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dc.contributor.advisorØberg, Gunn Kristin
dc.contributor.authorHåkstad, Ragnhild Barclay
dc.date.accessioned2017-07-14T09:23:15Z
dc.date.available2017-07-14T09:23:15Z
dc.date.issued2017-06-15
dc.description.abstractIn Norway, PTs in the municipalities deliver family-centered services to preterm infants and their parents. In addition to the prevention, detection and treatment of motor impairments, PTs are expected to educate parents and help them adapt to life with a preterm infant. In this doctoral project, we investigated physical therapy for preterm infants and their parents during the first year post-hospital discharge. We aimed to identify elements that are essential to PTs’ promotion of preterm infants’ motor development and enablement of parents as caregivers for their child. The study was qualitative and we collected data via video-recorded observation of physical therapy sessions and individual interviews with PTs and parents. In the analysis, we connected to enactive theoretical perspectives regarding infant development and learning, sense-making and cooperation. Paper I demonstrated how the parents’ learning about their infant’s sensory-motor capabilities contributed to their coping abilities as caregivers for their preterm child. In paper II, we established the concept ‘enactive therapeutic sensory-motor play’, which describes how the PTs’ merging of targeted therapeutic actions with the infant’s initiatives and engagement can facilitate the infant’s playful learning of motor skills. In Paper III we investigated how the PTs’ collaborative, embodied-enactive clinical reasoning extended their therapeutic repertoire and enabled a tailoring of intervention to the infant’s and parent(s)’ needs. The papers demonstrate that both PTs and parents are important facilitators of the preterm infant’s motor achievements and need to work together in their exploration of how to improve the infant’s motor performance and engage the infant in playful motor learning. The therapeutic encounters include a multitude of interactional constellations in which the infant, parent(s) and PT can all be active participants or play the role of a third-party outsider. A skillful PT attends to these dynamics and allows for fluency in their mutual, cooperative learning of playful movement possibilities and skills.en_US
dc.description.doctoraltypeph.d.en_US
dc.description.popularabstractIn this project, we have investigated physical therapy for preterm infants and their parents during the first year post-hospital discharge. Based on observations of therapy sessions and interviews with physical therapist(PT)s and parents, we discovered how the PTs’ interactional skills can promote infant development and support parents in their new caregiver role. The PT’s merging of therapeutic actions with the infant’s play engagement facilitates motor improvements. When the parents get to be involvement in the therapeutic work, they can discover their infant’s capacities and skills. Therefore, PTs and parents need to work together in their exploration of how to engage the infant in playful motor learning. By this, the PT can teach the infant and parents new ways to interact, through which the infant can practice and develop new motor skills in daily life. These connections between interaction, play and learning must be known and integrated in PTs’ work with children and parents.en_US
dc.description.sponsorshipFond til etter- og videreutdanning av fysioterapeuteren_US
dc.descriptionThe paper III of this thesis is not available in Munin. <br> Paper III: Håkstad, R. B.: “A Qualitative Study of Clinical Reasoning in Physiotherapy with Preterm Infants and Their Parents: Action and Interaction”. (Manuscript).en_US
dc.identifier.urihttp://hdl.handle.net/10037/11254
dc.language.isoengen_US
dc.publisherUiT The Arctic University of Norwayen_US
dc.publisherUiT Norges arktiske universiteten_US
dc.rights.accessRightsopenAccessen_US
dc.subject.courseIDDOKTOR-003
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Fysioterapi: 807en_US
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800::Physiotherapy: 807en_US
dc.subjectbarnefysioterapien_US
dc.subjectpediatric physical therapyen_US
dc.subjectpremature barnen_US
dc.subjectpreterm infantsen_US
dc.titleInteraction and mutuality in physical therapy for preterm infants and their parentsen_US
dc.typeDoctoral thesisen_US
dc.typeDoktorgradsavhandlingen_US


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