Therapy services and specialized devices for conjoined twins: Unique challenges with conjoined twins and the importance of physical and occupational therapy

Semin Perinatol. 2018 Oct;42(6):361-368. doi: 10.1053/j.semperi.2018.07.010. Epub 2018 Jul 26.


Conjoined twins are a rare occurrence that offer unique challenges and circumstances to therapists. The overall goal of physical and occupational therapy treatment is to provide care that promotes developmental progression to two conjoined individuals with distinct personalities and potentially different physical and medical needs. The unique presentation of conjoined twins must be considered in determining therapeutic goals, interventions and plans of care. Providing therapeutic interventions throughout the NICU stay is a dynamic, evolving process, which challenges the therapy team to work together to find solutions. This paper aims to highlight the considerations, challenges, and strategies used to address barriers in the therapeutic care of conjoined twins.

Keywords: Conjoined twins; Occupational therapy; Physical therapy.

Publication types

  • Review

MeSH terms

  • Aging / physiology*
  • Aging / psychology
  • Humans
  • Infant, Newborn
  • Occupational Therapy*
  • Patient Care Planning*
  • Patient Positioning / psychology
  • Personality
  • Physical Therapy Modalities*
  • Quality of Life / psychology
  • Social Change
  • Twins, Conjoined* / physiopathology
  • Twins, Conjoined* / psychology
  • Weight-Bearing / physiology*