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Physiotherapy

The role of a Neonatal Physiotherapist

Physiotherapy on the neonatal unit supports high-risk babies (those born prematurely and with birth complications) by promoting optimal brain and movement development through specialised handling, positioning, sensory stimulation and parent education. The aim is to prevent long-term motor issues and enhance developmental outcomes by creating a calm, nurturing environment and facilitate bonding between families and their baby.

Following discharge, neonatal and paediatric physiotherapists are an integral part of the multidisciplinary team involved with the enhanced developmental surveillance, also known as neurodevelopmental follow-up. Your physiotherapist will let you know which pathway your baby might follow and whether they meet criteria for enhanced developmental surveillance and support until they are two years of age.

Positioning your baby

Optimal positioning is a vital part of developmental care. It supports comfort, reduces stress, and promotes positive neurodevelopmental outcomes in both preterm and term infants. Wherever possible, infants should be positioned in flexed, midline and well-supported postures that approximate the intrauterine environment. This helps to facilitate self-regulation, musculoskeletal development, and overall well-being.

Positioning should always be individualised, considering each infant’s gestational age, medical condition and tolerance. The examples below are intended as guidance and should be adapted in consultation with the wider healthcare team.

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