Environment Enrichment Strategies for Pre- and Post-Term Infants: A Summarized Communication From Pediatric Physical Therapists.

IF 1.5 4区医学 Q3 PEDIATRICS Pediatric Physical Therapy Pub Date : 2025-04-01 Epub Date: 2025-03-11 DOI:10.1097/PEP.0000000000001187

Weiyang Deng, Elizabeth Hoffman, Jacklyn Stoller, Meaghan Rubsam, Madison Ku, Marielena Barbieri, Christina Lacci, Arun Jayaraman

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Abstract

Purpose: Environmental enrichment (EE) represents a dynamic approach to enhance infants' cognitive and motor development through augmented environment with stimulating, novel opportunities. Despite the recognized benefits of EE on neuromotor outcomes, its integration into early physical therapy interventions for infants at risk of neuromotor delays and disabilities remains under-defined and inconsistently applied in standard practice. This gap underscores the necessity for comprehensive guidance to systematically incorporate EE into early intervention programs and daily routines.

Summary of key points: This paper provides a preliminary framework for the integration of EE into the clinical and home environments for infants from birth to 1 year of age.

Recommendations for practice: With the 7 key components of EE, including sensory system stimulation (auditory, proprioceptive, tactile, vestibular, and visual stimulations), cognitive challenges, and social engagement, this framework aims to maximize cognitive and motor development for infants at both pre and post-term age by leveraging the principles of EE(Supplemental Digital Content,Video, available at: http://links.lww.com/PPT/A624 ).

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学龄前和产后婴儿环境富集策略：来自儿科物理治疗师的交流总结。

目的：环境富集（Environmental enrichment， EE）是一种动态的方法，通过提供刺激的、新颖的机会来增强婴儿的认知和运动发展。尽管情感表达对神经运动结果的益处得到了公认，但对于有神经运动迟缓和残疾风险的婴儿，其与早期物理治疗干预的结合仍然定义不清，在标准实践中的应用也不一致。这一差距强调了全面指导的必要性，以便系统地将情感表达纳入早期干预计划和日常生活。要点总结：本文提供了一个初步的框架，将情感表达整合到从出生到1岁的婴儿的临床和家庭环境中。实践建议：利用情感表达的7个关键组成部分，包括感觉系统刺激（听觉、本体感受、触觉、前庭和视觉刺激）、认知挑战和社会参与，该框架旨在利用情感表达的原则，最大限度地促进早产儿和早产儿的认知和运动发展（补充数字内容、视频，可在http://links.lww.com/PPT/A624获得）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Physical Therapy PEDIATRICS-REHABILITATION

CiteScore

1.50

自引率

18.80%

发文量

147

审稿时长

>12 weeks

期刊介绍： Pediatric Physical Therapy is an indexed international journal, that publishes peer reviewed research related to the practice of physical therapy for children with movement disorders. The editorial board is comprised of an international panel of researchers and clinical scholars that oversees a rigorous peer review process. The journal serves as the official journal for the pediatric physical therapy professional organizations in the Netherlands, Switzerland, New Zealand, Canada, and the United States. The journal includes articles that support evidenced based practice of physical therapy for children with neuromuscular, musculoskeletal, cardiorespiratory and developmental conditions that lead to disorders of movement, and research reports that contribute to the foundational sciences of pediatric physical therapy, ranging from biomechanics and pediatric exercise science to neurodevelopmental science. To these ends the journal publishes original research articles, systematic reviews directed to specific clinical questions that further the science of physical therapy, clinical guidelines and case reports that describe unusual conditions or cutting edge interventions with sound rationale. The journal adheres to the ethical standards of theInternational Committee of Medical Journal Editors.