Psychomotor Therapist Research Articles

Developmental specialists in Europe: comparison between Healthcare and education systems, and Rehabilitation in child disability

In recent years, European policies for the social inclusion of children and adolescents with disabilities have made significant progress, aimed at ensuring equity and equal opportunities in education and rehabilitative healthcare. However, notable disparities persist among European countries in managing disabilities in the developmental age. In Italy, the *Neuro and Psychomotor Therapist of Developmental Age* (TNPEE) is the healthcare professional specialized in prevention, habilitation, and rehabilitation interventions for children, providing a comprehensive development-focused approach. This study compared professional roles and healthcare and educational systems across Europe, analyzing care contexts to identify similarities and differences relative to the TNPEE’s profile and competencies. Results highlight the advantages, disadvantages, and variability in access to services and in the roles of child rehabilitation professionals, emphasizing the unique value of the TNPEE and opening a discussion on the potential for expanding this role beyond Italian borders.

Homogeneity and reliability of the Behaviour observation scale for Psychomotor Therapy for elderly people with dementia

The Behaviour observation scale for Psychomotor Therapy for elderly people with dementia (BPMT-dem) was developed to (1) evaluate the cognitive, emotional and social functioning of people with dementia in psychomotor therapy, and (2) to facilitate the interdisciplinary communication in treatment of behavioural and mood disruptions. The objective was to investigate the homogeneity and reliability of the BPMT-dem73. The Mokken scaling procedure was used on items and 10 a-priori determined subscales in a sample of 105 people with dementia or severe cognitive impairments.68 items demonstrated sufficient scalability (item-scalability coefficient Hi ranged from .30 to .81). 6 subscales had strong, and 4 had moderate homogeneity. The 68-item version of BPMT-dem has satisfactory reliability (Rho ranged from .65 to .89 for the subscales). Researchers and psychomotor therapists are recommended to use BPMT-dem68 to gain insight into the efficacy of psychomotor therapy on the cognitive, emotional and social functioning of people with dementia.

Skin-to-skin relaxation: psychomotor mediation in the neonatal unit

Skin-to-skin relaxation is offered by one of the department's psychomotor therapists, within a precise framework of clearly defined indications and contraindications. The aim of this intervention modality is to support the parent-baby relationship in a context of vulnerability. A self-questionnaire for parents was used to take stock of the practice of skin-to-skin relaxation at the Centre Hospitalier Intercommunal de Créteil. The use of this mediation appears beneficial and deserves to be developed in neonatology.

Neuro and Psychomotor Therapist of Developmental Age Professional in Italy: An Anomaly or an Opportunity?

The aim of this work is to explore the distinct role of the Neuro and Psychomotor Therapist of Developmental Age (TNPEE) within the Italian health care system, examining challenges in recognizing and comparing this profession with international counterparts, particularly physiotherapists and occupational therapists. The historical evolution and educational framework, integrated into the Italian university model, provide a foundation for TNPEE's competencies in rehabilitation and habilitation. The TNPEE operates within the bio-psycho-social model, addressing the developmental age range with a holistic approach. Despite its unique contributions, TNPEE faces challenges internationally because of its exclusive presence in Italy. Unlike other health care professions, TNPEE lacks a standardized international equivalent, complicating professional comparisons and mobility. This anomaly hinders the global recognition and integration of TNPEE professionals, posing a challenge to the academic medicine community in terms of standardizing and promoting interdisciplinary collaboration. This communication concludes by proposing mechanisms to facilitate TNPEE's recognition and integration into international health care frameworks. By addressing these challenges, the work contributes to the broader discourse on the cultural context in shaping effective therapeutic interventions, highlighting the need for an inclusive approach to health care education and practice worldwide.

The Role of Physical Medicine and Rehabilitation in the Management of Multiple Sclerosis: A Review of the Literature

The progression of multiple sclerosis, whether treated or not, can sooner or later lead to the onset of disability that is not limited to locomotor disorders alone, despite therapeutic advances. Generated by years of relapses, followed by the insidious but continuous onset of motor, sensory, cerebellar, sensory or cognitive deficits, the consequences are physical, psychological and even socio-economic, and include functional rehabilitation, the efficacy of which now seems to be well established. Various types of treatment are available, involving a wide range of healthcare professionals (physiotherapists, occupational therapists, nurses, psychomotor therapists, orthoprosthetists, speech therapists, etc.), coordinated by a doctor specializing in physical medicine and rehabilitation. Programs are usually multidisciplinary, including rehabilitation techniques, functional exercises and even exercise training

National cross-sectional survey on psychological impact on French nursing homes of the first lockdown during the COVID-19 pandemic as observed by psychologists, psychomotor, and occupational therapists.

