Neonatal Physiotherapy Intervention

Introduction

A number of early intervention programs aimed at improving outcomes for infants born preterm have been studied.10–13 The most effective are those involving both the parent and the infant.6,13,14 Many of these interventions have demonstrated significant and lasting effects on cognitive and behavioral outcomes in infants.14 These programs commonly involve both physical therapists and parents6 with the aim of moving the infant or assisting the infant to move into a variety of positions, including facilitation of head and hands to midline

Music Therapy

It aims at relaxing and nurturing the infant as well as promoting safety and social interaction for the parent-infant dyad. A music therapist specially trained in CMT hums or sings in an infant-directed, improvised, lullaby style continually adjusting to the individual needs, expressions, and breathing pattern of the preterm infant. Based on the principles of family-integrated care, the family is incorporated individually in the therapeutic process, namely by delivering CMT during kangaroo care (KC) and by motivating and facilitating parental vocal interaction with their infant to strengthen the parent-infant bonding. CMT aims at relaxing, stimulating, and coregulating premature infants at a time when many other interventions are still risky and can overwhelm the vulnerable patient group. CMT may be advantageous not by educating and teaching parents, but rather by uncovering the intuitive capacities of parenting that are often overshadowed by the traumatic experience of preterm birth. However, CMT can only be provided when the infants are clinically stable. CMT with parental integration is feasible when parents are available and receptive to participate.

Massage Therapy

The results of this meta-analysis demonstrate that massage therapy significantly increases daily weight gain in preterm neonates, including low birth weight neonates and very low birth weight neonates. In addition, moderate pressure massage therapy versus light pressure massage therapy is found to greater daily weight gain in preterm neonates.

Parent AdministeredTherapy

https://onlinelibrary.wiley.com/doi/full/10.1111/dmcn.14485 (intervention)https://www.sciencedirect.com/science/article/abs/pii/S1744165X19300472 (intervention)

https://www.jove.com/t/60412/clinical-practice-protocol-creative-music-therapy-for-preterm-infants?fbclid=IwAR29fl3o37kzh69SUxvFs46v3Ix67HmKGX_KkcT6g7CuG7_eytnytEZOqKI (intervention)

https://www.sciencedirect.com/science/article/abs/pii/S1744388119302579 (intervention)

https://www.nature.com/articles/s41372-020-0597-1 (general)

https://academic.oup.com/ptj/article/100/5/860/5707308 (intervention .https://www.onlinescientificresearch.com/articles/physiotherapy-and-rehabilitation-approaches-to-premature-infants-in-neonatal-intensive-care-units.pdf (GREAT INTERVENTIN SUMMARu)

https://www.frontiersin.org/articles/10.3389/fresc.2022.893551/full (intervenn)https://www.researchgate.net/publication/38099700_Neonatal_Physical_Therapy_Part_I_Clinical_Competencies_and_Neonatal_Intensive_Care_Unit_Clinical_Training_Models (both wth flow charts)

add resources course- Sweeney JK, Heriza CB, Blanchard Y, Dusing SC. Neonatal physical therapy. Part II: Practice frameworks and evidence-based practice guidelines. Pediatric Physical Therapy. 2010 Apr 1;22(1):2-16.