Article

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.
CI - (c) 2015 Mac Keith Press.

Langue : ANGLAIS