The effect of " handling training" for caregivers at home and home adaptation on gross motor function of 15-72 months old cerebral palsy children

Cerebral palsy is the most common physical disability in childhood. Children with cerebral palsy require long-term therapy for achieving improved motor function. It seems to be a need for treatment and training at home. The purpose of this study was to determine the impact of “handling training” for caregivers at home on the gross motor function of 15-72 months cerebral palsy children. In this experimental single-blinded study، 40 children with cerebral palsy (15-72 months old) were recruited from some of Tehran public or private rehabilitation clinics based on pre-determined inclusion criteria، and after matching for child age، type of clinic referred to (public or private)، type of cerebral palsy، IQ score، GMFCS level and number of occupational treatment sessions already provided at the rehabilitation clinic. The children were allocated randomly into intervention and control groups. For data collection، a demographic information questionnaire، gross motor function measurement (GMFM66) test and gross motor function classification system (GMFCS) test were used. Data were collected on three occasions: before the intervention، 1. 5 months and 3 months after intervention. For intervention، researchers went to the intervention group''s homes and explained educations related to handling for caregivers in a 4-hours session. During 3 months، researchers would follow up to implement the intervention. Data were analyzed by one sample k-S، chi-square، independent sample t test، general linear model and analysis of Covariance. There were significant differences in gross motor function of two groups in 1. 5 months and 3 months after intervention than before intervention (p<0. 001). There were significant difference in gross motor function improvement in pre-post (1. 5 months after intervention) (p=0. 006) and pre-follow (3 months after intervention) (p<0. 001) between two groups and was greater in the intervention group. Handling training on caregivers in home improves gross motor function in 15-72 months old cerebral palsy children.