Parámetros de dosificación de la terapia de movimiento inducido por restricción en niños con parálisis cerebral hemipléjica. Revisión de la literatura

Methodological Considerations to Investigate Dosage Parameters of Intensive Upper Limb Rehabilitation in Children with Unilateral Spastic Cerebral Palsy: A Scoping Review of RCTs

“…24 The systematic literature exploration permitted to include the more recent randomized-controlled literature on the subject 40,42,44,52 and the previous RTCs 38,39,41,43,[45][46][47][48] that were not included in the last two reviews on dosage parameters. 17,24 Only studies written in French or English were reviewed, but this could be offset by the extensive use of English in cerebral palsy research. We could not ignore the reviewer's subjectivity in assigning the "distinction of dosing parameters" to the groups, based on the reporting of dosage in the protocols by the RCT authors.…”

“…[11][12][13][14][15] Several systematic and non-systematic reviews focused on the management of USCP, agree on the added value of these intensive motor rehabilitation treatments (IMRT) compared to those considered "conventional" and/or "non-intensive" and/or not fully taking into account the principles of motor learning. 11,[13][14][15][16][17] However, these scientific works are largely based on studies whose treatment types differ between the intervention and control groups (e.g. Sakzewski's metaanalysis 11 includes studies comparing "modified Constraint-Induced Movement Therapy" (m-CIMT) to "Hand-Arm Bimanual Intensive Therapy" (HABIT) 18 or "Standard Occupational Therapy" 19 or other various treatments.…”