Assessment and rehabilitation of infants

A prematurely born child matures in non-physiological conditions for its organism. Therefore, it is hard to expect that all stages of development will be exactly the same as in the case of a child born on time. The key to understanding the specifics and mysteries of the development of a premature child is not only the assessment of the biological age (sometimes also different from the corrected age), but also the rate of maturation of its organism, i.e. all the processes on the basis of which the child can acquire new skills.

The rehabilitation process has different levels of advancement, a different scope and type of intervention. This also applies to therapeutic techniques, which are basically only a therapist's tool. According to the principle: the technique is for the therapist, the child should not feel it, but learn to pursue their goals thanks to it. As for the goals - in the case of children, at every level of development - they can be arranged in an appropriate way, adequately to their needs, possibilities, limitations and interests.

Three levels of intervention:

  • Assisting in the processes of maturing the child's competences and skills
    It is a precisely planned and implemented way of arranging the environment and everyday activities of the child and the family, so as to ensure optimal conditions for its development. It is implemented when a premature baby shows developmental features justified by immaturity and history. One of the elements of supporting development is the Handling system. In short, these are universal, adaptable methods and strategies for dealing with the baby in all everyday activities: care, bathing, feeding, changing diapers and positions, lifting, carrying, putting away, playing and all possible events and activities that parents do in front of, with and for the child. These techniques also help facilitate the child's spontaneous activity. Handling is based on child handling techniques developed by the NDT-Bobath school of neurodevelopmental therapy. Without this element, it is difficult to imagine any stimulation of development, at any age and developmental level of a child.

  • Early development stimulation
    Basically every action towards another person is some kind of stimulation. In this case, however, it is about the techniques of modifying the child's behavior and activity with the use of precise techniques and arrangement of the environment, so as, on the one hand, to facilitate their activity at any time with the use of the most correct mechanisms of movement, posture and behavior. On the other hand, to limit the moments and activities in which the child uses incorrect, yet non-pathological mechanisms of movement, posture and behavior.

  • Therapy
    The most advanced, specialized form of intervention, which integrates into the previous two forms, additionally uses highly specialized techniques of individual therapy schools. The most advanced measures are recommended in the case of identified or highly probable serious disorders, dysfunctions or diseases and / or their possible complications.

Infant rehabilitation

  • Assessment of psychomotor development of premature babies and infants from high-risk groups.

  • Forecast of psychomotor development of premature babies and infants based on standardized assessment tests according to Prechtl and TIMP (Test of Infants Motor Performance).

  • Therapy of premature babies and infants at risk of developing cerebral palsy.

  • Therapy of premature babies and infants with tension disorders, postural asymmetry, psychomotor retardation.

  • Therapy of infants with congenital foot defects (clubfoot, horse foot).

  • Therapy of infants with torticollis.

  • Therapy of infants with perinatal damage to the shoulder plexus.

  • Therapy of infants with birth defects (meningeal hernia, arthrogryposis, achondroplasia, etc.).

  • Therapy of infants with genetic syndromes (Down syndrome, Lowe's syndrome, Prader-Willi syndrome, etc.).

  • Instruction on proper care and simple exercises and games for parents.

  • Kinesiotaping (therapeutic taping) supporting therapy.

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