Evidence map›Paper›PMID 42528275›Full record

ArticleOccupational therapy international2026

Feasibility of a Home-Based Occupational Positioning Program for Children With Spastic Cerebral Palsy: A Preliminary Study.

Meimanat Akbari, Malek Amini, Jamileh Abolghasemi, Akram Azad, Amirhossein Shafizadeh

Abstract read
In one paragraph

Article in Occupational therapy international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Meimanat AkbariDepartment of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences (IUMS), Tehran, Iran, iums.ac.ir.ORCID https://orcid.org/0000-0002-9551-2396
Malek AminiDepartment of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences (IUMS), Tehran, Iran, iums.ac.ir.ORCID https://orcid.org/0000-0002-3846-667X
Jamileh AbolghasemiDepartment of Biostatistics, School of Public Health, Iran University of Medical Sciences (IUMS), Tehran, Iran, iums.ac.ir.ORCID https://orcid.org/0000-0003-3898-2217
Akram AzadDepartment of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences (IUMS), Tehran, Iran, iums.ac.ir.ORCID https://orcid.org/0000-0001-7544-4878
Amirhossein ShafizadehDepartment of Occupational Therapy, Firoozgar Hospital, Iran University of Medical Sciences (IUMS), Tehran, Iran, iums.ac.ir.ORCID https://orcid.org/0009-0008-4287-4802

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe primary aim was to assess the feasibility of a home-based occupational positioning program for children with spastic cerebral palsy (SCP), focusing on compliance, dosage, and satisfaction. A secondary aim was to explore its preliminary effectiveness on self-care, mobility, social function, gross motor function, and goal attainment.

methodsThis single-group feasibility study, conducted prior to a larger RCT, included five children aged 3.5-6 years with SCP (GMFCS III-IV) without severe intellectual disability, and aimed at assessing feasibility while exploring preliminary effects. The home-based occupational positioning program involved general and customized booklet-based training, two in-home sessions using Goal Attainment Scaling (GAS) to establish the home program, and 12 weekly remote sessions. Feasibility outcomes were assessed by compliance, dosage, and satisfaction, while preliminary effectiveness was evaluated using the PEDI (self-care, mobility, and social function), Gross Motor Function Measure (GMFM-88), and GAS.

resultsAll participants completed the study without adverse events or attrition. Mean compliance was 96.4% ± 4.93%, average satisfaction was 9.8 ± 0.44 on a 10-point scale, and the average daily program time was 5.35 ± 3.11 h. Significant improvements (p < 0.05) were observed by Wilcoxon signed-rank test in self-care, mobility, and social function, as well as in GMFM-88 and GAS scores.

conclusionThe home-based occupational positioning program showed high feasibility, likely supported by family engagement, collaborative goal setting, real-life implementation, caregiver education, and consistent remote support. Preliminary findings suggested potential benefits for self-care, mobility, social function, gross motor function, and goal attainment.

trial registrationIranian Registry of Clinical Trials: IRCT20231012059697N1.

Indexed as

Cerebral PalsyOccupational TherapyActivities of Daily LivingChildChild, PreschoolFeasibility StudiesFemaleHome Care ServicesHumansMalePatient CompliancePatient SatisfactionSelf Carecerebral palsyfeasibility studyfunctional skillshome-based interventionoccupational therapyoccupation based practice

Identifiers

PMID42528275
PMCPMC13420267

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.