The main objective was to explore the psychological impact of the French lockdown during the first wave of the COVID-19 pandemic on nursing home residents, their relatives, and healthcare teams, as observed by mental health professionals. A national online cross-sectional survey was conducted from May 11 to June 9, 2020. Respondents were psychologists, psychomotor therapists, and occupational therapists (mental health professionals). A total of 1,062 participants responded to the survey, encompassing 59.8% psychologists, 29.2% occupational therapists, and 11% psychomotor therapists. All mental health professionals felt fear (76.1%), fatigue and exhaustion (84.5%), and inability to manage the emotional burden (78.4%). In nursing homes with COVID-19 cases, residents felt significantly sadder (83.2%), more anxious (65.0%), experienced more anorexia (53.6%), resurgence of traumatic war memories (40.2%), and were more often disoriented (75.7%). The suffering of relatives did not vary between nursing homes with and without COVID-19 cases. The nursing staff was heavily impacted emotionally and was in need of psychological support particularly when working in nursing homes in a low COVID-19 spread zone with COVID-19 cases (41.8 vs. 34.6%). Primary prevention must be implemented to limit the psychological consequences in the event of a new crisis and to prevent the risk of psychological decompensation of residents and teams in nursing homes.

Crise sanitaire et soins psychiques pour les enfants. Une étude psycho-sociologique au CMP

ObjectivesIn this article, we present the results of a research project conducted jointly by professionals from a child and adolescent mental health center (CMP) and sociologists. We explore how the first confinement (in the spring of 2020) affected the situation of the child patients at the CMP and their families, as well as the care practices of the professionals. MethodsThe study was implemented in May 2020. Nine mental health professionals (psychologists, child psychiatrists, speech therapists, psychomotor therapists, social worker) were invited either to write a text reflecting on their experience, or to participate in an interview with one of the four sociologists. In both cases, the suggestion was to describe clinical situations, focusing both on social and psychological aspects, and to formulate ideas on the effects of confinement based on these clinical examples, while preserving the anonymity of the patients. Following this phase, the mental health team and the sociologists met several times to collectively discuss the content of these texts and to elaborate a reflection at a more general level that resulted in this article. ResultsThis research illustrates some effects of the Covid-19 crisis on children and families, notably the reinforcement of social inequalities, as witnessed by mental health care professionals. It also documents the adaptations of care practices (e.g. remote consultations) during this period, as well as the multiple questions that professionals had to address. DiscussionRegarding the situations of the children and their families, the data collected reveal that social inequalities have been exacerbated by the context of the pandemic, but it also underscores how certain factors (type of housing, family configurations, individuals’ relationships with academic and public health norms) may have contributed to differences between families from similar socio-professional categories. Regarding mental health care, it appears that guaranteeing the continuity of the relationship with the child and/or the family was a crucial concern for the professionals. As face-to-face appointments were limited, practices arose that were not seen as options in the usual work environment and habits, such as phone consultations. Professionals questioned the effects and stakes of these remote encounters and were forced to reposition themselves clinically and therapeutically. ConclusionThis research experience encourages us to renew this type of study, because of the richness of the results produced by an analysis associating professionals and sociologists, but also because of its contribution to the mental health team's capacity to reflect critically on its own practices.

Benefits of vagus nerve stimulation on psychomotor functions in patients with severe drug-resistant epilepsy

