What is the effectiveness of constraint-induced movement therapy (CIMT) on improvement in upper extremity functioning in children with cerebral palsy (CP)?
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Authors
Hirata, Caitlin
Marshall, Anna
Mount, Brianna
Nelson, Anna
Puck, Anna
Issue Date
2024-04-24
Volume
Issue
Type
Manuscript
Language
Keywords
CIMT , Cerebral Palsy , Upper Extremity
Alternative Title
Abstract
BACKGROUND: Cerebral palsy (CP) is a common nondegenerative neurodevelopmental condition caused by a brain injury occurring prior to or during birth. This condition is the most common motor disability seen in 1 in 323 children in the United States. Children with CP live with various symptoms including abnormal tone, decreased balance, decreased posture, and coordination difficulties. This condition often affects children’s activities of daily living (ADLs) and instrumental activities of daily living (IADLs), including bathing, dressing, self-care, play, and feeding. AIM: This critically appraised topic (CAT) is aimed to determine the effectiveness of constraint-induced movement therapy (CIMT) for children with cerebral palsy (CP) on improving upper extremity function. METHODS: Level 1A, 1B, and 2B peer-reviewed journal articles published within the last 10 years were analyzed. Articles had to include participants that were children with a clinical diagnosis of cerebral palsy (CP) who were less than 21 years old, interventions of modified constraint-induced movement therapy (mCIMT) or constraint-induced movement therapy (CIMT), with outcomes related to upper extremity function. Seven studies were included that met the established standards. RESULTS: Level 1A, 1B, and 2B research was completed on the use of CIMT, which revealed positive evidence regarding the effectiveness of CIMT on improving activity level, participation, upper body function, functional hand use, and motor skills in children diagnosed with hemiplegic CP. Further RCTs with a larger sample size and refinement of treatment protocols should be completed to increase the strength of evidence for CIMT.
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Publisher
Creighton University
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Copyright is retained by the Author. A non-exclusive distribution right is granted to Creighton University