Motor function, activities of daily living (ADL) and participation are of primary concerns of parents or caregivers with cerebral palsy (CP) children. This structured home-based exercise program (SHEP) was developed to offer a practical exercise program, which includes all components of exercise for both upper and lower limbs to improve the above functions.

Eleven children participated in this study [7 males and 4 females, mean age 10y 3mo, standard deviation (SD) 3y] with Gross Motor Function Classification System (GMFCS) I–III. The multiple baseline study design was used to measure SHEP effects on ADL with Pediatric Evaluation in Disability Inventory - Computer Adaptive Test (PEDI-CAT), children's participation with Children's Assessment of Participation and Enjoyment (CAPE) questionnaire and motor function (GMFM-66). An exercise logbook was given and OMNI-RPE scale was taught to caregiver and children to monitor exercise intensity. Outcome assessments were done at pre-intervention, intervention and post-intervention phases. The intervention with SHEP phase was done for eight weeks. Two assessments were done at one month and three months post-intervention. Comparison between means of each phases were analyzed using Repeated Measure (RM) Anova and Paired t-test when appropriate.

SHEP improves ADL, PEDI-CAT (P=0.028, d=0.5) and participation at Where-domain, CAPE questionnaire (P=0.047, d=0.8) as well as motor function, GMFM-66 (P=0.04, d=0.14) during the intervention period.

SHEP is a practical and quick exercise intervention, which can be done at home to achieve short-term goal in improving motor function, activities of daily living and participation.