PurposePatients with severe drug-resistant epilepsy (DRE) experience psychomotor disorders. Our study aimed to assess the psychomotor outcomes after vagus nerve stimulation (VNS) in this population. MethodsWe prospectively evaluated psychomotor function in 17 adult patients with severe DRE who were referred for VNS. Psychomotor functions were examined, in the preoperative period and at 18 months post-surgery, by a psychomotor therapist using a full set of the following specific tests: the Rey–Osterrieth complex figure (ROCF) test, the Zazzo's cancelation task (ZCT), the Piaget-Head test and the paired images test. ResultsAt 18 months post-VNS surgery, the Piaget-head scores increased by 3 points (p = 0.008) compared to baseline. Performances were also improved for ROCF test both in copy (+2.4 points, p = 0.001) and recall (+2.0 points, p = 0.008) tasks and for the paired images test (accuracy index: +28.6 %, p = 0.03). Regarding the ZCT findings, the efficiency index increased in both single (+16 %, p = 0.005) and dual (+17.1 %, p < 0.001) tasks. QoL improved in 88.2 % of patients. ConclusionsPatients with severe DRE treated with VNS experienced improved performance in terms of global psychomotor functions. Perceptual organization, visuospatial memory, laterality awareness, sustained attention, concentration, visual scanning, and inhibition were significantly improved.

DEVELOPMENT PROFILES OF EXECUTIVE FUNCTIONS IN PRESCHOOL AGE: OBSERVATIONAL STUDY IN GENERALIZED DEVELOPMENT DISORDER

Executive functions (EF) play a fundamental role when it is necessary to implement behaviors aimed at achieving a goal; they are in fact widely studied and described in the literature, especially within neurodevelopment. Matura-tion of executive functions is described as a key component of typical as well as atypical development; their deficit is found in numerous neurodevelopmental and behavioral disorders. There are studies in literature that are intere-sted in the impairment of executive functions in Autism and Generalized Developmental Disorders (DGS). These disorders include a spectrum of clinical pictures characterized by social impairments, communicative impairments, restricted interests and stereotyped behaviors (Valeri, 2006), (APA - Amerian Psychiatric Association, 2013). However, none of these studies concerns the Italian pre-school population nor does it use assessment tools born in the Italian context; the studies in question also find confirmation above all in research conducted on adolescent and adult patients, while studies conducted with pre-school children provide conflicting results (Griffith, et al., 1999). Both in relation to these contradictory results and to the highly adaptive role of this domain for so-cio affective development, learning and quality of life, this study stands as a contribution to the research on exe-cutive function disorders on a sample of children with Generalized Developmental Disorder (DGS) in preschool age (3-6 years), with the aim of providing operational reflections for the best practice for functional assessment in the presence of this disorder, adding useful knowledge to Developmental Neuro and Psychomotor Therapist when drafting his own rehabilitation program. To meet the identified objectives, a sample with a diagnosis of Genera-lized Developmental Disorder (11 subjects) and a control sample, which did not present any neurodevelopmental disorder (39 subjects), were selected. The evaluation tool used is the Battery for the evaluation of executive func-tions in preschool age (FE-PS 2-6; Usai et al. 2017), intentionally selected among the tools developed in the Italian context and specific for the preschool age. The test results, taken from the Battery reference manual, were sub-jected to statistical analysis and subsequently to qualitative analysis, aimed at detecting further aspects of interest on the evolutionary profiles. 2 The research results show a difference in the average performance of the subjects belonging to the DGS group, which appear to be globally lower than those of the subjects belonging to the control group. Particular difficulties are found in all inhibition processes and are above all the characteristics of impulsi-vity and the management of interference. The greatest difficulty in children behavior therefore appears to be pre-sent in their ability to initiate a response and to inhibit actions in the service of general goals to be achieved. This difficulty appears as a dysfunctional characteristic in all the age groups covered by our study, as a constant cha-racteristic at all ages to be considered as a maladaptive functional profile.

OUT to IN: a body-oriented intervention program to promote preschoolers' self-regulation and relationship skills in the outdoors.

