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Continuous Incremental Progress (CIP)

Continuous Incremental Progress (CIP) is observed across all the building blocks of the Fabrics of Life – Neutral being, Assistance, Positioning, Transition as well as Transportation.

The more severely affected the child is, the greater need there is for us to first focus on gaining continuous incremental progress of Neutral being, Assistance and Positioning, which are the first three building blocks of the Fabrics of Life.  This is particularly true for the child who is unable to maintain an independent sitting position.   

On the other hand, continuous incremental progress of Transition and Transportation is our focus for walking children with Cerebral Palsy.  

The child does not simply change from where he is today to a healthy peer overnight.  That will be a miracle instead of therapy.  Continuous incremental progress describes the results expected under ABR home program more accurately.  Many mini-achievements finally add up to major milestone achievements.

Continuous Incremental Progress of his respiratory performance

In order to maximize the supplied source of energy, we first want to see Continuous Incremental Progress of his respiratory performance.  That will help to maximize the energy the child has for his growth and development. 

 

Continuous incremental progress of Neutral being

 
 

 Continuous incremental progress of Assistance

Assistance provided to the child is meant to help him positively in his transfer and task.  However, this is often not so with children affected by Cerebral Palsy.  This is often overlooked when one evaluates what we do for the therapy but it is, nonetheless, one of the most fundamental daily activities that the child faces every day.  It concerns directly with the quality of life that both the child and the care givers have.

 

Continuous incremental progress of Positioning

Positioning entails the ability of the child to make mini-adjustment necessary to stay in the position comfortably.  It translates to the variety of possible angles of anchoring and contact points.  It means the ability of the child to regain his balance when he is off balance.  It also means the ability of the child to relax in the position, not paying full attention to how to maintain the position but to engage fully with the surrounding and to perform other activities such as eating, drinking, waving hands, reaching out for an object, reading, writing or to communicate with the person next to him.

 

Continuous incremental progress of Transition

 

Continuous incremental progress of Transportation

Transportation is the pinnacle of the “Fabrics of Life”.  It is built upon the solid foundation of comfort of Neutral position, positive contribution from Assistance, solid Positioning and good Transition.  While crawling is the first mode of transportation, sitting is the “super short leg” moving while knee walking is the “short leg” walking.  Both “super short leg” and “short leg” walking are building blocks of “long leg” walking.  

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