Critically Appraised Topic
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Authors
Bumgarner, Kaesee
Hansen, Hannah
Martinez, Jochelle
Stolar, Kendall
Weihl, Miranda
Issue Date
2024-04-26
Volume
Issue
Type
Manuscript
Language
Keywords
Occupational Therapy , Constraint Induced Movement Therapy
Alternative Title
Abstract
BACKGROUND: Cerebral palsy (CP) is the most prevalent motor disorder that affects 1 in 1,000 children, resulting in mobility and upper extremity impairments. These impairments can impact the occupational engagement in activities of daily living (ADLs) and Instrumental activities of daily living (IADLs) such as dressing, feeding and play.
AIM: This critically appraised topic (CAT) is aimed at determining the effectiveness of constraint induced movement therapy (CIMT) on improving upper extremity function for children with cerebral palsy (CP).
METHODS: Literature search analysis led to the inclusion of 1B and 1A studies regarding prioritized aim. Studies within the last ten years were further analyzed having met the following criteria: children with CP participating in constraint induced movement therapy to increase upper extremity function. Seven studies were selected to be included which met the established criteria.
RESULTS: Level 1A and 1B research completed on CIMT revealed moderate, positive evidence regarding the effectiveness in CIMT on improving reaching capacity, gross motor function of the upper extremity, use of upper extremities in bimanual tasks, and participation and performance in functional activities such as dressing, feeding and play in children with CP. To improve the strength of evidence, additional RCTs are needed to address larger sample sizes and assess the long-term effectiveness of CIMT for children with CP.
Description
Citation
Publisher
Creighton University
License
Copyright is retained by the Author. A non-exclusive distribution right is granted to Creighton University