挪威针对婴儿的物理治疗和手法治疗研究：一项关于转诊实践及计划干预措施的横断面研究

Focus on physiotherapy and manual therapy for infants in Norway, a cross-sectional study on referral practice, and planned interventions.

作者信息

Handeland Hege, Evensen Kari Anne Indredavik, Robinson Hilde Stendal

机构信息

Institute of Health and Function, Western Norway University of Applied Sciences, Bergen, Norway.

Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, Norway.

出版信息

BMC Pediatr. 2025 Apr 9;25(1):282. doi: 10.1186/s12887-025-05627-3.

DOI:10.1186/s12887-025-05627-3

PMID:40205420

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11984023/

Abstract

BACKGROUND

The Norwegian health care system has a mandatory program for close and systematically follow-up on all children, starting in early infancy through the Child Health Care Centers in the municipalities. Additionally, some infants are referred to physiotherapists and manual therapists for several reasons. Little is known about who is referring them and the cause for the referral. In Norway, physiotherapists working with infants can be employed in the communities or work in outpatient clinics, both are within the primary health care system. The main purpose of the present study was to explore the referral practice of infants to physiotherapy and compare those treated by physiotherapists and manual therapists in primary health care in Norway. Furthermore, to describe the planned interventions.

METHODS

Cross-sectional study including 444 infants (age under 12 months) referred to physiotherapists or manual therapists working in primary health care in Norway.

RESULTS

Median age (range) of the infants was 14 (1, 52) weeks and 344 were born at due date. Most infants examined by a physiotherapist were referred from other health personnel and more of the referrals to manual therapists were from parents due to their concern. Age at examination was between week 1-12 for 42% of the participants. Infants referred for motor development problems were equally distributed between the physiotherapists and manual therapists. All premature infants were referred to the physiotherapists. Concerning the interventions, both physiotherapists and manual therapists planned to use advice, handling, and stimulation. More of the physiotherapists reported to focus on advice related to motor development and the use of prone play.

CONCLUSION

The infants in Norway are referred to physiotherapists and/or manual therapists for numerous reasons, and the distribution of diagnoses between the therapists seem reasonable. Infants are mostly referred by other health personnel but also because of parents' own concern. Based on recommendations, some infants with asymmetries should be examined earlier.

TRIAL REGISTRATION

ClinicalTrials.gov Identifier NCT03626389. Registered on August 13th, 2018 (retrospectively registered).

摘要

背景

挪威医疗保健系统有一项强制性计划，从婴儿早期开始，通过各市镇的儿童保健中心对所有儿童进行密切且系统的随访。此外，一些婴儿因多种原因被转介给物理治疗师和手法治疗师。对于谁在转介他们以及转介原因知之甚少。在挪威，从事婴儿治疗工作的物理治疗师可受雇于社区或在门诊诊所工作，二者均属于初级医疗保健系统。本研究的主要目的是探讨婴儿转介至物理治疗的情况，并比较挪威初级医疗保健中接受物理治疗师和手法治疗师治疗的婴儿情况。此外，描述计划中的干预措施。

方法

横断面研究，纳入444名转介至在挪威初级医疗保健机构工作的物理治疗师或手法治疗师处的12个月以下婴儿。

结果

婴儿的中位年龄（范围）为14（1，52）周，344名婴儿足月出生。接受物理治疗师检查的大多数婴儿是由其他卫生人员转介的，而更多转介至手法治疗师的是因父母担忧由父母转介。42%的参与者检查时年龄在第1 - 12周。因运动发育问题转介的婴儿在物理治疗师和手法治疗师之间分布均匀。所有早产儿均被转介给物理治疗师。关于干预措施，物理治疗师和手法治疗师都计划采用建议、手法操作和刺激。更多物理治疗师报告侧重于与运动发育相关的建议以及俯卧位玩耍的使用。