Related Experiment Video

Updated: Feb 16, 2026

Clinical Practice Protocol of Creative Music Therapy for Preterm Infants and Their Parents in the Neonatal Intensive Care Unit
11:50

Clinical Practice Protocol of Creative Music Therapy for Preterm Infants and Their Parents in the Neonatal Intensive Care Unit

Published on: January 7, 2020

27.9K

A qualitative study of clinical reasoning in physiotherapy with preterm infants and their parents: Action and

Ragnhild B Håkstad1, Aud Obstfelder1,2, Gunn Kristin Øberg1

  • 1a Department of Health and Care Sciences, UiT - The Arctic University of Norway , Tromsoe , Norway.

Physiotherapy Theory and Practice
|January 9, 2018
PubMed

Insights

Pediatric physical therapists (PTs) develop clinical reasoning (CR) through interaction with preterm infants and their parents. This collaborative approach personalizes therapy but can be challenged by infant or parent factors.

Area of Science:

  • Pediatric Physical Therapy
  • Developmental Pediatrics
  • Clinical Reasoning

Background:

  • Primary healthcare physiotherapists (PTs) support preterm infants and families post-discharge.
  • Collaborative and individualized care is essential for this population.
  • This study examines PTs' collaborative work and clinical reasoning (CR) in practice.

Purpose of the Study:

  • To analyze pediatric PTs' collaborative work in primary healthcare settings.
  • To investigate the development of PTs' clinical reasoning (CR) during infant and parent interactions.
  • To understand how CR is co-created within the therapeutic relationship.

Main Methods:

  • Systematic content analysis of 20 physical therapy sessions.
  • 20 semi-structured interviews with pediatric PTs.
  • Enactive theory guided the analysis of interactions and meaning co-creation.

Main Results:

  • Clinical reasoning (CR) emerged dynamically through reciprocal interactions between PTs, infants, and parents.
  • Therapeutic approaches were individualized based on infant motor abilities, engagement, and parental needs for support and education.
  • Interactional CR was sensitive to factors like infant disengagement, parental expectations, and PT preoccupations.

Conclusions:

  • Mutuality and engagement foster the emergence of interactional autonomy, shaping therapeutic actions.
  • PTs facilitate successful therapeutic actions and co-learning with infants and parents through responsive interaction.
  • Understanding the dynamics of interactional CR is key to optimizing post-discharge physiotherapy for preterm infants.
Abstract

Keywords:
Clinical reasoning (CR)interactionparentspediatric physical therapypreterm infants

More Related Videos

Quantifying Learning in Young Infants: Tracking Leg Actions During a Discovery-learning Task11:18

Quantifying Learning in Young Infants: Tracking Leg Actions During a Discovery-learning Task

Published on: June 1, 2015

11.2K
Development of a Neonatal Piglet Acute Lung Injury Model Recreating the Early Environment of Preterm Infant Lungs08:58

Development of a Neonatal Piglet Acute Lung Injury Model Recreating the Early Environment of Preterm Infant Lungs

Published on: October 31, 2025

673

Related Concept Videos

Reason and Intuition01:37

Reason and Intuition

The human brain processes information for decision-making using one of two routes: an intuitive system and a rational system (Epstein, 1994; popularized by Kahneman, 2011 as System 1 and System 2, respectively). The intuitive system is quick, impulsive, and operates with minimal effort, relying on emotions or habits to provide cues for what to do next, while the rational system is logical, analytical, deliberate, and methodical. Research in neuropsychology suggests that the...
7.5K
Chest Physiotherapy01:24

Chest Physiotherapy

Chest Physiotherapy (CPT) is a therapeutic technique used in respiratory care to improve ventilation, clear bronchial secretions, and enhance the efficiency of respiratory muscles. This therapy includes three primary procedures: postural drainage, percussion, and vibration. It can be performed on spontaneously breathing patients and those who are intubated and mechanically ventilated.
Purpose
CPT is primarily used for patients with excessive bronchial secretions who have difficulty clearing...
1.9K
Reasoning01:30

Reasoning

Reasoning is the action of thinking about something in a logical, sensible way. It is integral to problem-solving, decision-making, and critical thinking. Reasoning can be inductive or deductive. Reasoning involves transforming information into conclusions, which is essential for problem-solving, decision-making, and critical thinking.
Inductive reasoning involves deriving generalizations from specific observations. This type of reasoning helps form beliefs about the world. For example,...
442
Qualitative Analysis03:46

Qualitative Analysis

For solutions containing mixtures of different cations, the identity of each cation can be determined by qualitative analysis. This technique involves a series of selective precipitations with different chemical reagents, each reaction producing a characteristic precipitate for a specific group of cations. Metal ions within a group are further separated by varying the pH, heating the mixture to redissolve a precipitate, or adding other reagents to form complex ions.
For instance, group IV...
25.2K
Qualitative Analysis01:10

Qualitative Analysis

Qualitative analysis is the process of identifying elements, ions, or compounds in an unknown sample. It is the first and most fundamental type of analysis based on the hierarchy of analytical goals. This hierarchy is significant as it provides a structured approach to scientific research, with qualitative analysis serving as the initial step, providing essential information before moving on to quantitative or other forms of analysis.
There are two main approaches to qualitative analysis:...
1.5K
Deductive Reasoning01:16

Deductive Reasoning

Deductive reasoning, or deduction, is the type of logic used in hypothesis-based science. In deductive reasoning, the pattern of thinking moves in the opposite direction as compared to inductive reasoning, which means that it uses a general principle or law to predict specific results. From those general principles, a scientist can deduce and predict the specific results that would be valid as long as the general principles are valid.
For example, a researcher can deduce specific predictions...
69.5K