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Participation-based therapy for children with physical disabilities
Journal article   Peer reviewed

Participation-based therapy for children with physical disabilities

Robert J Palisano, Lisa A Chiarello, Gillian A King, Iona Novak, Tracy Stoner and Alyssa Fiss
Disability and rehabilitation, v 34(12), pp 1041-1052
01 Jun 2012
PMID: 22080765

Abstract

participation Cerebral palsy children service delivery physical therapy self-determination occupational therapy
Purpose: Optimizing home and community participation of children with physical disabilities is an important outcome of rehabilitation. Method: A review of literature identified research and theory on participation of children with physical disabilities. The authors' incorporated current knowledge to conceptualize the experience of optimal participation, formulate principles of participation-based physical and occupational therapy, and develop a five-step process for intervention. A case report was completed to illustrate application to practice. Results: Optimal participation involves the dynamic interaction of determinants (attributes of the child, family, and environment) and dimensions (physical, social, and self engagement) of participation. Real-life experiences enable children to learn new activities and develop skills that optimize their participation and self-determination. Interventions are: goal-oriented, family-centered, collaborative, strengths-based, ecological, and self-determined. A distinguishing feature of intervention is that the therapist's primary role is to support the child and family to identify challenges to participation and solutions to challenges. The therapist is a consultant, collaborating with the child, family, and community providers to share information, educate, and instruct in ways that build child, family, and community capacity. Conclusion: The model may have utility for collaboration with families and community providers, determining goals for participation, and providing evidence-informed interventions. Implications for Rehabiliation Home and community participation of children with physical disabilities is an important outcome of rehabilitation. Optimal participation is conceptualized as the dynamic interaction of determinants (attributes of the child, family, and environment) and dimensions (physical, social, and self engagement) of participation. Participation-based physical and occupational therapy is based on the assumption that real-life experiences enable children to learn new activities and develop skills and that the empowerment of families enables them to advocate for the full inclusion and integration of their children in society. In participation-based therapy, the therapist is a consultant, collaborating with the child, family, and community providers to share information, educate, and instruct in ways that build child, family, and community capacity.

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Collaboration types
Domestic collaboration
International collaboration
Web of Science research areas
Rehabilitation
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