The child presents as a lively two year old who has a diagnosis of spastic right sided hemiplegia. The child likes to play with a variety of toys and is able to walk unaided indoors and is able to express them self verbally by using a mixture of gestures and reaching for what they want.
- Limited use of right hand for play and self care
- Difficulties with balance
Goals of Therapy
The occupational therapist observed the child playing and moving around the therapy room. Following clinical observations it was possible to decide on ideas for treatment. The main aim was to increase the amount of time they were using the right hand for play. Together with the parents three specific goals to work on were agreed;
- For the child to be able to pull up his trousers using both hands;
- For the child to be able to stand symmetrically and play a keyboard using both hands for a minimum of two minutes and
- For the child to be able to throw a ball using both hands to knock over skittles a minimum of three times. Ideas for activities to achieve the goals were suggested and tried out in the therapy sessions and at home. A number of sessions were planned in the diary and parents reported back to the occupational therapist at the session each week so that ideas could be modified accordingly and new goals set.
Over a number of four weeks the child made some good progress. The parents reported that the child is using there right hand more spontaneously at home and more frequently. Occupational therapy continues on a twice monthly basis and therapy goals are regularly reviewed.