Synchronous vs. Asynchronous Telerehabilitation for High-Risk Infants

Exclusion Criteria

• •Presence of diagnosed genetic syndromes or metabolic diseases known to directly affect neuro-motor development.
• •Major congenital malformations causing significant movement restriction or exercise intolerance.
• •History of symptomatic hypoglycemia associated with severe brain injury during the neonatal period.
• •Sensory impairments (bilateral blindness or severe bilateral hearing loss not correctable with hearing aids) that prevent participation in assessments and exercises based on visual and auditory stimuli.
• •Acute or unstable clinical conditions that preclude the safe conduct of the intervention (e.g., continuous mechanical ventilation, hemodynamic instability, uncontrolled seizures, or active acute infections).
• •Non-adherence to the study protocol, defined as missing more than 6 intervention sessions.