All children need a regular routine to help them adjust to their environment, and learn to adapt to the demands made on them. The daily routine is a way of providing a learning environment for the child. Within this program, the child has the opportunity to practice and repeat skills they are learning or have learned.

All aspects of the child's development is included - physical, functional, psychological, social, cognitive. The automatic movements which we take for granted in our daily lives do not exist in the child with cerebral palsy. These movement patterns have to be learned.

For example, for the functional movement "raising the arms above the head and put the T-shirt on", the child with motor impairment must practice it in many different situations, ie in supine lying, in sitting, in standing, before they can do it automatically.

The well-planned, comprehensive program will provide and create situations where this can be learned and implemented daily.

Walk into the classroom in the morning

Children all walk in to the class.          Wheelchairs stay outside of class

Lying Program

Reaching and climbing up ladder.          Lifting a stick behind their heads.          Keeping body straight and bending one leg.

Potty Training

Learning to use the potty.          Perfection requires practice.


Children practice self feeding skills.          Children sit at the plinths to eat.          Some need little assistance.

 Standing Program

Raising one hand while seated.          Lifting leg to kick a ball.          Standing and holding ladder back chair.

Individual Program

Walking and following the leader.           Walking through a staggered ladder.          Walking, without help using ropes.

Sitting Program

Shaking a rattle while sitting.          Lifting a ring over head.          Holding sitting balance & lifting ball.


Placing hands together.          Placing rings over spindles.          Stacking colored shapes.


Tracing line shapes.          Learning to control movement on the page.          Practicing pre- writing skills.


Parents in the class during lunch.         Assisting children only as required.

Walking out

Pushing a standing ladder.          Pushing a walker with assistance.          Independently pushing a walker.

Walking into the bedroom

Arrived using a walker, 5 weeks later walking to her room using quad canes.