Occupational therapy for children with cerebral palsy should focus on activities of daily living, such as feeding, dressing, toileting, grooming, and transfers. Occupational therapy also focuses on the upper extremity. The goal should be for the child to function as independently as possible with or without the use of adaptive equipment. (See also Physical Therapy.)
Children with congenital hemiplegia who can follow directions and have spasticity of wrist flexors, forearm pronators, or thumb adductors may benefit from intensive therapy. Activity-based interventions such as modified constraint-induced movement therapy (mCIMT) and bimanual intensive rehabilitation training (IRP) can improve the capability to use the impaired upper limb and improve performance in personal care.[6, 7] In a 10-week study by Facchin et al, more benefits were seen from intensive treatment than in the standard treatment; in mCIMT, grasp improved, and, in IRP, spontaneous use in bimanual play and activities of daily living in younger children increased.