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Neonatal physical therapy. Part II: Practice frameworks and evidence-based practice guidelines

Jane K Sweeney1, Carolyn B Heriza, Yvette Blanchard

  • 1Doctoral Programs in Pediatric Science, Rocky Mountain University of Health Professions, Provo, Utah, USA. apgar10@harbornet.com

Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association
|February 10, 2010
PubMed

Insights

This study presents frameworks for neonatal physical therapy using dynamic systems theory, the International Classification of Functioning, Disability and Health, and family-centered care. Emerging literature and evidence-based recommendations support practice.

Area of Science:

  • Neonatal physical therapy
  • Developmental neuroscience
  • Evidence-based practice

Background:

  • Neonatal physical therapy requires theoretical frameworks and evidence to guide practice.
  • Existing literature supports various aspects of neonatal care.

Purpose of the Study:

  • Outline frameworks for neonatal physical therapy using three theoretical models.
  • Describe emerging literature supporting neonatal physical therapy practice.
  • Identify evidence-based practice recommendations for neonatal physical therapists.

Main Methods:

  • Review of theoretical models including dynamic systems theory, International Classification of Functioning, Disability and Health, and family-centered care.
  • Synthesis of emerging literature on neonatal physical therapy examination, developmental care, intervention, and parent education.
  • Identification of practice recommendations with associated levels of evidence.

Main Results:

  • Established frameworks for neonatal physical therapy practice are presented.
  • Literature supports neonatal physical therapists in key practice areas.
  • Evidence-based practice recommendations are provided.

Conclusions:

  • Neonatal physical therapy possesses a theoretical and evidence-based foundation.
  • Emerging evidence supports specific clinical procedures.
  • Further research is crucial to advance the science and practice of neonatal physical therapy.
Abstract

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