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Brief Report  |   July 2007
A Pilot Study on the Impact of Occupational Therapy Home Programming for Young Children With Cerebral Palsy
Author Affiliations
  • Iona Novak, BAppSc, MSc(Hons), is Head of Research, Cerebral Palsy Institute, P.O. Box 184, Brookvale NSW 2100 Sydney, Australia; inovak@tscnsw.org.au. At the time of the study, she was a postgraduate research student at the University of Western Sydney, Sydney, New South Wales, where this study was conducted to meet the requirements of a Master of Science (Honours) degree
  • Anne Cusick, BAppSc, Grad Dip Beh Sc, MA(Psych), MA(Interdisc Stud), PhD, is Professor, College of Science and Health, University of Western Sydney, Sydney, New South Wales
  • Kevin Lowe, MBBS, FRACP, FAFRM, is Head of Rehabilitation, Department of Paediatric Rehabilitation, Sydney Children’s Hospital and University of New South Wales, Sydney
Article Information
Neurologic Conditions / Pediatric Evaluation and Intervention / Departments / Brief Report
Brief Report   |   July 2007
A Pilot Study on the Impact of Occupational Therapy Home Programming for Young Children With Cerebral Palsy
American Journal of Occupational Therapy, July/August 2007, Vol. 61, 463-468. doi:10.5014/ajot.61.4.463
American Journal of Occupational Therapy, July/August 2007, Vol. 61, 463-468. doi:10.5014/ajot.61.4.463
Abstract

Occupational therapy home programs are a common approach used to provide interventions for children with cerebral palsy, but there is little evidence to demonstrate the effectiveness of such programs. This single-group pretest–posttest design pilot study evaluated the impact of an occupational therapy home program implemented with 20 children who had spastic hemiplegic cerebral palsy (ages 2–7 years, mean 3.8). We measured impact using Goal Attainment Scaling (GAS), the Pediatric Evaluation of Disability Inventory (PEDI), and the Quality of Upper Extremity Skills Test (QUEST). We measured participation amount through a parent self-report log. Significant changes following intervention occured in scores on the GAS, the PEDI Functional Skills and Caregiver Assistance Scales, and the QUEST, but has found no relationship between participation amount and outcome using the same measures. These promising results suggest that further investigation of the impact of occupational therapy home programs is warranted.