These programmes are designed individually for each child during a consultation and are then carried out by the parents at home. In almost every case additional help is required from other members of the family, friends or volunteers to carry out the activities, which are largely physical in nature. Some simple equipment is sometimes required for which plans are provided, and the child will need space on the floor to move around.
The aim of the programme is to use the senses of vision, hearing and touch to provide input to the brain which could help to improve the child's output or performance in respect of movement, speech and hand function and accelerate his or her rate of learning. Many of the activities are passive and are carried out by 2 or sometimes 3 people, others involve encouraging the child to produce output. The physical exercises mimic the normal development of patterns of movement which are often interrupted by an injury to the brain which has resulted in spasticity or lack of muscular control and co-ordination.
Programmes are offered to parents who want to make a firm commitment to carry out a structured routine on a regular basis, and are aimed at producing the maximum possible improvement. The programmes are generally around 30 minutes in length and comprise of a series of largely physical activities lasting between 1 and 5 minutes each, some of which are carried out more than once. Families are asked to repeat the programme in exactly the same order, aiming for a target of between 20 and 30 times each week. They are free to decide how best to arrive at this figure depending on their own circumstances and lifestyle. Some families opt for a regular routine of the same number of sessions each day while others prefer a more flexible ad hoc approach with more on some days and less on others. This will of course be affected by when additional help is available and whether the child attends school or other therapeutic organisatons.Furtherconsultations are then scheduled at 6 monthly intervals to review progress and make adjustments to the programme, and ongoing support and advice between visits is available by e-mail or telephone.