Modified constraint-induced movement therapy versus intensive bimanual training for children with hemiplegia – a randomized controlled trial

Deppe, Wolfgang; Thuemmler, Kerstin; Fleischer, Judith; Berger, C; Meyer, S; Wiedemann, Baerbel

doi:10.1177/0269215513483764

Cited by 46 publications

(58 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, in these studies much less training in terms of intensity and duration was conducted during the intervention period. The improvements in upper limb function (AMPS, AHA) were also similar to other studies with similar duration of training [17] and generally larger than those reported in randomized controlled studies involving specific upper limb functional training with less duration of training [18]. The improvements found in this study are therefore in all likelihood explained by the intensity and long duration of the training.…”

Section: Discussionsupporting

confidence: 87%

“…(g-j) show the number of half kneeling-standing cycles for the left leg (g, h) and right leg (i, j) second day at the most and for only a total of 16 h in published randomized controlled trials [18]. In this comparison it should also be taken into account that our children trained both upper and lower limb as well as balance and therefore did not spend all 40 h training one specific function which is the norm in most other studies [17,18]. It should also be taken into account that our children had a variable symptomatology and suffered to a different extend from affliction of lower and upper limbs and/or balance.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Twenty weeks of home-based interactive training of children with cerebral palsy improves functional abilities

Lorentzen¹,

Petersen²

2014

http://isrctn.com/

View full text Add to dashboard Cite

Background: Home-based training is becoming ever more important with increasing demands on the public health systems. We investigated whether individualized and supervised interactive home-based training delivered through the internet improves functional abilities in children with cerebral palsy (CP). Methods: Thirty four children with CP (aged 9-16; mean age 10.9 ± 2.4 years) (GMFCS I-II; MACS I-II) were included in this non-randomized controlled clinical training study. 12 children (aged 7-16; mean age: 11.3+/−0.9 years) were allocated to a control group in which measurements were performed with 20 weeks interval without any intervening training. Daily activities, functional abilities of upper-and lower limbs, and balance were evaluated before, immediately after training and 12 weeks after training. The training consisted of 30 min daily home-based training for 20 weeks delivered through the internet.

show abstract

Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Twenty weeks of home-based interactive training of children with cerebral palsy improves functional abilities

Lorentzen¹,

Petersen²

2014

http://isrctn.com/

View full text Add to dashboard Cite

show abstract

“…Forty-two randomized trials were included in the original systematic review and a further 18 were identified from the subsequent search (Abd ElKafy, Elshemy, & Alghamdi, 2014;Bleyenheuft, Arnould, Brandao, Bleyenheuft, & Gordon, 2014;Brandao, Ferre, Kuo, Rameckers, Bleyenheuft, Hung et al, 2013;Chiu, Ada, & Lee, 2014;Deppe, Thuemmler, Fleischer, Berger, Meyer, & Wiedemann, 2013;Dong & Fong, 2014;Ferrari, Maoret, Muzzini, Alboresi, Lombardi, Sgandurra et al, 2014;Gelkop, Burshtein, Lahav, Brezner, Al-Oraibi, Ferre et al, 2014;Gilliaux, Renders, Dispa, Holvoet, replication of the intervention. No study adequately reported all of these seven core elements.…”

Section: Resultsmentioning

confidence: 99%

“…Home programs were variously described as lists of activities, manual of exercises (Klingels et al, 2013), home program with neurodevelopmental activities (Law, Cadman, Rosenbaum, Walter, Russell, & Dematteo, 1991;Law, Russell, Pollock, Rosenbaum, Walter, & King, 1997) or written lists of training tasks (Taub, Griffin, Uswatte, Gammons, Nick, & Law, 2011). Four studies provided details of the content and structure of the home program (Aarts et al, 2012;Abd El-Kafy et al, 2014;Deppe et al, 2013;Eliasson, Shaw, Berg, & Krumlinde-Sundholm, 2011), three described commercially available video or web-based games (Chiu et al, 2014;James et al, 2015;Zoccolillo et al, 2015) and the remaining studies had inadequate details to replicate either the structure or content of the home program.…”

