Mitii™ ABI: study protocol of a randomised controlled trial of a web-based multi-modal training program for children and adolescents with an Acquired Brain Injury (ABI)

摘要: Acquired brain injury (ABI) refers to multiple disabilities arising from damage the acquired after birth. Children with an ABI may experience physical, cognitive, social and emotional-behavioural impairments which can impact their ability participate in activities of daily living (ADL). Recent developments technology have led emergence internet-delivered therapy programs. “Move it improve it” (Mitii™) is a web-based multi-modal that comprises upper limb (UL) cognitive training within context meaningful physical activity. The proposed study aims compare efficacy Mitii™ usual care ADL motor processing skills, gross capacity, UL executive functioning randomised waitlist controlled trial. Sixty independently ambulant children (30 each group) at least 12 months post will be recruited this matched pairs baseline randomly allocated receive either 20 weeks min per day, six days week, potential total dose 60 h) immediately, or waitlisted for weeks. Outcomes assessed baseline, immediately post-intervention post-intervention. primary outcomes Assessment Motor Process Skills 30 s repetition maximum functional strength exercises (sit-to-stand, step-ups half kneel stand). Measures body structure functions, activity, participation quality life assess across all domains International Classification Functioning, Disability Health framework. A subset undertake three tesla (3T) magnetic resonance imaging scans evaluate neurovascular changes, structural imaging, diffusion resting state connectivity before intervention. provides alternative approach deliver intensive convenience home environment. If found effective, offer accessible inexpensive intervention option increase dose. ANZCTR12613000403730