Article

Constraint-induced movement therapy (CIMT) is increasingly recognized
as an effective therapy for children with hemiparesis. However, the effectiveness
of CIMT outside the standard rehabilitation protocol in clinical settings is less
known. The aim of this systematic review was to investigate the effectiveness of
CIMT conducted at home or in a group. METHODS: We searched CINAHL, PubMed and
ScienceDirect in August 2017 to select articles of studies investigating the
impact of CIMT performed at home and in a group on affected upper-limb ability,
occupational performance, and quality of life of children. Quality was evaluated
with the PEDro scale. RESULTS: Among 374 reports of studies,
30 met the criteria;
15 examined CIMT at home and 15 in a group. CIMT with the 2 delivery models, at
home or in a group, had a positive effect on the affected upper-limb ability and
occupational performance.
The quality of evidence was high for both these
outcomes. However, the evidence was weaker and the results too limited to
conclude on the impact on quality of life. The data also suggested that the glove
may not be the best type of constraint. CONCLUSIONS:
CIMT performed at home or in
a group may be a promising intervention for rehabilitation for children with
hemiparesis, but more studies on the impact on quality of life are warranted.
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Langue : ANGLAIS