What is the effectiveness of constraint-induced movement therapy (CIMT) on improving occupational participation for children who have hemiplegia and hemiparesis?

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Boomgaard , Karlee
Docheff , Jaycee
Knudsen , Savanna
Rollo, Karilyn
Winkler , Madelaine

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2025

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CIMT , Occupational Therapy , Hemipelgia , Children , Functional Performance

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Abstract

As of 2024, roughly 4,000 babies and 73,062 children in the United States are impacted by hemiplegia. Hemiplegia is defined as a neurological condition that presents paralysis of one side of the body. Whereas hemiparesis presents as muscle weakness on one side of the body resulting from neurological trauma such as infection, stroke, injury, or genetic mutations. Children experiencing these conditions subsequently face limitations in their occupational performance for tasks such as getting dressed, grooming, hygiene, and leisure activities. The purpose of this analysis was to critically assess methods of constraint-induced movement therapy (CIMT) and their resulting effectiveness in addressing occupational performance deficits for children aged 0-21. Treatment durations are most effective when protocols are intensive, with most trials within the research demonstrating the use of CIMT from 3-10 weeks with varying intervention lengths from 1-5 hours per day. Peer-reviewed research was included if published within the last nine years, the level of evidence was 1B, 2A, and 2B, and it was fully accessible online. Through this critical analysis, strong evidence is found supporting CIMT to be effective in improving occupational performance for this population in conjunction with bimanual task therapy interventions.

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Creighton University

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Copyright is retained by the Author. A non-exclusive distribution right is granted to Creighton University

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