Evidence map›Paper›PMID 41916647›Full record

ArticleBMJ open2026

Evaluation of comparative efficacy of healthcare delivery by mothers versus trained healthcare workers in adjunct to Vojta therapy on clinical outcomes in neonates with respiratory distress syndrome: a protocol for randomised controlled trial.

Sharath Hullumani, Irshad Qureshi, Raghuveer Raghumahanti

Abstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Sharath HullumaniVice Dean (R&D), Doctoral Scholar, Datta Meghe Institute of Higher Education and Research Deemed to be University, Wardha, Maharashtra, India sharathhullumani@gmail.com.ORCID http://orcid.org/0009-0000-2926-5609
Irshad QureshiPaedaitrics and Neonatal Physiotherapy, Ravi Nair Physiotherapy College, Wardha, Maharashtra, India.
Raghuveer RaghumahantiPaedaitrics and Neonatal Physiotherapy, Ravi Nair Physiotherapy College, Wardha, Maharashtra, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionA common and serious illness that frequently necessitates specific respiratory and developmental assistance is Neonatal Respiratory Distress Syndrome (NRDS), which affects premature infants. A neurophysiological physiotherapy technique called Vojta therapy has demonstrated potential in enhancing neuromotor development and breathing patterns. However, the availability of qualified healthcare professionals frequently limits its administration. This gap might be closed by involving mothers as qualified caretakers, particularly in environments with limited resources. METHODS AND ANALYSIS: Comparing the effects of Vojta therapy administered by trained mothers against trained healthcare professionals on clinical, pulmonary and neurodevelopmental outcomes in neonates with NRDS is the goal of this randomised controlled experiment. Preterm neonates before 36 weeks of gestation who have stable vital signs (pulse rate (PR) 160-180 bpm, respiratory rate (RR) >60 or apnoea), mild to severe NRDS and no mechanical breathing will be included in this randomised controlled experiment. On the Silverman-Anderson Respiratory Severity Score, neonates must have a score between 1 and 7. Standardised training will be provided to mothers and healthcare professionals, and participation in care delivery will only be permitted for those who receive a score of ≥9/10 on a paediatric physiotherapy competency evaluation. Two groups will be formed at random from the participants. Group B will receive the Vojta Approach from a trained healthcare worker, whereas Group A will receive the Vojta Approach in conjunction with maternal participation in healthcare. The Hammersmith Infant Neurological Examination will be used to measure neurodevelopmental status, early feeding skills (as determined by the Early Feeding Skills Assessment Tool), oxygen saturation, PR, RR, Silverman-Anderson Score and length of hospital and neonatal intensive care unit stay. ETHICS AND DISSEMINATION: The study is approved by the Institutional Ethics Committee of Datta Meghe Institute of Higher and Research (DU) under ID: (DMIHER(DU)/IEC/2024/15) and by Clinical Trial Registry-India CTRI/2024/12/078619.

Indexed as

Delivery of Health CareHealth PersonnelMothersPhysical Therapy ModalitiesRespiratory Distress Syndrome, NewbornFemaleHumansInfant, NewbornInfant, PrematureRandomized Controlled Trials as TopicTreatment OutcomeClinical ProtocolsPaediatric cardiologyProtocols & guidelines

Identifiers

PMID41916647
PMCPMC13052531

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.