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

Occupational therapy international · 2026 · Pilot · OT
Meimanat Akbari, Malek Amini, Jamileh Abolghasemi, Akram Azad, Amirhossein Shafizadeh

A home-based positioning program for children with spastic cerebral palsy was feasible — high attendance, high satisfaction, no dropouts — but with only 5 children and no control group, it cannot tell you whether the program actually improves function.

Key findings

1

The program was feasible: 96.4% session attendance, 5.35 h mean daily dosage, 9.8/10 parental satisfaction, and no adverse events or dropouts among 5 children.

2

All 5 participants showed improvements in PEDI, GAS, and GMFM scores, with mean changes surpassing the minimal clinically important difference for each measure (p < 0.05).

3

The study cannot establish that the positioning program caused the improvements, because all children also received at least two weekly sessions of conventional occupational therapy, and the single-group design has no control.

MethodologyResultsClinical Relevance

Single-blind randomized controlled trial. Sixty-four participants were randomized across two intervention arms and assessed at twelve weeks for the primary outcome…

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Summarised by AI from the abstract, not the full paper. Check it against the source before it changes what you do. Read it on PubMed