Abstract: ObjectiveTo investigate the effects of playful training on home environment and development in children with cerebral palsy. Methods89 children with cerebral palsy were divided into observation group (45 cases) and control group (44 cases). All children were treated with normal strengthen rehabilitation in hospital. The observation group received the training playfully. They were assessed with the Home Observation for Measurement of the Environment (HOME) and Bayley Scale of Infant Development (BSID) before and 6 months after treatment. ResultsAfter treatment, The HOME scores in observation group was significantly better than those before treatment and in control group （P<0.01）. The Psychomotor Dvelpment Index (PDI) of BISD was improved in both groups （P<0.01） with significant different between them（P<0.05）. The Mental Development Index (MDI) of BISD in observation group was significantly better than those before training and in control group （P<0.01）. ConclusionPlayful training can improve the development and home environment in children with cerebral palsy.

Key words: playful training, cerebral palsy, home environment, development