Feasibility of a Home-Based Occupational Positioning Program for Children With Spastic Cerebral Palsy: A Preliminary...

Area of Science:

• Pediatric Rehabilitation
• Occupational Therapy
• Neurology

Background:

• Spastic cerebral palsy (SCP) significantly impacts children's motor function and daily activities.
• Home-based interventions are crucial for sustained therapeutic gains in pediatric populations.
• Assessing the feasibility of novel home-based programs is essential for advancing SCP management.

Purpose of the Study:

• To evaluate the feasibility of a home-based occupational positioning program for children with spastic cerebral palsy (SCP).
• To assess participant compliance, dosage, and satisfaction with the home program.
• To explore the preliminary effectiveness of the program on functional outcomes.

Main Methods:

• A single-group feasibility study involving five children (3.5-6 years) with SCP (GMFCS III-IV).
• The program included booklet-based training, in-home goal setting (Goal Attainment Scaling - GAS), and weekly remote sessions.
• Feasibility was measured by compliance and satisfaction; effectiveness was assessed using PEDI, GMFM-88, and GAS.

Main Results:

• High compliance (96.4%) and satisfaction (9.8/10) were reported, with no adverse events.
• Significant improvements were observed in self-care, mobility, social function (PEDI), gross motor function (GMFM-88), and goal attainment (GAS).
• Average daily program duration was 5.35 hours.

Conclusions:

• The home-based occupational positioning program demonstrated high feasibility and participant engagement.
• Preliminary results suggest the program is effective in improving functional outcomes for children with SCP.
• Family involvement, goal setting, and remote support likely contributed to the program's success.