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SPCI - Sociedade Portuguesa de Cuidados Intensivos

Revista Brasileira de Terapia Intensiva

AMIB - Associação de Medicina Intensiva Brasileira

OFFICIAL JOURNAL OF THE ASSOCIAÇÃO BRASILEIRA DE MEDICINA INTENSIVA AND THE SOCIEDADE PORTUGUESA DE CUIDADOS INTENSIVOS

ISSN: 0103-507X
Online ISSN: 1982-4335

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Johnston C, Stopiglia MCS, Ribeiro SNS, Baez CSN, Pereira SA. Resposta para: Primeira recomendação brasileira de fisioterapia para estimulação sensório-motora de recém-nascidos e lactentes em unidade de terapia intensiva. Rev Bras Ter Intensiva. 2022;34(2):310-311

 

 

2022 2022;34(02):310-311
AUTHORS’ RESPONSE

10.5935/0103-507X.20220033-en

Reply to: First Brazilian recommendation on physiotherapy with sensory motor stimulation in newborns and infants in the intensive care unit

Resposta para: Primeira recomendação brasileira de fisioterapia para estimulação sensório-motora de recém-nascidos e lactentes em unidade de terapia intensiva

Cíntia Johnston1, Mônica Carvalho Sanchez Stopiglia2, Simone Nascimento Santos Ribeiro3, Cristiane Sousa Nascimento Baez4, Silvana Alves Pereira5

1Faculdade de Medicina, Universidade de São Paulo - São Paulo (SP), Brazil
2Hospital da Mulher Prof. Dr. José Aristodemo Pinotti, Universidade Estadual de Campinas - São Paulo (SP), Brazil
3Faculdade de Ciências Médicas de Minas Gerais - Belo Horizonte (MG), Brazil
4Instituto Federal de Educação, Ciência e Tecnologia do Rio de Janeiro - Rio de Janeiro (RJ), Brazil
5Universidade Federal do Rio Grande do Norte - Natal (RN), Brazil

Conflicts of interest: None

Corresponding author: Silvana Alves Pereira, Departamento de Fisioterapia, Universidade Federal do Rio Grande do Norte, Campus Universitário Lagoa Nova, Zip code: 59078-970 - Natal (RN), Brazil E-mail: [email protected]

 

TO THE EDITOR

Historically, the roles and skills required for neonatal physical therapists were developed by the Pediatric Section of the American Physical Therapy Association (APTA) and were first published in 1989.(1) They were expanded in a 1999 publication (2) and updated in two publications by Sweeney et al.,(3,4) in the same Pediatric Section of APTA, reviewing functions, competencies, theoretical structures, emerging literature database and recommendations of evidencebased practices of neonatal physical therapy. These updates reflect the needs of contemporary neonatal physical therapy practice, respected by the authors in the preparation of the First Brazilian Recommendation of Physiotherapy for Sensory-Motor Stimulation for Newborns and Infants in Neonatal Intensive Care Units. (5)

To work in the neonatal intensive care unit (ICU), the physiotherapist needs specific training and refined skills in the evaluation, interpretation and modification of his or her conduct or continuous resequencing of physical therapy procedures aimed at infants with structural, physiological and behavioral vulnerabilities, which predispose them to instability during routine procedures.(3) The physical therapy approach should include evidence-based interventions and focus on care for the baby and his or her family.(3,4)

Other relevant international publications also support the evidence-based practice of physical therapy in the neonatal ICU to provide adequate care for developing infants and families in the neonatal ICU on a continuous basis.(6-11)

It is understood that the experts who participated in the development of the document have unquestionable technical and scientific capacity to prepare any document based on scientific evidence in the field of neonatal intensive care. In addition to the questions, the First Brazilian Physical Therapy Recommendation for Sensory-Motor Stimulation for Newborns and Infants in a Neonatal Intensive Care Unit(5) aims to describe the methods of sensorimotor stimulation and their levels of scientific evidence, and suction is a positive finding described in some of the included studies. The document did not aim to propose or teach physical therapy protocols or any other professional area, and there was no intention to simplify or maximize any intervention or finding, in addition to what was found in the scientific studies included in the recommendation (see inclusion criteria for the study).

All authors work in collaboration with speech therapists in routine care in the neonatal ICU and reinforce the esteem of the professional area and colleagues.

REFERENCES

Scull S, Deitz J. Competencies for the physical therapist in the neonatal intensive care unit (NICU). Pediatr Phys Ther. 1989;1(1):11-4.
Sweeney JK, Heriza CB, Reilly MA, Smith C, VanSant AF. Practice guidelines for the physical therapist in the neonatal intensive care unit (NICU). Pediatr Phys Ther. 1999;11(3):119-32.
Sweeney JK, Heriza CB, Blanchard Y; American Physical Therapy Association. Neonatal physical therapy. Part I: clinical competencies and neonatal intensive care unit clinical training models. Pediatr Phys Ther. 2009;21(4):296-307.
Sweeney JK, Heriza CB, Blanchard Y, Dusing SC. Neonatal physical therapy. Part II: practice frameworks and evidence-based practice guidelines. Pediatr Phys Ther. 2010;22(1):2-16.
Johnston C, Stopiglia MS, Ribeiro SN, Baez CS, Pereira AS. Primeira recomendação brasileira de fisioterapia para estimulação sensório-motora de recém-nascidos e lactentes em unidade de terapia intensiva. Rev Bras Ter Intensiva. 2021;33(1):12-30.
Byrne E, Garber J. Physical therapy intervention in the neonatal intensive care unit. Phys Occup Ther Pediatr. 2013;33(1):75-110.
Ross K, Heiny E, Conner S, Spener P, Pineda R. Occupational therapy, physical therapy and speech-language pathology in the neonatal intensive care unit: Patterns of therapy usage in a level IV NICU. Res Dev Disabil. 2017;64:108-17.
Byrne E, Campbell SK. Physical therapy observation and assessment in the neonatal intensive care unit. Phys Occup Ther Pediatr. 2013;33(1):39-74.
Chokshi T, Alaparthi GK, Krishnan S, Vaishali K, Zulfeequer CP. Practice patterns of physiotherapists in neonatal intensive care units: a national survey. Indian J Crit Care Med. 2013;17(6):359-66.
McManus BM, Chambliss JH, Rapport MJ. Application of the NICU practice guidelines to treat an infant in a level III NICU. Pediatr Phys Ther. 2013;25(2):204-13.
Mahoney MC, Cohen MI. Effectiveness of developmental intervention in the neonatal intensive care unit: implications for neonatal physical therapy. Pediatr Phys Ther. 2005;17(3):194-208.

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