Cleveland Clinic Children's Hospital for Rehabilitation (Ms Sabet), Cleveland, Ohio; University of Washington (Dr Feldner), Seattle, Washington; University of Central Florida (Dr Tucker), Orlando, Florida; Oregon State University (Dr Logan), Corvallis, Oregon; University of Delaware, Newark, Delaware (Dr Galloway).
Pediatr Phys Ther. 2022 Oct 1;34(4):546-550. doi: 10.1097/PEP.0000000000000939. Epub 2022 Aug 4.
Mobility is a human right. The traditional definition of mobility in physical therapy practice is centered on translocation and, while accurate, is not comprehensive. In this article, we propose the ON Time Mobility framework: that all children have the right to be mobile throughout their development to explore, engage in relationships, and develop agency to cocreate their lives. This perspective highlights interconnected principles of timing, urgency, multimodal, frequency, and sociability to begin discussions on supporting the right to hours of active mobility each day for all children. We propose critical evaluation and discussion of these principles followed by a call to action to shift our conceptualization and enactment of mobility. This mobility rights perspective challenges current medical systems, industry, and government to collaborate with children with disabilities, their families and communities to support mobility as a source of physical and social interactions that define and develop individuals (see Supplemental Digital Content 1, the Video Abstract, available at: http://links.lww.com/PPT/A398 ).
行动能力是一项人权。物理治疗实践中传统的行动能力定义侧重于迁移,虽然准确,但并不全面。在本文中,我们提出了 ON Time Mobility 框架:所有儿童都有权在整个发展过程中保持行动能力,以探索、参与人际关系,并发展机构来共同创造他们的生活。这种观点强调了时间、紧迫性、多模式、频率和社交性的相互关联原则,以开始讨论支持所有儿童每天有几个小时积极行动的权利。我们建议对这些原则进行批判性评估和讨论,然后呼吁采取行动,转变我们对行动能力的概念化和实施。这种行动权利观点挑战了当前的医疗系统、产业和政府,要求他们与残疾儿童及其家庭和社区合作,支持行动能力,将其作为塑造和发展个人的身体和社会互动的源泉(见补充数字内容 1,视频摘要,可在:http://links.lww.com/PPT/A398 获得)。