Time for movement and outdoor experiences has decreased in children's daily lives. Nevertheless, a growing body of research has shown that body-oriented interventions and outdoor time benefit preschoolers' social-emotional development, a foundation for mental health. OUT to IN is a body-oriented intervention program implemented outdoors, designed to promote preschoolers' social-emotional competence. This study aimed to evaluate the effects of OUT to IN on preschoolers' self-regulation and relationship skills. A cluster randomized trial with multi-method and multi-informant assessment was implemented including 233 children between 3 and 6 years (122 boys, Mage = 5.07 years), from 4 preschools (8 groups with OUT to IN intervention, 4 groups without intervention - control group). The 153 children allocated to the OUT to IN group participated in biweekly sessions for 10 weeks. OUT to IN sessions followed a body-oriented approach comprising exercise play, relaxation, and symbolization activities, implemented outdoors by a psychomotor therapist and the preschool teacher. Sessions enabled children to feel, observe and control their bodily states and understand the relationship between their bodies and emotions. Teachers participated in a brief course and on 20 biweekly relaxation sessions. Children's self-regulation was measured through specific tasks and a parent questionnaire. Relationship skills (i.e., empathy, communication, cooperation and sociability) were measured through parents' and preschool teachers' questionnaires. Mann-Whitney test was used to study differences at baseline between the OUT to IN group and the control group, and to study differences in the 10-week changes between both groups. Wilcoxon Test was used for intragroup comparisons. After the 10-week intervention period, children who participated in OUT to IN showed significant improvements on self-regulation and relationship skills (empathy, cooperation and sociability), in comparison to the control group who did not show any significant improvements. Large size effects (η2 > 0.14) were found for most of the variables related to self-regulation and small (η2 > 0.01), medium (η2 > 0.06) and large size effects (η2 > 0.14) were found for the variables related to relationship skills. OUT to IN showed to be an effective body-oriented intervention program in improving children's self-regulation and relationship skills, which are recognized foundations for mental health and well-being.

Analyser une activité de soin à dominante corporelle et participer à la formation et à la professionnalisation du métier : l’exemple de la psychomotricité

This article shows how the in-depth analysis of a key professional physical gesture contributes to training and professionalization. The article is based on the results of an analysis of an activity conducted with psychomotor therapists working with pediatric patients. A microscopic but central part of the professional work resides in the therapist’s body and their gestural adjustments, but remains implicit and hardly put into words by the therapists carrying these movements. The results of this analysis show that the psychomotor therapists conduct a body, sensory and affective inquiry with their pediatric patients. These results inform a professionalization perspective and provide an opportunity to consider group constitution, training composition and institutional recognition.

Abstracts 13th PCNE Working Conference “Pharmacies' new roles in pharmaceutical care: bridging research and practice”

Abstracts 13th PCNE Working Conference “Pharmacies' new roles in pharmaceutical care: bridging research and practice”

Le temps d’une chanson : abord médiatisé de la blessure de guerre en thérapie de groupe

Post-traumatic stress disorders are a major concern for the armed forces. Certain pathognomonic symptoms of psychological trauma are expressed by isolation and avoidance behavior that are antithetical to the principle of group unity and cohesion that is so fundamental in the military. The Robert Picqué military hospital is located in the heart of a region where many operational regiments are stationed. For the past 20 years, the French army has been deployed in different countries at war, on foreign missions or OPEX (Afghanistan, Lybia, Mali) and interior operations or OPINT. The Robert Picqué psychiatric department has adapted its clinical activity to admit and treat the many soldiers who have been injured and has developed a multidisciplinary and integrative approach, which includes group therapy, to treat PTSD. In this context, the combination of two health professionals, one an occupational therapist and the other a psychomotor therapist, has resulted in the creation of an original therapeutic approach using musical and creative mediation in group activities. The benefits of therapeutic synergy help to build a framework for free expression and includes the use of songs and personal creative exercises using a variety of media. From the patients’ artistic creations, their drawings and writing, we can see how this double mediation favors social bonding and makes it possible to understand the personal, family, and professional repercussions of PTSD. Thus, the time of a song provides the patients with a space of relief, of security and the development of a collective elaboration of their suffering.

Consensus on the Best Practice Guidelines for Psychomotor Intervention in Preschool Children with Autism Spectrum Disorder.

Psychomotor intervention has been used to promote development by the enhancement of psychomotor and socio-emotional competence. However, studies with high-quality evidence, describing psychomotor-intervention processes and outcomes are scarce. Therefore, we aimed to generate expert consensus regarding psychomotor-intervention guidelines to support psychomotor therapists through the design and implementation of interventions for preschool (3−6 years old) children with autism spectrum disorder (ASD). A formal consensus process was carried out, using modified nominal group (phase I) and Delphi survey (phase II) techniques. We recruited 39 Portuguese experts in psychomotor intervention with preschool children with ASD in phase I. Experts participated in at least one of the five online meetings, discussing themes (e.g., objectives, methods, strategies) concerning psychomotor intervention with preschool children with ASD. A deductive thematic analysis from phase I resulted in 111 statements composing round 1 of the Delphi survey. Thirty-five experts completed round 1, and 23 round 2. The experts reached a consensus (agreement > 75%) on 88 statements, grouped under 16 sections, (e.g., intervention source, general setting, intended facilitation-style), reflecting generic psychomotor-intervention guidelines. Consensus guidelines may be used to support transparent and standard psychomotor interventions, although further studies should be undertaken to determine their efficacy.

