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Your appointment with the REACH service

Rehabilitation at Evelina London Children’s Hospital 

Who our service is for

  • Children and young people (aged from birth through to 16 years) with hemiplegia (movement difficulties mainly on one side of the body) where their hand movement impacts what they need or would like to do in their  daily life activities.
  • You can come to our service for a consultation and advice, and in some cases we are able to offer an intensive programme of rehabilitation.
  • This is an intense programme, and both the child or young person and parents or carers need to be motivated and able to take part in a programme that can disrupt family routines. At your first appointment, we will discuss with you the demands of the programme for you as parents/carers delivering the therapy, and for your child/young person participating in daily activities which require sitting at a table.
  • Ideally, the local occupational therapy or physiotherapy service is able to:
    a) attend a single joint goal-setting appointment at our hospital
    and
    b) provide weekly sessions in the child’s local area for six weeks.

We will decide if an intensive programme is suitable for patients by discussing this with family members and local therapy teams and through assessment of the child or young person.

Types of rehabilitation

Our treatments (shown to be effective in research studies) include:

  • bimanual therapy
  • a hybrid approach (modified constraint-induced movement therapy with bimanual therapy)
  • task-based, goal-directed occupational therapy.

We decide on the frequency of treatments before patients start our programmes.

All assessments are documented and given to the family, referrer, and relevant professionals. Assessments also take place six weeks and six months after the programme has ended.

What happens after an intervention programme

As a specialist service our aim is to offer support, consultation and advice to supplement your local service, who are responsible for your child’s therapy. Therefore, your child is typically discharged after their six month review appointment. We do not offer repeat intervention programmes or routine ongoing reviews of children.

Contact us

If you would like more information, please email: 
evelinareach@gstt.nhs.uk

Ben Siegle
advanced therapy assistant 
Tel: 07717 680 883

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