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Kids' Health




Developmental Milestones for Infants
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Helping your child with language development at home

Physical and occupational therapy: Help for your premature baby

By Jan Simpson, OT/PT Services Manager
Children’s Hospital Rehabilitation Center

Every month in the first two years of life, babies learn new ways to move and explore. A premature baby will follow this learning pattern, too, but at a different speed. If your baby was born two months early, rolling, crawling, reaching and walking will happen later than for babies born on time. This is normal and expected. At two years of age, a premature baby should have the same skills as all other babies.

Sometimes premature babies are farther behind than they should be. This is called a developmental delay. They may need special help to learn to move or reach at the times a parent expects. If your doctor believes your premature baby needs help learning to play and move, you might be sent to a physical or occupational therapist who works with babies and young children.

A physical therapist can help babies gain the strength they need to hold their heads and backs steady to sit and roll. Physical therapists give parents exercises and play ideas to help babies learn movement, which helps babies explore. Occupational therapists can help babies learn to move their hands and fingers to play with toys, and they give parents exercises and play ideas to do at home with their babies. Playing with toys of all sizes, shapes and textures helps babies get ready for more difficult hand skills they will have to learn as they grow.

Occupational and physical therapists also can help when doctors are worried about the way a baby moves. Premature babies sometimes need help to move and reach without stiffness. They may need exercises to relax their arms and legs. Parents can learn ways to hold and position their premature babies to help them become more secure and calm.

If you have concerns about your baby’s ability to move and reach, talk to your doctor. He or she can give you information about development and can refer you to physical or occupational therapy to help you learn ways to work with your baby at home.

For more information on the services offered at the Children's Hospital Rehabilitation Center, call (865) 690-8961 or e-mail us. The address for the Rehab Center is 1025 Children's Way, Knoxville, TN 37922. We are located on the Children’s West campus at Pellissippi Parkway and Westland Drive, next to the Children’s West Surgery Center.

We invite your comments and questions. Please complete our comment form or visit our Phone Numbers page for departmental telephone listings.


Revised 9-28-07