Initiation of a systematic screening for neurodevelopmental disorder program for infants with congenital heart disease

Neurodevelopmental disorder account for 30 to 60% of patients requiring cardiac surgery for congenital heart disease. Surgery before the age of one is a major risk factor of neurodevelopmental disorder. In October 2020, Lille University Hospital has launched a pediatric cardiac surgery program with a systematic neurodevelopmental follow-up program for infants requiring cardiac surgery before the age of one. This program includes: a clinical evaluation by a neurologist the day before surgery and before hospital discharge with a specific neurodevelopmental care pathway divided in 3 categories: pathway A, B or C depending on several factors (type of congenital heart disease, associated genetic disorder, operative or postoperative complications, electroencephalogram or magnetic resonance imaging anomalies). Between October 2020 and May 2022, 64 infants (300 [164–454] days) were included. Fourteen patients (22%) had genetic disorder. Thirty patients had curative surgery, 19 palliative cardiac surgery, 4 balloon aortic valvuloplasty, 11 were not yet operated. Eighteen patients were assigned to pathway A (general pediatrician follow-up with parental neurodevelopmental questionnaire at key ages). Twenty-six children were assigned to pathway C (specific follow-up in medico-psycho-social centers for children with disability requiring special treatments like a speech therapist, psychomotor therapist…). Six children were assigned to pathway B (neurologic systematic reevaluation 3 months after surgery before reassignment to pathway A or C). One hundred percent of parental questionnaires ASQ (ages and stages questionnaires) for neurodevelopmental follow-up were gathered at 6 months in pathway A and B, but only 64% in pathway C. In total, 100% of 12 months ASQ were gathered in pathway A and B, but only 82% in pathway C. This specific screening for neurodevelopmental disorder program allows to identify fragile infants needing specific follow-up. Efforts still remain to be done in getting back the ASQ questionnaires in order not to lose any patients during follow-up.

Developing a Personalized Integrative Obesity-Coaching Program: A Systems Health Perspective.

Current obesity management strategies are failing to achieve sustainable and favorable long-term results. We propose a more personalized, dynamic, and systemic perspective on the interactions of key determinants and coaching advice on obesity. The aim of this study was to use a systems view on overweight, complexity science, and a transdisciplinary process to develop a five-year personalized integrative obesity-coaching and research program. Managers, medical specialists, clinical psychologists, dieticians, physical- and psychomotor therapists, and lifestyle coaches aligned their perspectives and objectives with experts in systems thinking and systems biology. A systems health model of obesity was used to identify the causal relations of variables with the most influence on obesity. The model helped to align and design a personalized integrative obesity-coaching program and to identify the key variables to monitor the progress and to adjust the personalized program, depending on the goals and needs of the participant. It was decided to use subtyping of participants by a systems biologist, based on traditional Chinese medicine symptoms, as a novel method to personalize the intervention. The collaborative transdisciplinary approach based upon a systems view on obesity was successful in developing a personalized and adaptive five-year obesity-coaching and research program.

An immersive virtual reality-based application for treating ADHD: A remote evaluation of acceptance and usability.

Virtual reality (VR) is a digital technology currently considered to implement rehabilitation programs for children with ADHD, a disorder characterised by inattention, overactivity and impulsiveness. This study presents the results of the acceptance and usability of a VR application developed for children with ADHD aiming to provide an environment capable of supporting the development of the different attentional components. Due to COVID-19 restrictions, this study had the secondary aim of assessing whether a remote evaluation was feasible and meaningful. A sample of 20 clinical experts (neuro and psychomotor therapists of the developmental age) was involved in assessing the proposed environment. Two different tools have been applied: the Technology Acceptance Model (TAM-3) questionnaire and a semi-structured interview were self-administered. Six sessions were planned in total, and each one lasted 30 min. With respect to the acceptance of the system, the mean of the answers given is for most of the constructs greater than 4, showing agreement among experts. Cronbach alpha and correlations of subscales seem to confirm the reliability of measures. According to results from the interviews, the developed application has shown versatility in being able to be applied to the heterogeneity of the disorder and it was also possible to obtain valuable insights on possible additional features and functionalities. Regarding the secondary aim, the collected outcomes were positive: all the participants were satisfied with what they could perceive about the application. The results of this work pave the way for a future validation study with children due to the active participation of clinicians and their unanimous positive judgement confirming that the application was considered user-friendly and well accepted.

