Pediatric Constraint-Induced Movement Therapy: Current Practices and Implementation Barriers.

IF 1.5 4区医学 Q3 REHABILITATION

Otjr-Occupation Participation and Health Pub Date : 2024-12-11 DOI:10.1177/15394492241300607

Sophia C Larson, Alyssa E Smith, Bhooma R Aravamuthan, Hunter G Moore, Kaylin A Antonoff, Sharon Ramey, Catherine R Hoyt

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引用次数: 0

Abstract

Hemiplegic Cerebral Palsy (CP) is the most common pediatric motor disability, characterized by unilateral motor weakness. Pediatric Constraint-Induced Movement Therapy (pCIMT) improves affected extremity function but faces variable clinical integration. This study assessed U.S. providers' awareness and use of pCIMT, educational practices, and barriers to broader implementation for more eligible children. Overall, 148 providers specializing in pediatric stroke or hemiplegic CP completed surveys on pCIMT familiarity, implementation challenges, and support for evidence-based practices (EBP). Participants indicated high pCIMT competency. Although 75% reported regional pCIMT availability, only 14% indicated that pCIMT is accessible to all children who could benefit. Reported barriers included therapist and family availability, cost, and institutional limitations. Despite valuing EBP, participants reported minimal workplace support for its use. The study revealed significant barriers to pCIMT accessibility and implementation. Further research is needed to address these challenges and improve clinical adoption of EBP, such as pCIMT.

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儿童约束诱导运动疗法：当前实践和实施障碍。

偏瘫性脑瘫（CP）是最常见的儿童运动障碍，其特征是单侧运动无力。儿童约束诱导运动疗法（pCIMT）改善了受影响的肢体功能，但面临不同的临床整合。本研究评估了美国提供者对pCIMT的认识和使用、教育实践以及为更多符合条件的儿童更广泛地实施pCIMT的障碍。总的来说，148名专门从事小儿中风或偏瘫CP的医生完成了关于pCIMT熟悉度、实施挑战和对循证实践（EBP）支持度的调查。参与者表现出较高的pCIMT能力。尽管75%的儿童报告了pCIMT的区域可获得性，但只有14%的儿童表示所有可能受益的儿童都可以获得pCIMT。报告的障碍包括治疗师和家庭的可用性、费用和制度限制。尽管重视EBP，但参与者报告说，工作场所对其使用的支持很少。该研究揭示了pCIMT可及性和实施的重大障碍。需要进一步的研究来解决这些挑战，并提高临床应用EBP，如pCIMT。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Otjr-Occupation Participation and Health REHABILITATION-

CiteScore

2.60

自引率

7.10%

发文量

期刊介绍： The aim of OTJR: Occupation, Participation and Health is to advance knowledge and science in occupational therapy and related fields, nationally and internationally, through the publication of scholarly literature and research. The journal publishes research that advances the understanding of occupation as it relates to participation and health.