Section: Research Interventionsmentioning

confidence: 99%

Do we really know what they were testing? Incomplete reporting of interventions in randomised trials of upper limb therapies in unilateral cerebral palsy

Sakzewski

Reedman

Hoffmann

2016

Research in Developmental Disabilities

View full text Add to dashboard Cite

Background: Incomplete reporting of components of interventions limits uptake of evidence into clinical practice. Aims:To evaluate the completeness of reporting of research and control interventions in randomised trials of upper limb therapies for children with unilateral cerebral palsy. Methods and procedures:Sixty randomized trials were included, encompassing 60 research and 68 control interventions. Using the 12-item Template for Intervention Description and Replication (TIDieR) checklist, two reviewers independently rated intervention and control descriptions.Outcomes and results: When using 50% of studies as the benchmark, five of the 12 TIDieR items for the research intervention, eight of the 12 items for the control intervention and 11 of 12 items for "usual care" interventions were inadequately reported. Procedures used to deliver the research intervention were adequately reported for 63% of studies. Materials were used in 94% of research interventions, yet only 27% provided details to access/replicate materials. Training materials for interventionists were used in 38% of trials, 10 (17%) had procedure manuals, yet only 3 reported details to access materials. The location where the research intervention was provided was detailed in 65% of studies. Reporting of all items was poorer for the control intervention. Conclusions:No study adequately reported all elements on the TIDieR checklist. Details crucial for replication of interventions and interpretation of results were missing. Authors, reviewers, and editors all have a responsibility to improve the quality of intervention reporting in published trials. The TIDieR guide is a potential solution, helping to structure accounts of interventions. What this study adds:This is the first study 3  This is the first study to evaluate the completeness of reporting of intervention components in complex cerebral palsy interventions  This is the first study to rate completeness of reporting of control interventions  This study provides information to increase awareness of editors, reviewers and authors of the importance of complete reporting of intervention components in cerebral palsy rehabilitation.

show abstract

“…The extrinsic factors may also influence the results of treatment of adult patients, as the economic and socio-cultural context in which they are inserted. The CIMT requires significant involvement of caregivers and family members in the pediatric protocol and of the own patient when adult, especially for the realization of behavioral package, but studies examining the predictors of technical developments in other countries, have not reached a consensus on the influence of these aspects of the results of CIMT 7,18,20 . We conclude that constraint-induced movement therapy is effective to reverse the nonuse of the affected upper limb in adult patients with cerebral palsy.…”

Section: Discussionmentioning

confidence: 99%

Cerebral palsy in adult patients: constraint-induced movement therapy is effective to reverse the nonuse of the affected upper limb

Oliveira

Freitas

Garcia

et al. 2015

Arq. Neuro-Psiquiatr.

View full text Add to dashboard Cite

Objective To determine if the original protocol of Constraint-Induced Movement Therapy (CIMT), is adequate to reverse the nonuse of the affected upper limb (AUL) in patients with Cerebral Palsy (CP) in adulthood. Method The study included 10 patients diagnosed with CP hemiparesis had attended the adult protocol CIMT, from January/August 2009/2014. Results Average age 24.6 (SD 9.44); MAL average pretreatment How Often (HO) = 0.72 and How Well (HW) = 0.68 and post-treatment HO = 3.77 and HW = 3.60 (p ≤ 0.001) and pretreatment WMFT average = 21.03 and post-treatment average = 18.91 (p = 0.350). Conclusion The constraint-induced movement therapy is effective to reverse the nonuse learn of the AUL in adult patients with CP.

show abstract

Modified constraint-induced movement therapy versus intensive bimanual training for children with hemiplegia – a randomized controlled trial

Cited by 46 publications

References 30 publications

Twenty weeks of home-based interactive training of children with cerebral palsy improves functional abilities

Twenty weeks of home-based interactive training of children with cerebral palsy improves functional abilities

Do we really know what they were testing? Incomplete reporting of interventions in randomised trials of upper limb therapies in unilateral cerebral palsy

Cerebral palsy in adult patients: constraint-induced movement therapy is effective to reverse the nonuse of the affected upper limb

Contact Info

Product

Resources

About