Neonatal physical therapy. Part II: Practice frameworks and evidence-based practice guidelines.
OBJECTIVE
(1) To outline frameworks for neonatal physical therapy based on 3 theoretical models, (2) to describe emerging literature supporting neonatal physical therapy practice, and (3) to identify evidence-based practice recommendations.


CONCLUSIONS
Three models are presented as a framework for neonatal practice: (1) dynamic systems theory including synactive theory and the theory of neuronal group selection, (2) the International Classification of Functioning, Disability and Health, and (3) family-centered care. Literature is summarized to support neonatal physical therapists in the areas of examination, developmental care, intervention, and parent education. Practice recommendations are offered with levels of evidence identified.


CONCLUSIONS
Neonatal physical therapy practice has a theoretical and evidence-based structure, and evidence is emerging for selected clinical procedures. Continued research to expand the science of neonatal physical therapy is critical to elevate the evidence and support practice recommendations.
Doctoral Programs in Pediatric Science, Rocky Mountain University of Health Professions, Provo, Utah, USA. apgar10@harbornet.com
Jane K
JK
Sweeney
Carolyn B
CB
Heriza
Yvette
Y
Blanchard
Stacey C
SC
Dusing
D002657:Child Development / Q000502:physiology; D004185:Disability Evaluation; D004777:Environment; D019317:Evidence-Based Medicine; D005195:Family Relations; D005248:Feeding Methods; D006801:Humans; D018730:Infant Behavior / Q000502:physiology / Q000523:psychology; D007231:Infant, Newborn; D007363:Intensive Care Units, Neonatal / Q000458:organization & administration* / Q000592:standards; D008962:Models, Theoretical; D009048:Motor Skills / Q000502:physiology; D026761:Physical Therapy Specialty / Q000458:organization & administration* / Q000592:standards; D011187:Posture; D017410:Practice Guidelines as Topic; D016059:Range of Motion, Articular; D012931:Social Environment