SPECIFICITIES OF PHYSICAL DEVELOPMENT OF CHILDREN WITH CEREBRAL PARALYSIS IN A FAMILY-ORIENTED MODEL OF INTERVENTIONS
Authors: Havrylenko A. V. , Popovych D. V. , Yashchyshyn Z. M. 
Published: October 2024

Families with a child with cerebral palsy (CP) face a number of medical, economic, legal, educational and psychological problems from the moment of birth. The main responsibility for the child's development lies with families, as it is there that key aspects of the child's personality are formed. There is a clear dependence of a child's psychological and physical health on the psychological climate of the family. Children with such disorders need to be provided with favorable conditions that will help compensate for the consequences of their disabilities. They need the support of qualified specialists and, most importantly, a warm and friendly attitude from their parents and the environment [1].
It should be emphasized that there are a number of factors that contribute to the psychological maladjustment of children with cerebral palsy in the family environment, which should be known to the child's relatives. First and foremost, it is the inadequate assessment of physical and mental development by parents, as well as the psychological atmosphere in the family. These factors cause deformation of the child's psyche and complicate his or her social adaptation, and negatively affect motor activity and treatment and rehabilitation processes. There are two sides to this situation: on the one hand, parents who find it difficult to understand the complexity of the situation and the child who needs special care, treatment and education. Physical rehabilitation requires the active participation of the person being rehabilitated, but with children, especially young children, this process is too complex for quality rehabilitation and requires the participation of parents. It is also important to take into account the role of the family in the development of motor skills, as it helps to integrate therapeutic techniques into the child's daily life.
The aim of the study was to analyze the latest research and approaches to determine the peculiarities of cooperation between a physical therapist and families raising children with cerebral palsy. Using the Internet search databases and the bibliosemantic method, the peculiarities of applying a family-centered approach, motor training, principles of neuroplasticity and home exercise programs to improve the motor activity of children with cerebral palsy were determined.
This article describes some peculiarities of physical therapist's work with patients suffering from cerebral palsy. The peculiarity is that these patients are children and when working with children, unlike adults where motivation comes first, intervention approaches in children are formed on the basis of pleasure. Accordingly, various specialists should be involved at all stages to ensure the normal functioning and development of the child. However, the role of parents in this process remains no less important, as they should be the main link that connects these processes for the well-being of the child.
The review analyses research on motor training and home exercise programs. The family-centred approach to physical rehabilitation for children with cerebral palsy emphasizes the role of the family as a key factor in achieving goals and improving the child's quality of life. Involving the family in physical therapy helps to integrate therapeutic techniques into the daily life of the child and his or her family.
Conclusions. The family-centred approach is characterised by the active participation of the family in the rehabilitation process. This is important because the family plays a crucial role in supporting and motivating the child during treatment. This approach not only provides treatment, but also provides the family with the knowledge, skills and resources to continue to help the child in their daily lives. This approach aims not only to improve the child's functioning, but also to help the child become part of the wider family and social environment. This promotes greater integration and independence. Thus, the family-centred approach to physical rehabilitation of children with cerebral palsy demonstrates the importance of family support and integration during treatment, contributing to the comprehensive improvement of both the physical and psychosocial condition of the child.