PEDIATRICS Vol. 68 No. 2 August 1981, pp. 208-214
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Communication Between Physician and Physical and Occupational Therapists: A Neurodevelopmentally Based Prescription

Michael S. Levine MD1 and Linda Kliebhan RPT1

1 Curative Rehabilitation Center and Departments of Pediatrics and Physical Medicine and Rehabilitation, Medical College of Wisconsin, Milwaukee

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 that child's progress. The physician can use that 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.

Submitted on August 4, 1980
Accepted on September 29, 1980




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