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

    Access Status
    Open access via publisher
    Authors
    James, S.
    Ziviani, J.
    Ware, R.
    Boyd, Roslyn
    Date
    2015
    Type
    Journal Article
    
    Metadata
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    Citation
    James, S. and Ziviani, J. and Ware, R. and Boyd, R. 2015. Randomized controlled trial of web-based multimodal therapy for unilateral cerebral palsy to improve occupational performance. Developmental Medicine and Child Neurology. 57 (6): pp. 530-538.
    Source Title
    Developmental Medicine and Child Neurology
    DOI
    10.1111/dmcn.12705
    ISSN
    0012-1622
    School
    School of Occupational Therapy and Social Work
    URI
    http://hdl.handle.net/20.500.11937/3573
    Collection
    • Curtin Research Publications
    Abstract

    © 2015 Mac Keith Press. Aim: The study aimed to investigate the effectiveness of a web-based therapy programme, 'Move it to improve it' (Mitii<sup>™</sup>), 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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