Levine M S, Kliebhan L
Pediatrics. 1981 Aug;68(2):208-14.
Children with neuromuscular handicaps require the coordinated services of physicians and physical and occupational therapists. Physicians must be familiar with at least one therapy framework along with its major treatment techniques in order to understand how therapy can help a specific child and to follow the child's progress. The physician can use the same framework to structure his or her own motor system observations. Physician-therapist coordination is formalized in a written referral communication (prescription) which must be logical and clear. It should include these six elements: diagnosis, family picture, description of observed movement abnormalities, functional goals, precautions, and intensity of therapy. The description of movement abnormalities can be based on neurodevelopmental treatment principles. Such a description will contain information on three focal areas: postural tone, movement patterns, and reflexes and reactions.
患有神经肌肉障碍的儿童需要医生以及物理治疗师和职业治疗师的协同服务。医生必须熟悉至少一种治疗框架及其主要治疗技术，以便了解治疗如何帮助特定儿童并跟踪其进展。医生可以使用相同的框架来构建自己对运动系统的观察。医生与治疗师的协调通过书面转诊沟通（处方）正式确定，该沟通必须合乎逻辑且清晰。它应包括以下六个要素：诊断、家庭情况、观察到的运动异常描述、功能目标、注意事项和治疗强度。运动异常的描述可以基于神经发育治疗原则。这样的描述将包含关于三个重点领域的信息：姿势张力、运动模式以及反射和反应。
