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Integrating Manual Edema Mobilization Within the NICU for Optimal Neuromotor Development

If you’ve never had the pleasure of learning from Holly Schifsky, please consider doing so. She is simply one of the best teachers I’ve had the privilege of learning from, and this topic is part of her genius zone.

Speaker: Holly Schifsky, OTR/L, CNT, NTMTC, CBIS Read more about Holly’s background, expertise, and training here.

Course Description: Edema management for infants in the NICU is a critical skill for the developmental specialist to facilitate infant level of arousal, proper positioning, and proper movement pattern development. Infants born prematurely have a high incidence of chronic lung disease and gastro esophageal reflux disease. These co-morbidities can lead to significant lower trunk and lower extremity dependent edema secondary to elevated positioning or poor fluid mobilization because of inefficient respiratory patterns.

This presentation provides you with the initial anatomical/physiological understanding of the development of the lymphatic and integumentary systems. There are patient case examples and video learning of the techniques with a variety of infant populations. A discussion on contraindications and family training for home program is included. Finally, advanced skills for the medically fragile older infant in the NICU are discussed.

*NOTE: This course provides initial education on a complex topic that requires additional training.

Target Audience: OT, SLP, PT, RN, and Neonatal professionals

Level: Intermediate


  1. Verbalize the anatomical/gestational development of the lymphatic and integumentary systems in the premature infant; and its effects on neonatal movement pattern development.
  1. Demonstrate fluid mobilization techniques to utilize with infants for the trunk, upper and lower extremities; to reduce positional and chronic edema.
  1. Identify additional positioning strategies for edema management for infants with Congenital Diaphragmatic Hernia, Congenital Chylothorax, Spinal Muscle Atrophy, and limb anomalies.

Instructional Method: Recorded webinar with case studies and handouts. Learning assessment and course evaluation follow course.

Access: NANT Members have immediate access to this course at no cost as a Member Benefit. To join and receive access to this course (and many more) as part of Membership, click here. To access this course as a non-Member, click here.

Continuing Education: 0.5 CE Hours*

*Note: Contact hours reflect the minimum number of hours or continuing education credit awarded per course. Actual number may vary by discipline and accreditation body. Please refer to each course description and the Certificate of Completion for more details.