Palisano Robert J, Murr Susan
Department of Physical Therapy and Rehabilitation, Drexel University, Philadelphia, PA 19102-1192, USA.
Phys Occup Ther Pediatr. 2009;29(2):107-12. doi: 10.1080/01942630902805186.
Research on intensity of therapy services is limited and perspectives often vary considerably among families, therapists, administrators, policy makers, and health insurers. In this commentary, the authors share their perspectives on intensity of physical therapy and/or occupational therapy services for children with developmental conditions. Five considerations are discussed: episode of therapy, readiness for activity and participation, method of service delivery, the distinction between intensity of therapy and practice of activity in natural environments, and the link between skill level and method of service delivery. We conclude that for children with developmental considerations, method of service delivery and intensity of therapy may differ for each episode of therapy based on contextual factors including child and family priorities and goals. In most situations, more than one method of service delivery can and should occur simultaneously.
关于治疗服务强度的研究有限，而且家庭、治疗师、管理人员、政策制定者和健康保险公司的观点往往差异很大。在这篇评论中，作者分享了他们对发育障碍儿童物理治疗和/或职业治疗服务强度的看法。讨论了五个需要考虑的方面：治疗阶段、参与活动的准备情况、服务提供方式、治疗强度与自然环境中活动实践的区别，以及技能水平与服务提供方式之间的联系。我们得出结论，对于有发育方面考量的儿童，基于包括儿童和家庭的优先事项及目标等背景因素，每次治疗阶段的服务提供方式和治疗强度可能会有所不同。在大多数情况下，可以而且应该同时采用多种服务提供方式。
