scholarly journals Bound for Success: A Systematic Review of Constraint-Induced Movement Therapy in Children With Cerebral Palsy Supports Improved Arm and Hand Use

2009 ◽  
Vol 89 (11) ◽  
pp. 1126-1141 ◽  
Author(s):  
Hsiang-han Huang ◽  
Linda Fetters ◽  
Jennifer Hale ◽  
Ashley McBride
Keyword(s):  
Systematic Review ◽  
Cerebral Palsy ◽  
Outcome Measures ◽  
Movement Therapy ◽  
The Body ◽  
Activity Level ◽  
International Classification Of Functioning ◽  
Critical Threshold ◽  
Constraint Induced Movement Therapy ◽  
Intervention Protocol

BackgroundConstraint-induced movement therapy (CIMT) is a potentially effective intervention for children with hemiplegic cerebral palsy (CP).PurposeThe objectives of this systematic review are: (1) to investigate whether CIMT is supported with valid research of its effectiveness and (2) to identify key characteristics of the child and intervention protocol associated with the effects of CIMT.Data Sources and Study SelectionA search of MEDLINE (1966 through March 2009), Entrez PubMed (1966 through March 2009), EMBASE (1980 through March 2009), CINAHL (1982 through March 2009), PsychINFO (1887 through March 2009), and Web of Science (1900 through March 2009) produced 23 relevant studies.Data Extraction and SynthesisThe 2 objectives of the review were addressed by: (1) scoring the validity and level of evidence for each study and calculating evidence-based statistics, if possible, and (2) recording and summarizing the inclusion and exclusion criteria, type and duration of constraint, intervention and study durations, and outcomes based on the International Classification of Functioning, Disability and Health (ICF).LimitationsOnly studies published in journals and in English were included in the systematic review.ConclusionsStudies varied widely in type and rigor of design; subject, constraint, and intervention characteristics; and ICF level for outcome measures. One outcome measure at the body functions and structure level and 4 outcome measures at the activity level had large and significant treatment effects (d≥.80), and these findings were from the most rigorous studies. Evidence from more-rigorous studies demonstrated an increased frequency of use of the upper extremity following CIMT for children with hemiplegic CP. The critical threshold for intensity that constitutes an adequate dose cannot be determined from the available research. Further research should include a priori power calculations, more-rigorous designs and comparisons of different components of CIMT in relation to specific children, and measures of potential impacts on the developing brain.

Efficacy of constraint-induced movement therapy compared with bimanual intensive training in children with unilateral cerebral palsy: a systematic review

2017 ◽  
Vol 31 (11) ◽  
pp. 1445-1456 ◽  
Author(s):  
MH Tervahauta ◽  
GL Girolami ◽  
GK Øberg
Keyword(s):  
Systematic Review ◽  
Cerebral Palsy ◽  
Meta Analysis ◽  
Movement Therapy ◽  
Effect Sizes ◽  
System Level ◽  
Cochrane Library ◽  
Intensive Training ◽  
Constraint Induced Movement Therapy ◽  
Unilateral Cerebral Palsy

Objective: To systematically review the evidence on the effect of constraint-induced movement therapy compared with bimanual intensive training in children with unilateral cerebral palsy. Data sources: Seven electronic databases (Cinahl, Cochrane Library, EMBASE, Ovid MEDLINE, PEDro, PsycINFO, PubMed) were searched from database inception through December 2016. Methods: A systematic review was performed using the American Academy of Cerebral Palsy and Developmental Medicine and Preferred Reporting Items for Systematic Review and Meta-Analysis guidelines. Standardised mean differences (effect sizes) were calculated for each study and outcome. Results: Nine studies met the eligibility criteria. All studies provided level II evidence. Methodological quality was high in two studies, moderate in four studies and low in three studies. The methodology, participant and intervention characteristics were heterogeneous. The participants’ ages ranged from 1.5 to 16 years. Their initial hand function ranged from Manual Ability Classification System Level I to Level III. The total intervention dose ranged from 24 to 210 hours and duration from one week to ten weeks. The studies measured outcomes assessing unimanual and bimanual hand and arm function, participation and attainment of individualised goals. Overall, the effect sizes did not favour one of the interventions at short- or long-term follow-up. The 95% confidence intervals were broad, indicating inaccurate precision of the effect sizes. Pooling of the data for a meta-analysis was judged to be of little clinical value owing to heterogeneity. Conclusion: It is not possible to conclude whether constraint-induced movement therapy or bimanual intensive training is more effective than the other in children with unilateral cerebral palsy.

scholarly journals Constraint-induced movement therapy of upper limb of children with cerebral palsy in clinical practice: systematic review of the literature

2017 ◽  
Vol 24 (3) ◽  
pp. 334-346 ◽  
Author(s):  
Paulo Roberto Fonseca Junior ◽  
Eduardo Filoni ◽  
Chrystianne Melo Setter ◽  
Andréia Marques Berbel ◽  
Antônio Olival Fernandes ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cerebral Palsy ◽  
Clinical Practice ◽  
Upper Limb ◽  
Therapeutic Intervention ◽  
Movement Therapy ◽  
Original Form ◽  
Review Of The Literature ◽  
Constraint Induced Movement Therapy ◽  
Children With Cerebral Palsy

ABSTRACT The purpose of the present study was to perform a systematic review of the literature to investigate how and with what modifications or adaptations constraint-induced movement therapy has been employed in clinical practice for therapeutic interventions in children with cerebral palsy. Searches were conducted of the CAPES (Brazilian fostering agency) periodical portal, Pubmed, Bireme, Science Direct, Scielo and PEDro databases for relevant articles published between January 2010 and May 2016. The articles retrieved were evaluated, scored and qualified by two blinded reviewers using the Physical therapy Evidence Database Scale. The searches led to the retrieval of 102 articles, 12 of which were included in the present systematic review. A table was created containing information on the study groups, inclusion criteria, intervention, intervention frequency, difficulties encountered, evaluations and outcomes. Considerable variety was found in the therapeutic intervention models. The findings of the present review demonstrate that constraint-induced movement therapy in pediatric clinical practice is not employed in its original form. Although the studies analyzed did not have a common methodology regarding the use of this type of therapy, the method has been adapted with considerable flexibility, providing promising, positive results regarding the therapeutic intervention of the paretic upper limb in children with cerebral palsy.

Effectiveness of Constraint-Induced Movement Therapy for Functional Use in Children With Spastic Hemiplegic Cerebral Palsy: A Systematic Review

2017 ◽  
Vol 71 (4_Supplement_1) ◽  
pp. 7111520311p1 ◽  
Author(s):  
Johanna Burkhardt ◽  
Jacqueline Sheridan ◽  
Peter Villavecchia ◽  
Lauren Hollander ◽  
Jan G. Garbarini
Keyword(s):  
Systematic Review ◽  
Cerebral Palsy ◽  
Movement Therapy ◽  
Constraint Induced Movement Therapy ◽  
Hemiplegic Cerebral Palsy
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