Protocol Development for Infants with Orthopedic complications in the Neonatal Intensive Care Unit: Brachial Plexus Injuries and Clubfoot

Document Type


Publication Date


Publication Title

Journal of Occupational Therapy, Schools, and Early Intervention


Occupational Therapy


Currently, there is limited information to guide occupational therapy or physical therapy treatment of high-risk neonates with secondary orthopedic conditions in the Neonatal Intensive Care unit (NICU). This article describes one master of occupational therapy student capstone project that aimed to develop intervention protocols and parent education materials for the treatment of brachial plexus injuries (BPI) and clubfoot for a hospital NICU. A literature review and needs assessment were conducted to determine whether clinical practices and standards existed and to inform the development of the intervention protocols. The critical need to document, define, and examine best practices was validated. Clinical treatment protocols and parent education materials were developed and are presented.