[article] 
inAnnals of physical and rehabilitation medicine > Vol. 61, n°4 (Juillet 2018) . - p. 245-265

Titre :	At-home and in-group delivery of constraint-induced movement therapy in children with hemiparesis: A systematic review
Type de document :	texte imprimé
Auteurs :	Emilie Durand ; Pascale Plante ; Andrey-Anne Pelletier ; Johanie Rondeau ; Frédérique Simard ; Julien Voisin
Année de publication :	2018
Article en page(s) :	p. 245-265
Note générale :	Doi : 10.1016/j.rehab.2017.10.004
Langues :	Anglais (eng)
Mots-clés :	CIMT  Group  Home  Child  Hemiparesis  Functioning
Résumé :	Background 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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[article] At-home and in-group delivery of constraint-induced movement therapy in children with hemiparesis: A systematic review [texte imprimé] / Emilie Durand ; Pascale Plante ; Andrey-Anne Pelletier ; Johanie Rondeau ; Frédérique Simard ; Julien Voisin . - 2018 . - p. 245-265.
Doi : 10.1016/j.rehab.2017.10.004
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 61, n°4 (Juillet 2018) . - p. 245-265

Mots-clés :	CIMT  Group  Home  Child  Hemiparesis  Functioning
Résumé :	Background 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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