Randomized controlled trial of web-based multimodal therapy for unilateral cerebral palsy to improve occupational performance
Abstract
AIM: The study aimed to investigate the effectiveness of a web-based therapy programme, 'Move it to improve it' (Mitii(™)), in children with unilateral cerebral palsy (UCP) on occupational performance, upper limb function, and visual perception. METHOD: Participants (n=102) were matched in pairs and randomized to intervention (Mitii for 20wks; 26 males, mean age 11y 8mo [2y 4mo], Manual Ability Classification System level I=11, II=39, III=1) or control (standard care; 25 males, mean age 11y 10mo [2y 5mo], Manual Ability Classification System level I=13, II=37). Outcomes were the Assessment of Motor and Process Skills (AMPS), Assisting Hand Assessment, Jebsen-Taylor Test of Hand Function (JTTHF), Melbourne Assessment of Unilateral Upper Limb Function (MUUL), Canadian Occupational Performance Measure (COPM), and Test of Visual Perceptual Skills (TVPS-3). RESULTS: Participants completed on average 32.4 hours of Mitii (range 3.7-74.7h). The Mitii group demonstrated significantly greater post-intervention scores than the comparison group on the AMPS, JTTHF dominant upper limb, COPM, and TVPS-3. The differences between groups were not clinically significant. There were no differences between groups on measures of impaired upper limb function. INTERPRETATION: Mitii delivers individualized, web-based therapy at home and has potential to increase therapy dose. Mitii can be considered as an option to enhance occupational performance and visual perception for children with UCP.
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Nineteen studies reported in twenty randomized controlled trials, published between 2002 and 2016, were included in the review.
“Therefore, a total of 19 studies (in 20 RCTs) that were published between 2002 and 2016 were included in this review.41-44,46-61”
From Effectiveness of Virtual Reality in Children With Cerebral Palsy: A Systematic Review and Meta-Analysis of Randomized Controlled Trials (2018) · cites this paper as [43]
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- Authors
- James, S., Ziviani, J., Ware, R. S., & Boyd, R. N.
- Affiliations
- The University of Queensland (AU)
- Queensland Health (AU)
- Corresponding author
- James, Sarah
- Venue
- Developmental Medicine & Child Neurology
- Publisher
- Wiley
- Published
- 2015-02-27
- Volume
- 57
- Issue
- 6
- Pages
- 530-538
- ISSN
- 0012-1622 (ISSN-L)
- 1469-8749
- OpenAlex
- W1982409289
- Cited by
- 108
- References
- 27
- Citations by year
- 2026: 8 · 2025: 11 · 2024: 5 · 2023: 11 · 2022: 15 · 2021: 6 · 2020: 13 · 2019: 11 · 2018: 3 · 2017: 10 · 2016: 11 · 2015: 4
- FWCI
- 7.57
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Developmental Medicine & Child Neurology (publishedVersion)
- PubMed (publishedVersion)
- eSpace (Curtin University) (submittedVersion)
- Griffith Research Online (submittedVersion)
- Funders
- Foundation for Children Grant
- Smart Futures Co-Investment Program Grant
- Australian Postgraduate Award and Queensland Government Smart Futures PhD Scholarship
- National Health and Medical Research Council Career Development Fellowship (1037220)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Cerebral Palsy and Movement Disorders
- Social Sciences › Psychology › Developmental and Educational Psychology › Children's Physical and Motor Development
- Health Sciences › Medicine › Neurology › Botulinum Toxin and Related Neurological Disorders
- Keywords
- spastic hemiplegia, online therapy, home-based rehabilitation, occupational performance, upper limb function, visual perception, children, therapeutic dose, Canadian Occupational Performance Measure
- MeSH terms
- Adolescent, Cerebral Palsy, Child, Exercise Test, Exercise Therapy, Female, Humans, Male, Occupational Therapy, User-Computer Interface, Visual Perception, Treatment Outcome, Internet, Upper Extremity
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