Enactive explorations of children's sensory-motor play and therapeutic handling in physical therapy.
Enactive explorations of children's sensory-motor play and therapeutic handling in physical therapy.
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DOI：
10.3389/fresc.2022.994804
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发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Dusing, Stacey
中科院分区：
文献类型：
--
作者：
Hakstad, Ragnhild;Oberg, Gunn Kristin L.;Girolami, Gay C.;Dusing, Stacey
在儿科物理治疗中，关于治疗性处理的使用及其对运动学习的潜在影响一直存在争议。在这项研究中，我们建立在制定的理论观点，探讨在一个单一的物理治疗过程中，治疗处理与儿童的感觉运动游戏，参与和性能的作用。这是一项定性研究，基于对15名物理治疗师（PT）治疗两名0-3岁不同儿童的视频观察和访谈。作者利用了一个共同审查，讨论和反思会议的框架。主题被确定并用于描述PT的治疗处理展开的方式，与感觉运动游戏和学习理论的联系，沿着关于体现、经验、相互结合和代理感的积极观点。治疗性处理的特点和目的主要体现在两个方面：（1）位置和支撑;（2）引导运动。我们发现，当PT的处理与儿童的游戏兴趣和参与一致时，位置和支持促进了感觉运动的改善。作为游戏的一部分，孩子们使用新的和额外的支持表面，以自我启动更好的姿势和运动解决方案，并达到游戏目标。PT指挥动作的方式各不相同。为了唤醒孩子的好奇心，引导孩子自我驱动的运动探索，PT需要微妙，灵活，精确地指导运动。这就需要对儿童的信号作出反应，并掌握手的放置和压力方向的身体知识，使儿童能够积极参与并最终自我驱动运动。治疗处理，是相互之间合并PT和儿童可以丰富儿童的游戏，学习移动的过程中，提供新奇和促进儿童的自我发起的探索和完善运动的可能性的代理感。在PT努力将治疗处理与儿童游戏相结合的过程中，互动的动力可以打开运动体验和学习机会的新治疗窗口。
In pediatric physical therapy, there is an ongoing debate about the use of therapeutic handling and its potential effects on motor learning. In this study, we build on enactive theoretical perspectives to explore the role of therapeutic handling in connection to children's sensory-motor play, engagement, and performance during a single physical therapy session. This is a qualitative study based on video observations of therapy sessions and interviews with 15 physical therapists (PTs) each treating two different children aged 0–3. The authors utilized a framework of co-reviewing, discussing, and reflecting on the sessions. Themes were identified and used to describe the ways by which PTs’ therapeutic handling unfolds, with connections to theories on sensory-motor play and learning, along with enactive perspectives on embodiment, experience, mutual incorporation, and sense-of-agency. The characteristics and purposes of therapeutic handling are presented in two main themes: (1) position and support, and (2) directing movement. We found that position and support promoted sensory-motor improvement when the PTs’ handling aligned with the child's play interests and engagements. As part of play, the children used new and additional support surfaces to self-initiate better posture and movement solutions and reach play goals. The PTs’ ways of directing movements varied. To awaken curiosity and induce a child's self-driven motor exploration the PT needs to be subtle, flexible, and precise in the directing of movement. This entails responsiveness to the child's signals and bodily know-how in the placing of hands and direction of pressure to enable the child to actively participate in and eventually self-drive movement. Therapeutic handling that is mutually incorporated between PT and child can enrich the child's playing-to-learn-to-move process by providing novelty and facilitating the child's sense-of-agency in the self-initiated exploration and refinement of movement possibilities. In the PTs’ effort to merge therapeutic handling with children's play, the momentum of interaction can open new therapeutic windows of movement experience and learning opportunities.
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影响因子：
1.2
作者：
Dockett, Sue;Einarsdottir, Johanna;Perry, Bob
通讯作者：
Perry, Bob
影响因子：
5.4
作者：
Stilwell, Peter;Harman, Katherine
通讯作者：
Harman, Katherine
影响因子：
3.2
作者：
Dirks, Tineke;Blauw-Hospers, Cornill H.;Hadders-Algra, Mijna
通讯作者：
Hadders-Algra, Mijna
影响因子：
3.2
作者：
Leech KA;Roemmich RT;Gordon J;Reisman DS;Cherry-Allen KM
通讯作者：
Cherry-Allen KM
DOI：
10.3389/fresc.2022.893551
发表时间：
2022
期刊：
FRONTIERS IN REHABILITATION SCIENCES
影响因子：
--
作者：
Sorvoll, Marit;Oberg, Gunn Kristin L.;Girolami, Gay
通讯作者：
Girolami, Gay