Article

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.

Langue : ANGLAIS