Huang Hsiang-Han
Department of Occupational Therapy, Graduate Institute of Behavioral Sciences, Chang Gung University, Taoyuan, Taiwan.
Department of Physical Medicine and Rehabilitation, Chang Gung Memorial Hospital, Linkou, Taiwan.
Front Psychol. 2018 Jan 9;8:2330. doi: 10.3389/fpsyg.2017.02330. eCollection 2017.
The efficacy of traditional training programs (e.g., neurodevelopmental therapy) in promoting independent mobility and early child development across all three International Classification of Functioning, Disability, and Health levels lacks rigorous research support. Therefore, power mobility training needs to be considered as a feasible intervention for very young children who are unlikely to achieve independent mobility. This perspective article has three aims: (1) to provide empirical evidence of differences in early independent mobility, motivation, daily life activities, and social participation between young children with typical development and motor disabilities; (2) to discuss the contemporary concepts of and approaches to early power mobility training for young children with motor disabilities and the current need for changes to such training; and (3) to provide recommendations for early power mobility training in pediatric rehabilitation. Independent mobility is critical for social participation; therefore, power mobility can be accessible and implemented as early as possible, specifically for infants who are at risk for mobility or developmental delay. To maximize the positive effects of independent mobility on children's social participation, early power mobility training must consider their levels of functioning, the amount of exploration and contextual factors, including individual and environmental factors.
传统训练项目（如神经发育疗法）在促进所有三个《国际功能、残疾和健康分类》层面的独立移动及幼儿早期发育方面的疗效缺乏严格的研究支持。因此，动力移动训练需要被视为对不太可能实现独立移动的幼儿的一种可行干预措施。这篇观点文章有三个目标：（1）提供实证证据，说明发育正常的幼儿与有运动障碍的幼儿在早期独立移动、动机、日常生活活动及社会参与方面的差异；（2）讨论针对有运动障碍幼儿的早期动力移动训练的当代概念和方法，以及当前对这种训练进行变革的需求；（3）为儿科康复中的早期动力移动训练提供建议。独立移动对社会参与至关重要；因此，动力移动可以尽早实现并实施，特别是对于有移动或发育迟缓风险的婴儿。为了使独立移动对儿童社会参与的积极影响最大化，早期动力移动训练必须考虑他们的功能水平、探索量以及情境因素，包括个体和环境因素。
