Weronika Cyganik, Jolanta Taczała, Piotr Majcher

W. Cyganik, J. Taczała, P. Majcher – Home-based therapy programmes for children with cerebral palsy aimed at improving spastic hand function. Fizjoterapia Polska 2020; 20(3); 24-31

Abstract
Aim of the study. Presentation of the current state of knowledge regarding the possibility of using home-based therapy to improve spastic hand function in children with cerebral palsy (cp).
Basic assumptions. In current literature we can find descriptions of many methods which are useful in spastic hand therapy at home. The most important of them are: CIMT (Constraint Induced Movement Therapy), H- HABIT (Hand-arm bimanual intensive therapy), Mitii (Move It Improve It), Wii Sports Resort training, You Grabber system, AOT system (Action observation training), Tele UPCAT platform (the UPper Limb Children Action Observation Training) and Tele Reh. Despite methodological differences, all studies have high lighted the importance of the caregiver’s role in home training of children with CP. Continuous support of therapists is vital in ensuring the credibility of the improvement process. Home interventions have a positive impact on mobility and functioning of children in everyday life, and strengthen the bond between the parent/caregiver and the child. The possibility of continuing therapy at home is often of great convenience to families living far from rehabilitation centres.

Key words:
spastic hand, home training, cerebral palsy

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