Randomized controlled trial of web-based multimodal therapy for unilateral cerebral palsy to improve occupational performance
MetadataShow full item record
© 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.
Showing items related by title, author, creator and subject.
Impact of multi-modal web-based rehabilitation on occupational performance and upper limb outcomes: Pilot randomized trial in children with acquired brain injuriesSakzewski, L.; Lewis, M.; Mckinlay, L.; Ziviani, J.; Boyd, Roslyn (2016)Aims: To determine whether the multi-modal web-based rehabilitation 'Move it to improve it' (Mitii) is more effective than wait list control (usual care) to improve occupational performance, upper limb function, and visual ...
Randomized controlled trial of a web-based multi-modal therapy program for executive functioning in children and adolescents with unilateral cerebral palsyM Piovesana, A.; Ross, S.; Lloyd, O.; Whittingham, K.; Ziviani, J.; Ware, R.; Boyd, Roslyn (2016)Purpose state: Determine the efficacy of Move-it-to-improve-it (Mitii™), a multi-modal web-based program, in improving Executive Function (EF) in children with unilateral cerebral palsy (UCP). Method: Participants (n = 102) ...
The cost-effectiveness of a web-based multimodal therapy for unilateral cerebral palsy: The Mitii randomized controlled trialComans, T.; Mihala, G.; Sakzewski, L.; Boyd, Roslyn; Scuffham, P. (2017)Aim: To estimate the cost-effectiveness of the Mitii training system for improvements in upper limb function for children with unilateral cerebral palsy (CP). Mitii is a web-based programme delivered at home with set-up ...