160 Indian Journal of Physiotherapy and Occupational Therapy. January-March 2020, Vol. 14, No. 1 A Computer Game- Assisted Repetitive Task Practice based Upper Extremity Therapy Program for Children with Spastic Unilateral Cerebral Palsy: A Single Case Study Parmar Sanjay 1 , Anuprita Kanitkar 2 , Tony Szturm 3 , Neha Gaonkar 4 , Bhavana Ankolekar 5 1 Post Doctoral Fellowship (PDF), Professor, Shri Dharmasthala Manjunatheshwara University, SDM College of Physiotherapy, Dharwad, 2 BPT, MSc. (PhD Candidate, Department of Applied Health Sciences, University of Manitoba, Canada, 3 Professor, College of Rehabilitation Sciences, University of Manitoba, Canada), 4 Paediatric Physiotherapist Keshav Seva Sadhana School for Special Children – Valpoi) 5 Paediatric Physiotherapist, Dandeli Abstract A case study is to provide evidence of the feasibility, acceptance, and benefts of a computer game-assisted repetitive task practice platform (G-RTP) in Upper extremity (UE) motor function of a child with Cerebral Palsy (CP). Method: 4 year old left spastic CP was provided an individualized game-assisted therapy of 16 weeks. Outcome measures included PDMS-2, QUEST, computerized assessment of a broad range of object manipulation tasks. Results: Findings demonstrated the feasibility and acceptability of the G-RTP program for use by children with UE motor impairment Conclusion: The fndings are positive and support a future defnitive RCT needed to prove the effcacy and applicability. Keywords: Repetitive Task Practice, Cerebral Palsy, Game Based Exercises Introduction Canada and India face a growing population of children with neurodevelopmental disorders (NDD) 1 . CP is the most common neurodevelopmental disorders (NDD) occurring in 2 to 4 of every 1000 live births in North America and India, respectively 2 . Children with CP often present with upper extremity sensory-motor impairments that hamper the physical and functional abilities that are necessary for daily activities of living and participation in social events such as in school, play Corresponding Author Dr. Parmar Sanjay, Post Doctoral Fellowship , Professor, Shri Dharmasthala Manjunatheshwara University ,College of Physiotherapy, E-Mail: sanjaytparmar777@gmail.com and leisure activities in various environments. These impairments will result in reduced pace of development, cause future complications, and will require remedial training 3,4 . The ability to perform functional tasks with the Upper Extremity (UE) is an important predictor of success in daily activities and participation in school, play/leisure, and social activities 5 . Therapy programs designed to improve UE motor and visual-spatial processing skills in children must strive to maximize neurodevelopmental capacities and prevent secondary impairments 6-8 . The effectiveness of these programs is proportional to the intensity and amount of training and the task-specifcity of the exercise regime, for example, constraint-induced movement therapy (CIMT) 9-11 . There is growing evidence to support the idea of activity-dependent central nervous system (CNS) plasticity 12 . Simulating close-to-normal movements and repetition is taking shape 12,13 . However, DOI Number: 10.5958/0973-5674.2020.00029.5