For a child with cerebral palsy, what is the BEST method to ensure correct implementation and carryover of a home exercise program?

For a child with cerebral palsy, what is the BEST method to ensure correct implementation and carryover of a home exercise program?

• A. Review the parent's written notes on the child's progress
• B. Reassess the ROM one month after instructing the parents
• C. Demonstrate the exercises for the parents and ask them to return for a program check in one week
• D. Ask the parents to demonstrate the exercises and return for a program check in one week

Answer: (C)

The best approach emphasizes getting the technique right from the start and checking that understanding soon after. Demonstrating the exercises for the parents lets the therapist model the exact way to position, cue, and assist the child, so the parents can see what correct performance should look like and can imitate it accurately. Then scheduling a follow-up in about a week provides a concrete opportunity to verify that the exercises are being done correctly at home, address questions, and make any needed refinements before sloppy habits or incorrect form become established. Relying on written notes doesn’t confirm proper technique, waiting a month to reassess misses an immediate check-in, and asking parents to demonstrate without first showing them how it’s done risks misinterpretation. Demonstrate and then follow up quickly—one week—to ensure proper execution and carryover.

The best approach emphasizes getting the technique right from the start and checking that understanding soon after. Demonstrating the exercises for the parents lets the therapist model the exact way to position, cue, and assist the child, so the parents can see what correct performance should look like and can imitate it accurately. Then scheduling a follow-up in about a week provides a concrete opportunity to verify that the exercises are being done correctly at home, address questions, and make any needed refinements before sloppy habits or incorrect form become established. Relying on written notes doesn’t confirm proper technique, waiting a month to reassess misses an immediate check-in, and asking parents to demonstrate without first showing them how it’s done risks misinterpretation. Demonstrate and then follow up quickly—one week—to ensure proper execution and carryover.