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corrective."},"scars":"None; no incisions.","sessions_or_stages":{"sessions":{"min":10,"max":40,"unit":"visits","qualifier":"Daily sessions over a 2-4 week block, often several therapies per day."},"stages":[{"code":"assessment","label":"Initial assessment and goal setting","after":{"min":0,"max":2,"unit":"days","qualifier":"At start of the block."}},{"code":"intensive_block","label":"Intensive therapy block","after":{"min":1,"max":2,"unit":"days","qualifier":"Starts 1-2 days after assessment; runs 2-4 weeks."}},{"code":"reassessment","label":"Final reassessment and home programme","after":{"min":14,"max":28,"unit":"days","qualifier":"At end of the block."}}],"qualifier":"One block per trip; repeat courses every 3-6 months are optional."},"success":{"metric":"Children achieving individual functional goals (e.g., GAS goal attainment)","value":60,"unit":"percent of children","horizon":"3-6 months after intensive block","population":"Children with cerebral palsy, GMFCS I-III, receiving intensive goal-directed therapy","evidence_status":"limited"},"techniques":[{"name":"Physiotherapy (neurodevelopmental, task-oriented, strength and gait training)","suits_whom":"Most children with cerebral palsy to improve mobility, posture and balance","recovery":"No recovery period; sessions are repeated regularly"},{"name":"Occupational therapy","suits_whom":"Children with difficulties in hand function and daily activities","recovery":"No recovery period"},{"name":"Speech and swallowing therapy","suits_whom":"Children with communication, speech or feeding difficulties","recovery":"No recovery period"},{"name":"Constraint-induced movement therapy","suits_whom":"Children with unilateral cerebral palsy and upper-limb involvement","recovery":"No recovery period; delivered as short intensive blocks"},{"name":"Bimanual training","suits_whom":"Children with hand-use difficulty in unilateral or bilateral cerebral palsy","recovery":"No recovery period; delivered within intensive blocks"}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":3,"max":6,"unit":"hours","qualifier":"Total therapy time per day across disciplines, including rest breaks; individual sessions last 30-60 minutes."},"initial_assessment_documents":["Neurologist report with CP diagnosis and GMFCS level","Brain MRI report","Videos of walking and movement","Recent physiotherapy or rehabilitation progress report","Hip X-ray report (if available)","List of anti-spasticity medications and botulinum toxin history"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"One trip covers one 2-4 week block; repeat courses optional."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check that a team of health professionals will build the treatment plan with you and your child","scope":"procedure","source":{"url":"https://medlineplus.gov/cerebralpalsy.html","host":"medlineplus.gov","quote":"A team of health professionals will work with you and your child to 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treatment","scope":"treatment_abroad","source":{"url":"https://www.nhs.uk/using-the-nhs/healthcare-abroad/going-abroad-for-treatment/treatment-abroad-checklist/","host":"nhs.uk","quote":"Make sure you understand the possible complications and side effects that could arise from your treatment.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C5","text":"Check that your child's treatment plan is based on their own symptoms, strengths and goals","scope":"procedure","source":{"url":"https://my.clevelandclinic.org/health/diseases/8717-cerebral-palsy","host":"my.clevelandclinic.org","quote":"Your child’s treatment plan will depend on their specific symptoms, strengths and goals.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"C6","text":"Check how the care team will set goals and adjust them over time","scope":"procedure","source":{"url":"https://my.clevelandclinic.org/health/diseases/8717-cerebral-palsy","host":"my.clevelandclinic.org","quote":"Your child’s care team will set realistic goals and adjust them over time.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"Medical advice comes from sales staff or a travel agent, not from a clinician","scope":"treatment_abroad","source":{"url":"https://travelhealthpro.org.uk/factsheet/59/medical-tourism-travelling-for-treatment","host":"travelhealthpro.org.uk","quote":"Medical advice from an administrator, a travel agent, or member of a sales team is not acceptable.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"F2","text":"No written contract from the clinic or hospital is offered for the 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thinking","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"W4","text":"Loss of skills they already had","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/diseases/8717-cerebral-palsy","host":"my.clevelandclinic.org","quote":"Developmental delays or a loss of skills they already had","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Lets your home doctor continue care from the hospital's own summary","document":"discharge plan and hospital summary","source":{"url":"https://my.clevelandclinic.org/departments/heart/patient-education/recovery-care/general/instructions","host":"my.clevelandclinic.org","quote":"You will leave with a “Discharge Plan and Hospital Summary.”","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T2","text":"Lets your home doctor and pharmacy update prescriptions from the new list","document":"updated medicine list","source":{"url":"https://my.clevelandclinic.org/departments/heart/patient-education/recovery-care/general/instructions","host":"my.clevelandclinic.org","quote":"Use this new list to update your healthcare providers and retail pharmacies.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}},{"id":"T3","text":"Lets your home team continue the exercises started in hospital","document":"physiotherapy exercise leaflet","source":{"url":"https://www.worcsacute.nhs.uk/leaflets/discharge-advice-following-your-surgery/","host":"worcsacute.nhs.uk","quote":"Please continue the physiotherapy exercises in the leaflet given to you prior to your discharge home.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-12","next_check_at":"2027-11-12","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"Your child's movement difficulties 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