Support a child with 1 to 2 specific gross motor skills goals to maximize participation in school and/or leisure activities. The goal(s) are discussed and agreed with the child (and input from parent(s)/caregiver(s) ) to ensure that they are important and meaningful to the child.
Anna is struggling with coordination, running and dribbling with a ball so finds it difficult to play basketball with her friends
Luke can’t keep up in PE in school - there’s not enough time to learn a task and there are too many steps to learn in one go. He really wants to participate but falls behind so does not want to do PE anymore.
Bea loves to play in the water. Her mum would like learn how to help Bea in the water and fun ideas so that she can feel confident taking her to the local pool.
Each programme is planned to meet the unique needs of the child and to work on the specific goals that they child wants to achieve
Can be done in the clinic / park / pool - based on the goals of the child
Parent(s)/caregiver(s) play are active participants, joining in every session to get ideas on activities to continue with at home as this will enable the child to get the most out of the therapy sessions.
Frequency and duration
Intensive 3-5 times/ week for a shorter period of 2-4 weeks
Weekly 1-2 times/ week for 4 - 10 weeks, depending on length of time required to meet goals
Child to be reviewed again for the specific goals 2-3 months later to see if they have maintained the skills. Knowing that they will reviewed on this can also encourage parents to continue with the activities after the block has finished.
Objective outcome measure Depends on the condition of the child and their goals but if the child is +6 years old, I think The Challenge will be a great on as it assesses more advanced motor skills (and likely the tasks that these children will have difficulties with). I have done the training and have the documents for this.
For younger kids - we can use the GMFM to compare baseline pre and post intervention (just won’t score their percentiles as this is only valid for children with CP)
Child reported outcome measure I think it would also be useful to use the leisure section of the COPM to get the child’s view on how well they feel they managed to do a task before and after intervention.