Effectiveness of functional intensive therapy on mobility and self-care activities in children and adolescents with cerebral palsy – a prospective clinical study

Abstract

Purpose Cerebral palsy (CP) is a major cause of childhood disability. Children with CP often lack motor skills to effectively perform activities of daily living. The aim is to assess the effectiveness of a functional intensive therapy program focused on improving individual goals in the domain of mobility and self-care in children and adolescents with CP. Material and methods Thirty-five CP patients, aged 11–19 years, GMFCS I–IV, received daily 6–7 h of functional therapy for 15 days. Outcomes were assessed at baseline, immediately after the program and at three months follow-up. Results Significant post-intervention improvement was seen on all primary and secondary outcome measures; personal goals (GAS score; COPM performance and COPM satisfaction), daily activities (ACTIVLIM), hand function (ABILHAND-Kids), mobility (ABILOCO-Kids; GMFM-66-IS score). There was no loss to follow up during the program and after three months. At follow-up, improvements were retained except for ABILOCO and GMFM-66-IS. Conclusions Functional intensive therapy appears feasible and seems to be effective in improving treatment goals focused on mobility and self-care, even in older and more severely affected children and adolescents with CP. After three months, these possible effects were still present. Implications for rehabilitation Short intensive functional training is feasible and showing no loss to follow up in the older and more severely affected children and adolescents with cerebral palsy (CP). Short intensive functional training appears effective in improving individual goals in children and adolescents with CP and improvements endorse three months. Short intensive functional training seems to be effective on both mobility and self-care domains of the ICF-CY.