this study), higher scores equal more asymmetry.

Secondary Outcome Measures:
  • The Bayley Scales of Infant Development-3rd Edition (BSID-III) [ Time Frame: 6 months, 1 year, 2 years and 3 years ] [ Designated as safety issue: No ]
    The BSID-III is the gold standard for assessing developmental outcome in childhood. Domain scores for language, motor and cognition will be determined.

Enrollment: 100
Study Start Date: January 2011
Study Completion Date: December 2014
Primary Completion Date: December 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Active Comparator: Traditional NICU Positioning
Methods of positioning in the NICU have been used for several decades. These methods aim at providing containment and flexion and may consist of interventions such as swaddling, use of boundaries around the infant, rolled blankets, Snuggly®, or Bendy Bumper® The continued use of these methods of positioning is the control group in the current study.
Other: Traditional NICU Positioning
These methods aim at providing containment and flexion and may consist of interventions such as swaddling, use of boundaries around the infant, rolled blankets, Snuggly®, or Bendy Bumper®
Other Names:
  • Snuggly®
  • Bendy Bumper®
Experimental: Dandle Roo/Dandle Wrap
The new Dandle Roo and Dandle Wrap were developed by NICU professionals to support the neurodevelopment of the preterm infant, and this device is produced by Dandle Lion Medical. The Dandle Roo/Wrap provides all around contact, containment, and proprioceptive input, (which more closely mimics the uterine environment) and can decrease excitability and promote self-regulation, while also allowing for movement with recoil back to flexion.
Device: Dandle Roo/Dandle Wrap
Infant remains in the Dandle Roo/Dandle Wrap throughout the NICU stay when the infant is lying in the isolette or crib, but is taken out for hands on care times or when held.
Other Name: Dandle Roo; Dandle Wrap

  Show Detailed Description


Ages Eligible for Study:   up to 7 Days   (Child)
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Inclusion Criteria:Inclusion:

  • Premature infants born at or before 32 weeks gestation

Exclusion Criteria:

  • Congenital Anomaly
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT01628510

United States, Missouri
Barnes Special Care Nursery
St Louis, Missouri, United States, 63110
St Louis Children's Hospital
St Louis, Missouri, United States, 63110
Sponsors and Collaborators
Washington University School of Medicine
Principal Investigator: Roberta G Pineda, PhD OTR/L Washington University School of Medicine
  More Information

Responsible Party: Roberta Pineda, Research Assistant Professor, Washington University School of Medicine Identifier: NCT01628510     History of Changes
Other Study ID Numbers: 201111170 
Study First Received: June 19, 2012
Results First Received: December 17, 2013
Last Updated: April 10, 2015
Health Authority: United States: Institutional Review Board

Keywords provided by Washington University School of Medicine:

Additional relevant MeSH terms:
Premature Birth
Obstetric Labor, Premature
Obstetric Labor Complications
Pregnancy Complications processed this record on October 21, 2016