(Fwd) Physiotherapy and premmy babies

Sally Edsall (SEDSALL@nswtf.org.au)
Fri, 29 Mar 1996 12:03:28 GMT+10


I would like to endorse the experiences some have had with 
physiotherapy and their premature babies.

Ben started seeing a physio when he came home from hospital (39 
weeks), and continued until just after his first birthday when he 
was walking.

Chris, the physio, is a specialist in pediatric physio. She sees 
many, many older children, in their early school years, who are 
experiencing difficulties in either behaviour or learning. Many of 
them are unable to concentrate, or deal inappropriately with 
situations.

Chris, and Ben's pediatrician put forward the theory that most very 
premature babies never experience the confines of the "foetal 
position" in the uterus, and never get the exercise involved in 
pushing against the uterine walls, experiencing resistance etc.

One extremely common feature exhibited in premmies, is they arch 
upwards and backwards when distressed and crying, and have difficulty 
in curling their back into the classis "baby clenching fists and 
drawing knees up" position. Anyone else recognise that?

The benefits that Ben had from physio seem to be enormous. Instead of 
lashing out , arms flaying in frustration when something was wrong, 
he seems to be able to control and "centre" himself much more 
efficiently.

Also, contrary to the advice hospitals give that premmies often feel 
more comfortable tightly wrapped, or swaddled, Ben totally rejected 
that, and that seems not uncommon too. Chris taught us some 
techniques to cope with colic which didn't involve wrapping.

I really believe that the hyper world of the NICU - beeps, buzzers, 
phones, lights on all the time, people walking past, medical 
interventions etc etc etc , combined with the interrupted experience 
of security and development in utero must play a huge part in our 
babies' start to life. For us, physio seemed to have really positive 
outcomes.

Sally