The American journal of occupational therapy : official publication of the American Occupational Therapy Association · 2015
Occupational Therapists' Opinions of Two Pediatric Constraint-Induced Movement Therapy Protocols.
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Christman Emily, McAllister Kaitlin, Claar Katie, Kaufman Samantha, Page Stephen J
Аннотация
OBJECTIVE: We sought to determine occupational therapists' opinions of two pediatric constraint-induced movement therapy (pCIMT) protocols.
METHOD: A total of 272 therapists in pediatric rehabilitation clinics completed an electronic survey to determine their opinions of two published pCIMT protocols. In Protocol A, restraint is worn 24 hr/day on the nonparetic upper extremity (UE), and in-clinic, therapist-supervised practice sessions occur 7 days/wk for 6 hr/day over 3 wk. In Protocol B, restraint is worn 2 hr/day on the nonparetic UE, and in-clinic, therapist-supervised practice sessions occur 1 day/wk for 2 hr/day over 8 wk.
RESULTS: The majority of participants reported moderate to high concerns about every facet of Protocol A. Conversely, >50% of participants reported low or no concerns about five of seven facets of Protocol B.
CONCLUSION: This study adds to a growing body of evidence suggesting that therapists strongly prefer low-duration pCIMT protocols.
METHOD: A total of 272 therapists in pediatric rehabilitation clinics completed an electronic survey to determine their opinions of two published pCIMT protocols. In Protocol A, restraint is worn 24 hr/day on the nonparetic upper extremity (UE), and in-clinic, therapist-supervised practice sessions occur 7 days/wk for 6 hr/day over 3 wk. In Protocol B, restraint is worn 2 hr/day on the nonparetic UE, and in-clinic, therapist-supervised practice sessions occur 1 day/wk for 2 hr/day over 8 wk.
RESULTS: The majority of participants reported moderate to high concerns about every facet of Protocol A. Conversely, >50% of participants reported low or no concerns about five of seven facets of Protocol B.
CONCLUSION: This study adds to a growing body of evidence suggesting that therapists strongly prefer low-duration pCIMT protocols.