Randomized controlled trial of web-based multimodal therapy for unilateral cerebral palsy to improve occupational performance

James, Sarah, Ziviani, Jenny, Ware, Robert S. and Boyd, Roslyn N. (2015) Randomized controlled trial of web-based multimodal therapy for unilateral cerebral palsy to improve occupational performance. Developmental Medicine and Child Neurology, 57 6: 530-538. doi:10.1111/dmcn.12705


Author James, Sarah
Ziviani, Jenny
Ware, Robert S.
Boyd, Roslyn N.
Title Randomized controlled trial of web-based multimodal therapy for unilateral cerebral palsy to improve occupational performance
Journal name Developmental Medicine and Child Neurology   Check publisher's open access policy
ISSN 1469-8749
0012-1622
Publication date 2015-06
Year available 2015
Sub-type Article (original research)
DOI 10.1111/dmcn.12705
Volume 57
Issue 6
Start page 530
End page 538
Total pages 8
Place of publication Chichester, West Sussex United Kingdom
Publisher Wiley-Blackwell Publishing
Collection year 2016
Language eng
Formatted 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.
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2016 Collection
School of Medicine Publications
 
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