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Context-based interventions for functionality and social participation in children with cerebral palsy: a scoping review Cover

Context-based interventions for functionality and social participation in children with cerebral palsy: a scoping review

Advances in Rehabilitation
Volume 40 (2026): Issue 1 (March 2026)
By: ,  ,   and    
Open Access
|Mar 2026
Figures & tables

Figures & Tables

Figure 1.

PRISMA flow diagram for study selection through database searching. CP - cerebral palsy, CBIs - context-based interventions

Figure 2.

Geographic distribution of studies included (own source)

General characteristics of the included studies

AuthorCountryStudy designAimType of CBIsSample ageNumber of participantsICF components addressedOutcome measuresLevel of evidence (CEBM)
AlSaif et al. 12Saudi ArabiaRCTTo examine the effects of Nintendo Wii Fit training on motor performance in children with spastic CPHome-based use of Nintendo Wii Fit6–10 years40 (20 intervention/20 control)Activity, Motor FunctionBOTMP 5:6,mABC-2, 1MWT2b
Chiu et al. 13TaiwanPre–post feasibility studyTo assess the feasibility and clinical benefits of home-based Wii Fit training in children with CPHome-based Wii Fit training supervised by parents and therapists6–12 years20Activity, Motor Function, ParticipationAPS, Muscle strength, 6MWT, 10MWT4
Chen et al.14,15USAPilot study (case series)To evaluate the feasibility and effectiveness of a low-cost home-based VR system (Super Pop VR) for children with CPHome-based virtual reality (Super Pop VR) supervised by caregivers7–10 years3 children with CPActivity, Motor Function, ParticipationBOT-2, PMAL, Reaching kinematics (VR),4
Chan-Víquez et al.16CanadaMixed-methods case studyTo evaluate the feasibility, motor outcomes, and user experiences of the Bootle Blast home-based videogame for upper limb rehabilitation in children with hemiplegic CPHome-based goal-directed therapy using Bootle Blast8–13 years4 children with hemiparesisActivity, Participation, Motor FunctionAHA, BBT, COPM, CHEQ, Grip Strength, ROM4
Farr et al. 17UKRCTFeasibility of virtual reality rehabilitation in children with CPHome-based virtual reality therapy with family involvement5–16 years30Activity, Participation, Motor FunctionBOT-2, GMFM-66, GAS SDQ, TUG2b
Goswami et al. 18IndiaRCTTo assess home-based activity therapy in children with spastic diplegic CPHome-based functional activity therapy supervised by caregivers5–12 years59 (30 intervention/29 control)Activity, Participation, Motor Function6MWT, 10MFWT, CP-QoL, GMFM-88, MAS, MTS2b
Hung et al.19USAQuasi-experimental (pre-post)To evaluate home-based bi-manual training in children with unilateral CP.Intensive home-based bimanual training (H-HABIT) led by caregivers2.5–4.5 years7Activity, Motor Function, ParticipationBimanual coordination (kinematic analysis), joint motion4
Kassee et al.20CanadaPilot studyTo compare home-based Wii and resistance training in children with hemiplegic CPWii group: home-based Nintendo Wii use7–12 years6 (3 Wii/3 resistance)Activity, Motor FunctionABILHAND-Kids, MA2, Grip Strength (dynamometer)3b
Mattern-Baxter et al.21USARCTComparing low- versus high-intensity home-based treadmill training on walking in children with CPHome-based treadmill training14–32 months19 (10 LI/9 HI)Activity, Motor Function1MWT, 10MWT, FMS, GMFM-66 D/E, PDMS-2, PEDI, Step Watch2b
Preston et al.22UKPilot studyTo assess the feasibility and effects of computer-assisted arm rehabilitation games in schools for children with CPComputer-assisted robotic games in school6–12 years11 (9 schools)Activity, Motor FunctionABILHAND-Kids, COPM, CKAT (kinematics: speed, smoothness, accuracy)3b
Preston et al.23UKPilot RCTTo assess home-based rehabilitation gaming for arm function in children with spastic CP.Robotic rehabilitation games at home post-botulinum toxin5–12 years15 (8 intervention/7 control)ActivityABILHAND-Kids, COPM2b
Reedman et al.24AustraliaRCTTo evaluate the effects of participation-focused therapy on goal performance and physical activity in children with CPParticipation-focused therapy (ParticiPAte CP): home/community-based individualised intervention8–12 years37 (18 intervention/19 control)Activity, Participation, Environmental FactorsCOPM (performance/satisfaction), Accelerometry (MVPA), BPPA-Q, PEM-CY2b
Sel et al.15TurkeyTriple-blind RCTTo evaluate the effectiveness of a telerehabilitation-based structured home program in pre-school children with CPStructured home program with telerehabilitation support3–6 years43 (23 intervention/20 control)Activity, Participation, Motor FunctionGMFM-66, COPM, GAS, PEDI1b
Wang et al.25TaiwanPilot RCTComparing home-based Nintendo Wii-augmented constraint-induced therapy with conventional CIT in children with CPConventional CIT versus CIT with exergaming (Wii) at home5–12 years18 (10 CIT-Wii/8 CIT)Activity, Participation, Motor FunctionABILHAND-Kids, BOT-2,Top, PSI-SF2b

Search strategy used in each database

Database (number of studies)Search strategy
PubMed (3214) EBSCO (2325) Scopus (1256) WOS (1572)(((CP) AND (rehabilitation)) AND (context focused intervention)) AND (Context therapy)
(((CP) AND (rehabilitation)) AND (participation)) AND (Functional independence)
((CP) AND (rehabilitation) AND (family)
(((CP) AND (Rehabilitation)) AND (family)) AND (acceptance and commitment therapy)
((CP) AND (rehabilitation)) AND (home based)
((CP) AND (rehabilitation) AND (social environment)
(((CP) AND (rehabilitation)) AND (self-help devices)) AND (assistive technology)
((CP) AND (rehabilitation)) AND (health services accessibility)
((CP) AND (rehabilitation)) AND (health knowledge, attitudes, practice)
Context-focused intervention AND CP
Context-focused intervention environments AND CP
CP [Title] AND (‘enriched environments’[Title] OR ‘steppingstones’[Title] OR ‘family centered therapy’[Title] OR ‘performance’[Title] OR ‘environment’[Title])
‘CP’ AND ‘f words’
‘CP’ AND ‘health knowledge’
‘CP’ AND ‘health services accessibility’
‘CP’ AND (‘health technologies’ OR ‘self-help devices’)
DOI: https://doi.org/10.2478/advrehab-2026-0004 | Journal eISSN: 1734-4948
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Language: English
Page range: 54 - 68
Submitted on: Jul 1, 2025
Accepted on: Nov 13, 2025
Published on: Mar 31, 2026
Published by: University of Physical Education in Warsaw
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year
Keywords:
independence,
telerehabilitation,
family-centred care,
home-based
Related subjects:
Medicine,
Clinical medicine,
Physical and rehabilitation medicine,
Rheumatology,
Cardiology,
Sports and recreation,
Sports and recreation, other

© 2026 Lina Giccela Suarez Muñoz et al., published by Józef Piłsudski University of Physical Education in Warsaw
This work is licensed under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

Volume 40 (2026): Issue 1 (March 2026)
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