Is uni-manual constrained induced movement therapy (CIMT) more effective than hand-arm intensive training (HABIT) for improving occupational performance for children with spastic hemiplegic cerebral palsy?
This is experimental-type research that critically reviewed 12 studies evaluating the effect of uni-manual constrained induced movement therapy (CIMT) and Hand-arm intensive training (HABIT) on children with spastic hemiplegic cerebral palsy. Furthermore, the objective of this review is to identify whether CIMT is more effective than HABIT for improving occupational performance on children with this condition.
The review focuses on three themes 1-increasing paretic upper extremity use and movement, 2-improving functional participation, and 3-Identifying the appropriate treatment method for unilateral impairments. The researchers are four masters in occupational therapy (MSOT) students who completed the collaborative institutional training initiative (CITI program) to ensure compliance with HIPPA practices. This meta-analysis included studies published in the peer-review literature and journals.
Studies with lack scientific rigor and with biases were excluded. The search included articles covering the period 2011-2016, related to occupational therapy practice within the pediatric population between the one to 10 years of age. The search used the following databases: Medline, CINAHL, and the American Journal of Occupational Therapy (AJOT). Search terms included children, activities of daily living, occupational therapy intervention, cerebral palsy, spasticity, paretic upper extremity, and motor control. From the seventeen selected studies, a total of 12 articles were included, all providing evidence within the scope of occupational therapy practice and with significant information related to the research question.
The selected studies were summarized using a matrix format including the researchers’ credentials, area of expertise, study limitations, and methodological design, results of the intervention, and implications for OT. The 12 reviewed studies obtained approval from a research ethics committee or board. Furthermore, the parents of all participants voluntarily signed written informed consent for participation. All articles employed a quantitative methodological research design.
Six out of the twelve studies were randomized control trials, two were categorized as systematic reviews, and four studies used electronic surveys and a clinical cohort. Only the selected articles from the critical review are mentioned in this article and the reference list is included. For each article we summarized the objective, design and participants, interventions, outcome measures, results, limitations, and implications for occupational therapy practice.
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