PREVALENCE OF LEARNING DISABILITY IN THE MOROCCAN CONTEXT: EPIDEMIOLOGICAL STUDY

The interest given to the manifestations and repercussions of learning disability (LD) is relatively recent in Morocco, not only in research but also in endorsing students and their families to contribute to the assessment of learning disability and how prevalence it, as well as the factors which may influence it, particularly factors linked to the socio-economic level, gender, genetics, and the linguistic environment. This work aims to study LD prevalence, considering the Moroccan educational system specificity. It was conducted based on three main steps: identification, screening, and diagnosis and carried out with 14,605 primary school pupils in 63 public and 16 private schools from 2012 to 2018. The identification is based on tests that seek to assess spelling in Arabic, French, along with arithmetic, to be administered collectively to the students. Screening and diagnosis are undertaken by multidisciplinary teams comprising speech therapists, neuropsychologists, psychologists, psychomotor therapists, and child psychiatrists. As a result, it was revealed that 12% of the students screened present at least one specific learning incident with specific reading disorder (dyslexia) at 11.6% of our sample. Moreover, the specific spelling disorder with a prevalence of 11.52%, and dysgraphia with a prevalence of 4.6%, while in 3% of our sample, we suspected specific disorder of arithmetic skills (dyscalculia). These disorders affect two times more boys than girls. Additionally, their rate is significantly impacted by genetic heritage and linguistic environment. However, the association between the socio-economic profile and the prevalence of learning disabilities has not been established.

The use of VR tilt brush in art and psychomotor therapy: An innovative perspective

Digitisation requires mental healthcare workers to be competent in using technology. Virtual Reality offers unique treatment possibilities because of its presence, its immersiveness, and the affect responses it produces. Although VR has been used in psychotherapy, it is fairly new in the field of art therapy. Painting applications such as Google Tilt Brush provide opportunities for practice, but art therapists have reported that they do not feel competent enough in the use of digital tools and online therapy. On another front, there have been no studies in clinical practice using Tilt Brush. In this study participants (N = 7, five art therapists, two psychomotor therapists) were given the opportunity to experiment with the Tilt Brush application in their clinical practice, using the Lean Startup Method. Participants filled out preparatory questionnaires, and a semi-structured interview was held at the end of the three-month trial to gain insight into experiences. The results showed that art and psychomotor therapists view Tilt Brush as an application with much potential in therapy practice. Participants said they gained competence and insight into how to use this application in therapy. This paper discusses qualities of Tilt Brush as well as its advantages and disadvantages in practice.

VR Health Experience: A Virtual Space for Arts and Psychomotor Therapy.

Introduction: Mental health and well-being are under pressure because of the corona pandemic. Arts and psychomotor therapists said that they had almost no experience with working online, but despite the fact that they felt incapable, they were positive towards it.Method: This qualitative action research was aimed at how arts and psychomotor therapists can become more skilled in offering online arts and psychomotor therapy and how they can methodically enlist the VR Health Experience (a virtual arts and psychomotor therapy space) in therapy. It is envisaged that the arts and psychomotor therapist could be telepresent in order to offer arts and psychomotor therapy remotely. In online training that made use of the Lean Startup Method, participants (n = 5) integrated their working knowledge with the VR Health Experience. The interventions were immediately tested by the participants and in practice. Participants were interviewed retrospectively and their experiences were thematically analysed.Results: The VR Health Experience came forward as an innovative addition to the usual arts and psychomotor therapy. Often, clients were encouraged to play and experiment, and the VR world offered several options. The VR Health Experience lowered the threshold, expanded the training areas and held a great attraction for play.Discussion: This project offered an innovative quality boost for arts and psychomotor therapy. Arts and psychomotor therapy have proven to be possible remotely via telepresence of the therapist. The therapist is present together with the client in the VR Health Experience, the virtual arts and psychomotor therapy space, where connectedness can be felt and new experiences can be gained. VR also offers further possibilities in arts and psychomotor therapy.