Our team wishes to test the effectiveness of an internet based multimodal therapy (MiTii: 'Move it To improve it') which combines upper limb training and physical activity in children's homes. The program combines visual perception and cognitive skills training, important aspects of activity engagement and participation in a virtual training environment. The feasibility of delivering MiTii has been confirmed in a pilot study of 19 children in Denmark achieving on average 35 minutes of training daily for 20 weeks with 96 percent compliance. Children made significant gains in motor and processing skills, self esteem, functional strength and visual perception. The program requires only three therapists (physiotherapist, occupational therapist and psychologist) to train 98 children. As current therapy programs are resource intensive and time consuming it is important to determine if gains from a minimally resourced remote, web based program such as MiTii are sustained over a 12 month period as this could offer a cost effective, timely model of care, particularly for rural, remote and isolated children with CP.