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Published on: January 7, 2020
Therapeutic encounters with preterm infants: interaction, posture and movement
Gunn Kristin Øberg1, Yvette Blanchard, Aud Obstfelder
1Department of Health and Care Sciences, Faculty of Health Sciences, University of Tromsø , Tromsø , Norway .
Insights
Physiotherapy for preterm infants benefits from understanding embodied interaction. Coordinated, meaningful engagement between therapist and infant enhances motor outcomes.
Area of Science:
- Pediatric physiotherapy
- Motor development in preterm infants
- Enactive intersubjectivity
Background:
- Physiotherapy is a key intervention for preterm infants with motor disorders.
- Limited understanding exists on how interactions influence therapeutic outcomes.
- Theoretical frameworks can enhance comprehension of these interactions.
Purpose of the Study:
- To explore the impact of individual and contextual actions in physiotherapy for preterm infants.
- To introduce theoretical principles for understanding patient-therapist interaction.
- To provide a framework for analyzing interactional components in pediatric physiotherapy.
Main Methods:
- Theoretical paper
- Phenomenology of the body
- Enactive intersubjectivity
Main Results:
- Social interaction and intentional actions are mutually influential in therapy.
- Embodied interaction and meaning generation are crucial for effective physiotherapy.
- Coordinated embodied interaction can improve motor performance in preterm infants.
Conclusions:
- Effective physiotherapy for preterm infants relies on dynamic, embodied interaction.
- Meaningful engagement between therapist and infant is a fundamental driving force.
- Enhanced motor performance is achievable through coordinated therapeutic encounters.
Background And Purpose:
Physiotherapy is a common intervention for preterm infants with motor disorders. There is a limited knowledge on how individual and contextual actions influence what is created and achieved in clinical encounters between physiotherapists and infants born preterm. In this theoretical paper the aim is to open a discussion for clinicians in pediatrics to take into consideration that patient interaction might have a significant impact for the outcome. Through introducing theoretical principles based on the phenomenology of the body and enactive intersubjectivity the paper provides a framework for better understanding the contribution that the interactional components in physiotherapy with preterm infants may have.
Conclusion:
The elaboration shows how social interaction and intentional actions influence each other in therapy. Accordingly, a fundamental driving force for effective physiotherapy intervention in preterm infants may involve a dynamical process of embodied interaction with the generation of meaning between physiotherapist and infant.
Clinical Implications:
Our elaboration suggests that a coordinated process of embodied interaction with preterm infants can enhance motor performance during therapeutic encounters.
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