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Original Article

Evaluating the outcome of an individual functional therapy program focused on children with cerebral palsy and cerebral visual impairment: a multiple case study

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Pages 92-100 | Received 05 May 2017, Accepted 27 Aug 2017, Published online: 08 Sep 2017
 

Abstract

Background: To date, there is no evidence-based functional therapy programme available for children with both cerebral palsy (CP) and cerebral visual impairment (CVI). This study evaluates an individually targeted functional therapy programme adapted for these children experiencing difficulties with gross motor functioning and functional skills.

Methods:

Participants: Five children with CP and CVI, mean (SD) age 114 (52) months, participated in this study.

Intervention: Participants were assigned to an 18-week functional therapy programme including nine weeks of individual functional therapy aimed at improving gross motor function followed by nine weeks of daily training of functional skills from the parents/caregivers.

Analyses: The Related Samples Wilcoxon Signed Rank Test with a significance level of p < .05 was utilised to detect possible significant differences between the pre- and post-test.

Results: According to the Goal Attainment Scaling (GAS), each child improved gross motor functioning. All the children also scored significantly higher in the section Functional Skills in the domains self-care and mobility as well as in the section Caregiver Assistance in the domain of self-care.

Conclusion: This adapted individually functional therapy programme suggests improved gross motor functioning and functional skills in children with CP and CVI.

Disclosure statement

The authors report no declaration of interest. The authors alone are responsible for the content and writing of the paper. We gratefully thank the children’s parents, caregivers, and the therapists for their participation.

Additional information

Funding

Financial support for this study was provided by the Novum Foundation (O10323), a Dutch non-profit organisation that grants financial backing to projects and research that improve the quality of life of individuals with visual impairments (www.stichtingnovum.org), and Royal Dutch Visio, centre of expertise for blind and visually impaired people (www.visio.org).

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