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Therapeutic encounters with preterm infants: Interaction, posture and movement

机译:早产儿的治疗接触:互动,姿势和运动

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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.
机译:背景与目的:理疗是运动障碍早产儿的常见干预措施。关于个体和情境行为如何影响物理治疗师和早产儿在临床上的交往中创造和实现的行为的知识有限。在这篇理论论文中,其目的是为儿科临床医生展开讨论,以考虑到患者互动可能对结果产生重大影响。通过介绍基于人体现象学和积极的主体间性的理论原理,本文提供了一个框架,可以更好地理解早产儿理疗中相互作用成分的作用。结论:详细说明了社交互动和故意行为在治疗中如何相互影响。因此,在早产儿中进行有效的物理治疗的基本动力可能包括与物理治疗师和婴儿之间意义的产生发生相互作用的动力学过程。临床意义:我们的研究表明,与早产儿的具体交互作用的协调过程可以提高治疗过程中的运动表现。

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