Diagnosis of CP classified as GMFCS level I or II (able to independently ambulate on level surfaces without assistive devices)21 Aged 6–12 years At least one goal related to the lower limb Able and willing to complete 4 weekly Bootle Boot Camp sessions for 6 weeks On an off-block from physiotherapy services (not receiving physiotherapy services more than once every 2 months but still connected to a physiotherapist in the community) Normal or corrected to normal vision and hearing Children and their caregivers can speak and understand the English language Has requisite space, internet services and technology (eg, television, laptop, tablet) to use the app, complete electronic surveys, and participate in interviews via phone or video conference
| Has received a botulinum neurotoxin type A (BoNTA) injection in the previous 12 weeks or has undergone an orthopaedic surgery in the previous 6 months Is scheduled to undergo serial casting, BoNTA injection, orthopaedic surgery or other significant medical interventions during the 6-week Bootle Boot Camp training period Photosensitivity or unstable epilepsy triggered by video games, screen activities or television light Visual or auditory deficits that would interfere with game play Respiratory, cardiovascular or other medical conditions that might limit safe participation Actively engaging in a home exercise programme or training programme targeting progressive muscle strengthening or balance training of the lower limbs as prescribed by a healthcare provider or researcher. Children who are engaging in home exercise for maintenance or flexibility purposes will not be excluded. Has an intensive medical or therapeutic schedule in which cumulative services are scheduled on more than 3 days per week Any scheduled event (eg, family trip) that would likely prevent the participant from completing four weekly exercise sessions during the 6-week training period
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