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Key Distinctions between Neonatal Hydrotherapy and Therapeutic Bathing for Infants

Andrea Salzman, PT, MS

November 1, 2024

Question

What are the primary differences between neonatal hydrotherapy and therapeutic bathing?

Answer

The primary differences between neonatal hydrotherapy and therapeutic bathing lie in their purposes and execution. Therapeutic bathing, often referred to as swaddled bathing, primarily aims to clean, handle, and calm the infant without causing physical stress or temperature variations. It involves immersing the swaddled infant in warm water and gently washing each limb while keeping the rest of the body swaddled to maintain warmth and comfort. This process typically lasts between four to eight minutes and is usually conducted by nursing personnel. On the other hand, neonatal hydrotherapy, performed by physical or occupational therapists, focuses on improving physiological functions such as sleep, feeding behaviors, weight gain, and reducing pain. It involves more extensive and controlled movements in a larger tub to maximize the therapeutic benefits of water.

This Ask the Expert is an edited excerpt from the course "Neonatal Hydrotherapy and Therapeutic Bathing in the Neonatal Intensive Care Unit," presented by Andrea Salzman, MS, PT.

 

 

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andrea salzman

Andrea Salzman, PT, MS

Andrea Salzman, MS, PT, is the Founder and CEO of the Aquatic Therapy Foundation, Inc. (launched in 2026) and has served as the Executive Director of Aquatic Therapy University (ATU) since 2010. She graduated from the University of Alabama at Birmingham with a Master’s degree in physical therapy.

With over 30 years of experience as a licensed physical therapist, hands-on clinician, and educator, Salzman specializes in aquatics, geriatrics, patient motivation, and musculoskeletal and balance disorders. She has trained physical, occupational, and speech therapists worldwide in evidence-based aquatic therapy across pediatric, adult, neurologic, orthopedic, and cardiopulmonary populations. As a consultant, she has assisted hundreds of facilities during the start-up and training phases of their aquatic practices.

Salzman’s diverse background includes a decade as Vice President of the temporary staffing agency 10K Health, LLC, and eight years as adjunct faculty at St. Catherine University. A prolific contributor to her field, she has presented over 200 seminars, authored 300 articles, and served as Editor-in-Chief of the American Physical Therapy Association's (APTA) Journal of Aquatic Therapy. Her industry honors include being featured on the cover of Physical Therapy magazine and receiving the APTA's Judy Cirullo Award in recognition of her leadership and contributions to aquatic therapy practice.

Her life's work emphasizes translating the therapeutic properties of water into clinically defensible, functionally relevant interventions for all who find themselves standing at the water's edge.

To access ATU's global clearinghouse of information, visit www.aquatictherapyuniversity.com.

 


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