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At-home and in-group delivery of constraint-induced movement therapy in children with hemiparesis: A systematic review.

Abstract：

BACKGROUND:Constraint-induced movement therapy (CIMT) is increasingly recognized as an effective therapy for children with hemiparesis. However, the effectiveness of CIMT outside the standard rehabilitation protocol in clinical settings is less known. The aim of this systematic review was to investigate the effectiveness of CIMT conducted at home or in a group. METHODS:We searched CINAHL, PubMed and ScienceDirect in August 2017 to select articles of studies investigating the impact of CIMT performed at home and in a group on affected upper-limb ability, occupational performance, and quality of life of children. Quality was evaluated with the PEDro scale. RESULTS:Among 374 reports of studies, 30 met the criteria; 15 examined CIMT at home and 15 in a group. CIMT with the 2 delivery models, at home or in a group, had a positive effect on the affected upper-limb ability and occupational performance. The quality of evidence was high for both these outcomes. However, the evidence was weaker and the results too limited to conclude on the impact on quality of life. The data also suggested that the glove may not be the best type of constraint. CONCLUSIONS:CIMT performed at home or in a group may be a promising intervention for rehabilitation for children with hemiparesis, but more studies on the impact on quality of life are warranted.

journal_name

Ann Phys Rehabil Med

journal_title

Annals of physical and rehabilitation medicine

authors

Durand E,Plante P,Pelletier AA,Rondeau J,Simard F,Voisin J

doi

10.1016/j.rehab.2017.10.004

subject

Has Abstract

pub_date

2018-07-01 00:00:00

pages

245-261

issue

4

eissn

1877-0657

issn

1877-0665

pii

S1877-0657(17)30436-0

journal_volume

61

pub_type

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