Abstract
The present action research was conducted in order to promote initial movements and mutual interaction with a young child with the most profound and multiple disabilities and severe medical complications. The participant in the case study was a girl with campomelic dysplasia, who was 2 years 2 months old at the start of the study. She had been hospitalized for a long time in a neonatal intensive care unit (NICU). The study was conducted in 5 phases. In each phase after the initial baseline, music 2 was played, and her movements were confirmed by touch. Phase 1, Baseline: Observations of the child's initial movements while music 1 and music 2 were played. Phase 2: Her back was tapped like a dialogue. Phase 3: Her hand was tapped like a dialogue. Phase 4: She was given a vibrating toy, with co-active guidance in a dialogue. Phase 5: Vibrations were made on her body as an image of the vibrating toy, just after giving it to her. Observations indicated that the child expanded her initial movements gradually, and made intentional and stable movements as well. These results suggest that the intervention procedures may have been effective in promoting her movements and initiating her mutual interaction with a partner.
