Effectiveness of Developmental Intervention in the Neonatal Intensive Care Unit: Implications for Neonatal Physical Therapy
Abstract
In Brief Purpose: Interdisciplinary team members interact with infants to facilitate progressive physiologic stability. The focus of the physical therapist’s role is promotion of sensorimotor development in infants born preterm. The aim of this review was to examine evidence for physical therapist practice in the neonatal intensive care unit (NICU) as it relates to developmental intervention (DI) for infants born prematurely and to present the evidence of physical therapy techniques used in the NICU. Summary of Key Points: A literature review was performed resulting in identification of 26 articles that examined specific developmental intervention techniques. The articles were critiqued based on their design. Twelve articles were rated highly, indicating that sensory techniques implemented by physical therapists appear to be an appropriate and effective component of DI. The general consensus was that there is a lack of large, well-controlled, randomized studies in this area of pediatric outcome research. Conclusions: Neonatal physical therapy falls under the umbrella of DI. There is substantial agreement about the benefits of DI, but the multimodal and interdisciplinary nature of the evidence limits the ability to identify the effectiveness of any one healthcare professional in the provision of DI in the NICU. After conducting this literature review the authors conclude there is substantial agreement about the benefits of developmental intervention in the NICU, but the multimodal and interdisciplinary nature of the evidence limits the ability to identify the effectiveness of any one health care professional.
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Measurements of movement and physical activity can provide insights into sensorimotor development.
“Measurements of movement and physical activity specifically can provide insights into sensorimotor development12.”
From Skin-interfaced biosensors for advanced wireless physiological monitoring in neonatal and pediatric intensive-care units (2020) · cites this paper as [12]
The system's capabilities enable addressing aspects of neurological, respiratory, and pathological disorders common in premature neonates that can lead to abnormalities in vocalization, range of motion, and posture control.
“The capabilities of the system enable the ability to address aspects of neurological, respiratory, and pathological disorders that are common in premature neonates and can lead to abnormalities in vocalization, range of motion, and posture control12.”
From Skin-interfaced biosensors for advanced wireless physiological monitoring in neonatal and pediatric intensive-care units (2020) · cites this paper as [12]
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Chung, H. U., Rwei, A. Y., Hourlier-Fargette, A., Xu, S., Lee, K., Dunne, E. C., Xie, Z., Liu, C., Carlini, A., Kim, D. H., et al. (2020) · Nature Medicine · doi:10.1038/s41591-020-0792-9 · Cited by 482 · see citing works
- Authors
- Mahoney, M. C., & Cohen, M. I.
- Affiliations
- University of Miami (US)
- Corresponding author
- Cohen, Meryl I.
- ORCID
- Cohen, Meryl I.
- Venue
- Pediatric Physical Therapy
- Published
- 2005
- Volume
- 17
- Issue
- 3
- Pages
- 194-208
- ISSN
- 0898-5669 (ISSN-L)
- OpenAlex
- W1989263183
- Cited by
- 49
- References
- 53
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 1 · 2023: 1 · 2022: 4 · 2021: 6 · 2020: 2 · 2019: 3 · 2018: 3 · 2017: 6 · 2015: 2 · 2014: 1 · 2013: 7 · 2012: 1
- FWCI
- 0.12
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Pediatric Physical Therapy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Infant Development and Preterm Care
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Neonatal and fetal brain pathology
- Social Sciences › Psychology › Developmental and Educational Psychology › Children's Physical and Motor Development
- Keywords
- developmental intervention, neonatal physical therapy, neonatal intensive care unit, preterm infants, sensorimotor development, sensory stimulation, multidisciplinary care
- MeSH terms
- Developmental Disabilities, Health Facility Environment, Humans, Infant, Newborn, Infant, Premature, Institutional Practice, Intensive Care Units, Neonatal, Patient Care Team, Practice Patterns, Physicians', Outcome Assessment, Health Care, Physical Therapy Specialty
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