Occupational Therapy in the Neonatal Intensive Care Unit for a Neonate with Perinatal Stroke: A Case Report.
OBJECTIVE
This case report describes an occupational therapy intervention based on synactive theory for a neonate born full-term with a diagnosis of perinatal stroke.


METHODS
Occupational therapy was provided 4-5 times a week for 3 weeks. The focus was improving infant state regulation and motor skills to support developmentally appropriate behaviors through environmental modifications, positioning, guided progression of sensory stimulation, and promotion of motor and postural skills.


RESULTS
At discharge on day 24, the infant had improved state regulation, behavioral organization, and motor performance.


CONCLUSIONS
Occupational therapy based on synactive theory was an effective therapeutic approach for improving the behavioral and motor organization of a full term infant diagnosed with perinatal stroke.
a Department of Rehabilitation Medicine , Thomas Jefferson University Hospital , Philadelphia , Pennsylvania , USA.
Cecilia
C
Roan
b Department of Occupational Therapy , Thomas Jefferson University , Philadelphia , Pennsylvania , USA.
Alison
A
Bell
D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007363:Intensive Care Units, Neonatal; D009048:Motor Skills; D009788:Occupational Therapy / Q000379:methods*; D011247:Pregnancy; D020521:Stroke / Q000628:therapy*; D000071939:Stroke Rehabilitation / Q000379:methods*
KEYWORDS. Occupational Therapy; developmental interventions; infant; neonate; neurobehavioral organization; synactive theory