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Letters and Responses |
To the Editor:
This is in response to the article in the September 1984 issue of PHYSICAL THERAPY entitled "Subject-Induced Reinforcement of Head Lifting in the Prone Position: A Case Report." I take no issue with the thrust of the article, that "self-induced, music-contingent feedback" can be an "effective method of reinforcing specific movement patterns without continual hands-on intervention." My concern is with the specific movement pattern the author chose to reinforce and the method by which she chose to do so.
Figure 1 accompanying the article shows the child in a prone position over a wedge. The text describes her on the wedge "with vertical dowels to maintain her arms in a forward position for possible weight bearing."
Weight bearing in the prone position on flexed elbows occurs around the fourth month of age in the development of the term child....
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Physical Therapy 1984 64: 1390-1392.
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