title: Randomized controlled trial of web-based multimodal therapy for unilateral cerebral palsy to improve occupational performance.
abstract: OBJECTIVE
  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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Queensland Cerebral Palsy and Rehabilitation Research Centre, School of Medicine, Royal Children's Hospital, The University of Queensland, Brisbane, Qld, Australia.
authors.forename: Sarah
authors.initials: S
authors.lastname: James
authors.affiliation: Children's Allied Health Research, Queensland Health, Brisbane, Qld, Australia.|School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Qld, Australia.
authors.forename: Jenny
authors.initials: J
authors.lastname: Ziviani
authors.affiliation: School of Population Health, The University of Queensland, Brisbane, Qld, Australia.|Queensland Children's Medical Research Institute, The University of Queensland, Brisbane, Qld, Australia.
authors.forename: Robert S
authors.initials: RS
authors.lastname: Ware
authors.affiliation: Queensland Cerebral Palsy and Rehabilitation Research Centre, School of Medicine, Royal Children's Hospital, The University of Queensland, Brisbane, Qld, Australia.
authors.forename: Roslyn N
authors.initials: RN
authors.lastname: Boyd
mesh_terms: D000293:Adolescent; D002547:Cerebral Palsy / Q000534:rehabilitation / Q000628:therapy*; D002648:Child; D005080:Exercise Test; D005081:Exercise Therapy / Q000295:instrumentation / Q000379:methods*; D005260:Female; D006801:Humans; D020407:Internet; D008297:Male; D009788:Occupational Therapy / Q000379:methods*; D016896:Treatment Outcome; D034941:Upper Extremity / Q000503:physiopathology; D014584:User-Computer Interface; D014796:Visual Perception / Q000502:physiology