The importance of static and dynamic signs of non-verbal communication with central nervous system of impaired children during the kinesitherapy treatment

Aim To investigate the importance of physiotherapist’s staticand dynamic signs of nonverbal communication in order toinfluence such protocol in the quality of interaction betweena physiotherapist and a central nervous system of an impairedchild, which can ultimately improve outcomes of kinesitherapytreatment.Methods During a three-month period, an internally createdprotocol was implemented. The group consisted of six patientsaged 11 months to 4 years of age, with multiple congenital sensory-motor deficiency of central nervous system. The Protocolincluded the implementation of eight precisely defined nonverbalphysical therapist behaviors in kinesitherapy treatment.The evaluation was made by a questionnaire.Results Subsequent to the application of internal protocol,parameters such as occurrence of crying at the beginning ofthe treatment, occurrence of crying during the treatment andmean value of three treatments in the last week taken afterthree months from the beginning of the Protocol application,show significant improvements.Conclusion The influence of nonverbal communication onthe interaction between a physiotherapist and a child and theoutcomes of kynesitherapy treatment, can be a base for furtherresearch in a multidisciplinary team.