Feasibility of a home-based home videogaming intervention with a family-centered approach for children with cerebral palsy: a randomized multiple baseline single-case experimental design.

Only 15 children were recruited by convenience, and only 13 completed the intervention, so the results are preliminary. There was no separate control group receiving usual care or no game, so it is hard to know how much of the change was due to the game, weekly calls, filming, or normal variation. The children received several supports at once: Bootle Blast, weekly monitoring calls, family goal setting, and repeated upper-limb activity filming; the study cannot separate their contributions. Two children withdrew before playing, one had missing Box and Blocks post-test data, and one parent did not complete the post questionnaire. Only three of 13 children met the weekly active playtime goal for at least six weeks, so most did not reach the planned goal. Technical barriers prevented three children from playing for at least four days. Randomization of baseline length was modified for four families at family request, which may affect the design's strictness. Remote assessment limited the outcome measures; some goals were not suitable for video scoring, and one reliability score for the Performance Quality Rating Scale was poor at one time point. Some children were receiving other physical therapy for lower-limb surgery, and the sample had little previous upper-limb therapy, so the findings may not apply to children already receiving regular upper-limb rehabilitation.

The paper lists funding from the Azrieli Foundation, Holland Bloorview Kids Rehabilitation Hospital Foundation, Ontario Brain Institute, and Canadian Institutes of Health Research. The supplied text does not state that the funders designed the study or wrote the manuscript, and it gives no author conflict-of-interest declarations.

Do not conclude that Bootle Blast alone caused the upper-limb improvements. The children also had weekly monitoring calls, family goal setting, repeated activity filming, and some received other physical therapy, so the study cannot separate the contributions of these components.