Mothers perception in changes of hand skills pattern of their children with cerebral palsy to perform activities of daily living : indoor paediatric unit, CRP

Abstract

Abstract Hand skills pattern is an important part for completing functional performance and occupational therapy treatments based on daily living performance. The children with cerebral palsy have a problem in extremity like- upper or lower or both. So, the children face difficulties in their hand skills pattern due to abnormal tone, balance and coordination and cannot perform daily activities independently like normal children. The Cerebral Palsy children receive treatment from indoor pediatric unit, CRP but the therapists do not evaluate the mothers’ understanding about their children hand skills pattern due to limited time or anything else. Researcher wants to know about whether the hand skills pattern has been really changed or not to perform any ADLs. This study attempts to know the mothers’ opinions and evaluations towards hand skills performance of their cerebral palsy children after completing indoor program CRP, Savar. The objectives are to find out the mother understanding about Occupational therapy intervention as well as to explore the performance of cerebral palsy children by hand skills pattern in relation with daily living activities after completing 14 days indoor program. This study has been conducted by using qualitative content analysis. The data have been collected through semi-structural interviews. Ten participants are selected by using purposive comprehensive sampling from inpatient pediatric unit. Data was analyzed by using content analysis. From the findings of the research, it is seen that mothers of Cerebral Palsy children have a good understanding about occupational therapy after ending of the program that was absent in them before taking the program. They feel realistic changes in their children hand skills pattern and think that the small tasks or different hand skills pattern influence their children’s daily living performance significantly. To make the mothers understand better therapists should explain about the effects of playing with different toys and grasp, and also link theses components with activities of daily performance. Overall the program is really effective for the children with cerebral palsy.