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Embedding Play to Enrich Physical Therapy.

Alyssa LaForme Fiss1, Ragnhild Barclay Håkstad2, Julia Looper3

  • 1School of Physical Therapy, Texas Woman's University, Dallas, TX 75235, USA.

Behavioral Sciences (Basel, Switzerland)
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Pediatric physical therapists can enhance interventions by embedding play, focusing on the child, environment, and family. This approach supports motor development and engagement for infants and toddlers with or at risk of delays.

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infantsphysical therapyplaytoddlers

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Area of Science:

  • Pediatric physical therapy
  • Child development
  • Play-based interventions

Background:

  • Play is crucial for infant and toddler development across multiple domains.
  • Children with or at risk of motor delays may face challenges with play engagement.
  • Play is a common modality in pediatric physical therapy for assessment and intervention.

Purpose of the Study:

  • To propose a framework for designing and implementing play-based physical therapy for infants and toddlers.
  • To identify key components for effective integration of play into pediatric physical therapy.

Main Methods:

  • A 3-day consensus conference was conducted.
  • A comprehensive literature review was performed.
  • A three-component model (child, environment, family) was developed.

Main Results:

  • Engaging the child involves respecting their state, following their lead, and adapting activities.
  • Structuring the environment includes appropriate toy selection to support independent movement and sustained play.
  • Family engagement requires respecting cultural practices and educating on play's learning value.

Conclusions:

  • Effective play-based physical therapy requires a holistic approach considering the child, environment, and family.
  • Therapists should partner with families to create individualized routines that scaffold play using motor skills.
  • This integrated approach can optimize therapeutic outcomes for children with motor delays.