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Invited Commentary

ML Shelden, PhD, PT, PC, is Assistant Professor of Research, College of Allied Health, Division of Rehabilitation Sciences, University of Oklahoma Health Sciences Center, PO Box 26901, Oklahoma City, OK 73190

This excerpt was created in the absence of an abstract.

Upon initially reading the article by Brown and colleagues, I was enthusiastic about a study focusing on issues facing children, youth, and young adults with severe physical and cognitive disabilities. The study involved a substantial sample for this population (ie, 24 people), and the authors described a well-designed and well-executed study. Of particular interest to me was the seemingly eclectic approach introduced by the authors: ability-focused therapy. Brown et al described this approach as being designed for use with people with limited ability to learn skilled actions, with the emphasis focusing on instruction of "simple motor behaviors that are meaningful in the ... current or future environment." The authors' description of ability-focused therapy denoted that normal movement was not the end result, but functional movement that was meaningful for the person was the intended outcome....

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Performance Following Ability-Focused Physical Therapy Intervention in Individuals With Severely Limited Physical and Cognitive Abilities

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Physical Therapy 1998 78: 934-947. [Abstract] [PDF]