PEDIATRIC THERATOOLS
Therapeutic Swaddling Guide:
Clinical Regulation
Evidence-based swaddling strategies to support state regulation, participation, and care routines.
What is Swaddling (Clinically)?
Swaddling is a therapeutic containment strategy used by pediatric providers to support state regulation, calming, and participation in infants—especially during periods of dysregulation.
When applied correctly, swaddling recreates the secure boundaries of the womb, helping infants organize their nervous system and transition into calmer, more regulated states.
Clinically, swaddling can:
- Support self-regulation by providing consistent deep pressure input.
- Reduce stress responses related to the Moro (startle) reflex.
- Improve sleep readiness and state control.
- Support infants with colic, reflux, and sensory sensitivity.
- Help maintain thermal regulation in young or medically fragile infants.
- Protect skin integrity by limiting uncoordinated movement.
Why This Matters for Pediatric Providers
Swaddling is not just a sleep strategy—it is a foundational regulation tool that prepares infants for feeding, handling, therapy participation, and caregiver interaction.
👉 This training teaches pediatric professionals how to use swaddling intentionally, safely, and clinically—not just instinctively.
Laura R. Barnhart, OTR/L, CNT, CIMC-Master Trainer, is a practicing Occupational Therapist and Certified Neonatal Therapist with over 20 years of experience in home health, out-patient and NICU settings. Her ongoing practice allows her stay relevant in the field and contribute to her teaching effectively.
Since 2014, she has traveled and trained pediatric healthcare professionals all over the United States. Additionally, Laura teaches and mentors international students, sharing her expertise and fostering global collaboration in pediatric healthcare.
Laura prefers to teach in a discussion style format, encouraging professionals to openly ask questions and contribute to the overall learning experience. Her teaching described as "relaxed and friendly," offers real-life, practical examples, creating an evironment where participants feel comfortable engaging and learning actively.
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