Randomized controlled trial of web-based multimodal therapy for children with acquired brain injury to improve gross motor capacity and performance

Baque, Emmah, Barber, Lee, Sakzewski, Leanne and Boyd, Roslyn (2016) Randomized controlled trial of web-based multimodal therapy for children with acquired brain injury to improve gross motor capacity and performance. Clinical Rehabilitation, . doi:10.1177/0269215516651980


Author Baque, Emmah
Barber, Lee
Sakzewski, Leanne
Boyd, Roslyn
Title Randomized controlled trial of web-based multimodal therapy for children with acquired brain injury to improve gross motor capacity and performance
Journal name Clinical Rehabilitation   Check publisher's open access policy
ISSN 0269-2155
1477-0873
Publication date 2016-06-07
Year available 2016
Sub-type Article (original research)
DOI 10.1177/0269215516651980
Open Access Status Not Open Access
Total pages 11
Place of publication London, United Kingdom
Publisher Sage Publications
Collection year 2017
Formatted abstract
Objective: To compare efficacy of a web-based multimodal training programme, ‘Move it to improve it’ (MitiiTM), to usual care on gross motor capacity and performance for children with an acquired brain injury.

Design: Randomized waitlist controlled trial.

Setting: Home environment.

Participants: A total of 60 independently ambulant children (30 in each group), minimum 12 months post-acquired brain injury were recruited and randomly allocated to receive either 20 weeks of MitiiTM training (30 minutes/day, six days/week, total 60 hours) immediately, or waitlisted (usual care control group) for 20 weeks. A total of 58 children completed baseline assessments (32 males; age 11 years 11 months ± 2 years 6 months; Gross Motor Function Classification System equivalent I = 29, II = 29).

Intervention: The MitiiTM program comprised of gross motor, upper limb and visual perception/cognitive activities.
Main measures: The primary outcome was 30-second, repetition maximum functional strength tests for the lower limb (sit-to-stand, step-ups, half-kneel to stand). Secondary outcomes were the 6-minute walk test, High-level Mobility Assessment Tool, Timed Up and Go Test and habitual physical activity as captured by four-day accelerometry.

Results: Groups were equivalent at baseline on demographic and clinical measures. The MitiiTM group demonstrated significantly greater improvements on combined score of functional strength tests (mean difference 10.19 repetitions; 95% confidence interval, 3.26–17.11; p = 0.006) compared with the control group. There were no other between-group differences on secondary outcomes.

Conclusion: Although the MitiiTM programme demonstrated statistically significant improvements in the functional strength tests of the lower limb, results did not exceed the minimum detectable change and cannot be considered clinically relevant for children with an acquired brain injury.

Clinical Trial Registration: Australian New Zealand Clinical Trials Registration Number, ANZCTR12613000403730.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: HERDC Pre-Audit
School of Health and Rehabilitation Sciences Publications
Child Health Research Centre Publications
 
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Created: Mon, 13 Jun 2016, 13:21:01 EST by Ms Leanne Sakzewski on behalf of School of Health & Rehabilitation Sciences