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The Effects of Constraint-Induced Movement Therapy on Functions of Cerebral Palsy Children
Ali Reza Jamali1, Malek Amini1
1Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
Insights
Constraint-Induced Movement Therapy (CIMT) effectively improves hand function in children with cerebral palsy (CP). This review highlights CIMT
Area of Science:
- Pediatric Rehabilitation
- Neuroscience
- Occupational Therapy
Background:
- Cerebral palsy (CP) significantly impacts a child's independence, particularly hemiplegic CP affecting one side.
- Constraint-Induced Movement Therapy (CIMT) is a recognized intervention for enhancing hand function in children with CP.
Purpose of the Study:
- To systematically review and analyze studies on Constraint-Induced Movement Therapy (CIMT) conducted in Iran.
- To determine the effectiveness of CIMT concerning duration and age in children with cerebral palsy (CP).
Main Methods:
- A systematic review of electronic databases (Medline PubMed, CINAHL) and journals (Iranian Journal of Pediatrics, Iranian Rehabilitation Journal) from 1990 to 2016.
- Keywords used included CP, CIMT, and occupational therapy.
Main Results:
- Initial search yielded 43 articles; 28 were excluded for irrelevancy, and 10 for duplication/exclusion criteria.
- A final selection of 15 articles was included in the systematic review.
Conclusions:
- Constraint-Induced Movement Therapy (CIMT) demonstrates effectiveness when compared to no intervention for children with cerebral palsy (CP).
- Inconsistencies exist regarding CIMT's impact on specific aspects like muscle tone and protective extension.
Objectives:
Constraint-Induced Movement Therapy (CIMT) is an intervention method that can enhance cerebral palsy (CP) children's hand function. CP is a pervasive and common disorder which affects many aspects of a child life. Hemiplegic CP affects one side of a child's hand and has great effect on child's independence. We investigated the CIMT's studies conducted in Iran, and indicated the effectiveness of CIMT on duration and children age?
Materials & Methods:
This systematic review was conducted using the electronic databases such as Medline PubMed, CINAHL, etc. performed from 1990 to 2016. Iranian and foreigner famous journals in the fields of pediatrics such as Iranian Journal of Pediatrics (IJP), Iranian Rehabilitation Journal (IRJ) and Google scholar with some specific keywords such as CP, CIMT, and occupational therapy were searched.
Results:
Overall, 43 articles were found, from which, 28 articles were removed because of lack of relevancy. Ten article were omitted because of duplication and exclusion criteria, so finally 15 articles were included.
Conclusion:
CIMT is effective compared to no intervention but there are some inconsistencies regarding some parts of CIMT effectiveness such as its effectiveness on muscle tone and protective extension.
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