Kanagasabai Parimala S, Mulligan Hilda, Hale Leigh A, Mirfin-Veitch Brigit
a Centre for Health, Activity and Rehabilitation Research (CHARR), School of Physiotherapy , University of Otago , Dunedin , New Zealand.
b Donald Beasley Institute , Dunedin , New Zealand.
Disabil Rehabil. 2018 Jul;40(14):1630-1638. doi: 10.1080/09638288.2017.1303093. Epub 2017 Mar 21.
To explore in depth the leisure participation experiences of children with movement impairments.
We used Interpretative Phenomenological Analysis approach to interpret and understand the experiences of 22 children with movement impairments, aged between 6 and 12 years. Children expressed their views through flexible child-centred methods of data collection that allowed the children to draw, paint, use stickers, and demonstrate their leisure activities and equipment while communicating about their experiences.
Children participated in leisure activities of their choice, and expressed positive experience of fun, challenge, independence and achievement. The choice of activities depended on a combination of the motor functioning of the individual child, inspiration and support from families, friends and health professionals, as well as the possibility of adaptations and availability of community programmes. At times children felt disappointed and avoided some activities due to associated negative experience such as injury, fear, non-inclusion and the difficulty they had experienced in adapting and performing certain activities.
Families, therapists and community service providers such as disability organisations could enhance leisure participation experiences by suggesting and creating opportunities that could increase children's choices of leisure activities. Implications for rehabilitation Children's choice of activities, places and friends is important for positive experiences of fun, achievement, challenge, independence and motivation in leisure participation. Families and health professionals could assist children make appropriate choices for leisure activities that depends on factors such as motor abilities, adaptations and availability of activities in the community. In the community, widening the options for leisure activities such as non-competitive adaptive sports and indoor sports for children with variable levels of movement impairment could improve leisure participation experiences.
深入探究运动障碍儿童的休闲参与体验。
我们采用解释现象学分析方法来解读和理解22名年龄在6至12岁之间的运动障碍儿童的体验。孩子们通过以儿童为中心的灵活数据收集方法表达自己的观点，这些方法使孩子们在交流体验时能够画画、涂鸦、使用贴纸，并展示他们的休闲活动及相关设备。
孩子们参与自己选择的休闲活动，并表达了对乐趣、挑战、独立和成就的积极体验。活动的选择取决于个体儿童的运动功能、来自家庭、朋友和健康专业人员的启发与支持，以及调整的可能性和社区项目的可获得性。有时，孩子们会因受伤、恐惧、被排斥以及在适应和进行某些活动时遇到的困难等负面体验而感到失望并回避一些活动。
家庭、治疗师以及残疾组织等社区服务提供者可以通过建议和创造机会来增加儿童休闲活动的选择，从而提升他们的休闲参与体验。康复启示儿童对活动、场所和朋友的选择对于休闲参与中获得乐趣、成就、挑战、独立和动力的积极体验至关重要。家庭和健康专业人员可以帮助儿童根据运动能力、调整情况以及社区活动的可获得性等因素，为休闲活动做出合适的选择。在社区中，拓宽休闲活动的选择范围，如为不同运动障碍程度的儿童提供非竞争性适应性运动和室内运动等，可改善休闲参与体验。
