James Sarah, Ziviani Jenny, Ware Robert S, Boyd Roslyn N
Queensland Cerebral Palsy and Rehabilitation Research Centre, School of Medicine, Royal Children's Hospital, The University of Queensland, Brisbane, Qld, Australia.
Children's Allied Health Research, Queensland Health, Brisbane, Qld, Australia.
Dev Med Child Neurol. 2015 Jun;57(6):530-8. doi: 10.1111/dmcn.12705. Epub 2015 Feb 27.
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.
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).
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.
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.
本研究旨在调查基于网络的治疗方案“动起来，改善它”（Mitii(™)）对单侧脑瘫（UCP）儿童在职业表现、上肢功能和视觉感知方面的有效性。
参与者（n = 102）配对后随机分为干预组（接受Mitii治疗20周；26名男性，平均年龄11岁8个月[2岁4个月]，手动能力分类系统I级 = 11，II级 = 39，III级 = 1）或对照组（接受标准护理；25名男性，平均年龄11岁10个月[2岁5个月]，手动能力分类系统I级 = 13，II级 = 37）。结局指标包括运动和过程技能评估（AMPS）、辅助手评估、杰布森 - 泰勒手功能测试（JTTHF）、墨尔本单侧上肢功能评估（MUUL）、加拿大职业表现测量（COPM）和视觉感知技能测试（TVPS - 3）。
参与者平均完成了32.4小时的Mitii治疗（范围3.7 - 74.7小时）。在AMPS、JTTHF优势上肢、COPM和TVPS - 3方面，Mitii组干预后的得分显著高于对照组。组间差异无临床意义。在上肢功能受损测量方面，两组之间没有差异。
Mitii可在家中提供个性化的基于网络的治疗，并有增加治疗剂量的潜力。Mitii可被视为提高UCP儿童职业表现和视觉感知的一种选择。
