Introduction: Cerebral palsy is a group of permanent disorders that affect the development of movement and posture, leading to activity limitations. It is caused by a non-progressive permanent brain injury that occured in the developing brains of fetuses or infants.During occupational therapy in the home environment, the child performs thearpeutic activities together with an occupational therapist, supported by the parent. Occupational therapy interventions in the home setting can be an effective supplement to regular treatments in rehabilitation facilities. They represent a unique opportunity for continuous implementation of specific activities in a relevant context. Purpose: The purpose of this literature review is to examine what is known about occupational therapy interventions in the home environment for children and adolescents with CP. Methods: A systematic review of scientific and professional literature in English and Slovenian language was conducted. Sources were searched in the bibliographics databases CINAHL, PubMed, Web of Sience and COBISS. Sixteen articles were included in the final analysis. Results: In the thematic analysis, 4 main topics were made from the review of articles: types of occupational therapy interventions, effectiveness of occupational therapy interventions in the home environment (sub-themes: Constraint-Induced Movement Therapy, virtual therapy and bimanual training) and experiences of parents and occupational therapists. Discussion and conclusion: The literature review found that the most commonly used occupational therapy interventions for children with cerebral palsy include: modified Constraint-Induced Movement Therapy and Constraint-Induced Movement Therapy, virtual reality, bimanual training, practice of goal oriented activities, performing activities of daily living, activities to strengthen fine motor skills, activities to increase active range of motion, coaching, conceptual model Cognitive Orientation to Daily Occupational Performance, sensory integration therapy and Bobath approach. Evidence supports the effectiveness of home-based occupational therapy interventions for children with cerebral palsy. Occupational therapists primarly seek more support from management and standardized assessment instruments when performing occupational therapy in the home environment, while research among parents indicates increased levels of stress and lack of motivation and time for regular therapy with their child.
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