Background: Children with spastic cerebral palsy (CP) often undergo orthopedic surgery for muscle contractures, followed by rehabilitation to restore mobility. Evidence on intensive rehabilitation with task-oriented therapy (TOT) after low-burden orthopedic surgery is limited. Objects: This study examined the effects of a 16-week intensive rehabilitation program incorporating TOT in a child with spastic CP who received hamstring and adductor lengthening. Methods: A single-case experimental design was used. Assessments included range of motion (ROM), the Gross Motor Function Measure (GMFM), and the Childhood Health Assessment Questionnaire (CHAQ). The participant received structured rehabilitation with TOT 5 times per week for 16 weeks. Results: Improvements were observed in hip abduction ROM, popliteal angle, GMFM, and CHAQ. A previously unachievable task, reaching a walker and walking to a sofa, became independently achievable, representing a meaningful gain in functional mobility. Conclusion: Intensive rehabilitation with TOT after low-burden orthopedic surgery may yield clinically meaningful improvements in motor function and daily activity performance, and support greater independence in children with CP.

The purpose of this study was to examine the effects of task-oriented training on the self-esteem and activities of daily living for children Down syndrome. ABA single case research design was applied to this study. Study subjects were instructed to perform task oriented training by wearing weighted vest 12 times in total at the rate of 2 times a week and for 40 minutes each during the intervention, and self-esteem and activities of daily living were measured 3 times in total at the baseline, intervention line and the 2nd baseline stages. There was statistically significant differences in total Pediatric Evaluation of Disability Inventory and activities of daily living scores in accordance with the baseline, intervention line, the 2nd baseline stages (p<.05). This study suggests that task-oriented training by wearing weighted vest improve the total Pediatric Evaluation of Disability Inventory and activities of daily living scores in children with Down’s syndrome.