The Significance of Touch in Pediatric Physiotherapy.
The Significance of Touch in Pediatric Physiotherapy.
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DOI：
10.3389/fresc.2022.893551
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发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Girolami, Gay
中科院分区：
文献类型：
--
作者：
Sorvoll, Marit;Oberg, Gunn Kristin L.;Girolami, Gay
在过去的几十年里，理论框架的变化和儿科物理治疗的最新研究，已经围绕治疗触摸产生了争论。处理和实际操作引导（引导）的作用是什么或是否需要？它是否限制和/或干扰儿童的学习和发展？人们经常认为，治疗性触摸是一种被动和/或静态的方法，限制了残疾儿童在临床接触中的互动和活动，导致家庭、学校和社区参与减少。触摸甚至可能表现为胁迫和控制。在这种情况下，治疗性触摸主要与身体动手活动有关。然而，治疗性触摸也可以被理解为一种主体间现象，它源于运动、感知和动作之间的深层联系。我们认为，治疗性触摸的重要性及其对儿童物理治疗的影响尚未从这个更广泛，整体的角度考虑。在这篇理论论文中，我们将运用体现，感觉运动机构，协调和出现的积极概念，探讨物理治疗师的临床面对面接触儿童的触摸的概念和重要性。我们将在儿童从胎儿期到出生和成年的典型感觉运动发展的背景下进行讨论。此外，我们将依靠生物学，生理学和现象学的见解，以提供触摸的重要性和触摸在临床实践中的意义的扩展理解。
Change in theoretical framework over the last decades and recent research in pediatric physiotherapy, has created a debate surrounding therapeutic touch. What is the role of or is there a need for handling and hands-on facilitated guidance (facilitation)? Does it limit and/or interfere with children's learning and development? It is frequently argued that therapeutic touch represents a passive and/or static approach that restricts disabled children's participation during interaction and activity in clinical encounters leading to decreased home, school and community participation. Touch may even appear as coercive and controlling. In this context, therapeutic touch is largely associated with physical hands-on activities. However, therapeutic touch can also be understood as an intersubjective phenomenon that arises from a deep connection between movement, perception, and action. We believe the significance of therapeutic touch and its impact on physiotherapy for children has not been considered from this broader, holistic perspective. In this theoretical paper, we will apply enactive concepts of embodiment, sensory-motor agency, coordination, and emergence to explore the concept and importance of touch in physiotherapists‘ clinical face-to face encounters with children. We will frame the discussion within the context of the typical sensorimotor development of children from the fetal stage to birth on and into adulthood. Moreover, we will rely on biological, physiological, and phenomenological insights to provide an extended understanding of the importance of touch and the significance of touch in clinical practice.
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