Changing philosophical perspectives on the management of children with physical disabilities - their effect on the use of powered mobility
Changing philosophical perspectives on the management of children with physical disabilities - their effect on the use of powered mobility
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DOI：
10.1080/09638280110105240
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发表时间：
2002-06-01
影响因子：
2.2
通讯作者：
Darrah, J
中科院分区：
文献类型：
--
作者：
Wiart, L;Darrah, J
目的：在过去十年中，一种新的哲学框架的出现影响了儿科康复服务提供的方法。传统的方法侧重于实现典型的运动模式作为干预的最终目标。相比之下，当代的干预方法鼓励身体残疾儿童使用他们最有效的运动策略来探索他们的环境并参与有意义的活动。方法/结果：探讨了促进这种干预方法变化的因素，包括：残疾运动；残疾模式的演变；从医疗模式向以家庭为中心的保健服务提供模式转变；一种解释运动发展的新理论的出现以及辅助技术的可用性和质量的提高。结论：这一哲学转变对身体残疾儿童使用动力移动的临床意义进行了探讨。讨论了在为子女选择流动方案的整个过程中与家庭合作的合作方法。
Purpose: Over the past decade, the emergence of a new philosophical framework has influenced approaches to service delivery in paediatric rehabilitation. Traditional approaches focused on the attainment of typical movement patterns as the ultimate goal of intervention. By contrast, contemporary approaches to intervention encourage children with physical disabilities to use their most efficient movement strategies to explore their environment and participate in meaningful activitiesMethods/Results: Factors that facilitated this change in approaches to intervention are explored and include: the disability movement; the evolution of models of disablement; the shift from a medical model to a family-centred model of health care service provision; the emergence of a new theory to explain motor development and increased availability and quality of assistive technology.Conclusion: The clinical implications of this philosophical shift for the use of powered mobility with children with physical disabilities are explored. A collaborative approach to working with families throughout the process of selecting mobility options for their children is discussed.