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      Online Survey on Clinical Application of Constraint-Induced Movement Therapy in Children with Hemiplegic Cerebral Palsy in Korea

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      https://www.riss.kr/link?id=A106337680

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      다국어 초록 (Multilingual Abstract)

      Objective : The aim of this study was to evaluate the current knowledge regarding constraint-induced movement therapy (CIMT) and its application in clinical practice by physiatrists and therapists in pediatric rehabilitation area in Korea.
      Methods : Online survey via E-mails was sent to a total of 510 members (204 physiatrists and 306 therapists) of the Korean Society of Pediatric Rehabilitation and Developmental Medicine (KSPRDM).
      Results : The response rate was 35.1% (179 of 510). A total of 179 questionnaires was completed by 39 physiatrists, 89 physiotherapists, 48 occupational therapists, and 3 speech therapists. 45.8% of responders had worked over 6 years in the pediatric rehabilitation setting and a total of 58.1% (n=104) of the sample had used CIMT. The main limitations of clinically applying CIMT included limited staff and inappropriate clinical setting (35.1%, n=61), lack of understanding (19.5%, n=34), and developmental issues of function on the unaffected side (13.8%, n=24). The cooperation of patients (77.6%, n=76), cognitive/behavioral factors (42.9%, n=42), and cooperation of caregivers (25.5%, n=25) were the 3 major concerns that could be limitations with CIMT.
      Conclusions : Although considerable evidence supports the use of CIMT, many of physiatrist and therapists do not apply this method in practice. The improvement of limitations is necessary for wide use of CIMT in clinical practice in Korea.
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      Objective : The aim of this study was to evaluate the current knowledge regarding constraint-induced movement therapy (CIMT) and its application in clinical practice by physiatrists and therapists in pediatric rehabilitation area in Korea. Methods : O...

      Objective : The aim of this study was to evaluate the current knowledge regarding constraint-induced movement therapy (CIMT) and its application in clinical practice by physiatrists and therapists in pediatric rehabilitation area in Korea.
      Methods : Online survey via E-mails was sent to a total of 510 members (204 physiatrists and 306 therapists) of the Korean Society of Pediatric Rehabilitation and Developmental Medicine (KSPRDM).
      Results : The response rate was 35.1% (179 of 510). A total of 179 questionnaires was completed by 39 physiatrists, 89 physiotherapists, 48 occupational therapists, and 3 speech therapists. 45.8% of responders had worked over 6 years in the pediatric rehabilitation setting and a total of 58.1% (n=104) of the sample had used CIMT. The main limitations of clinically applying CIMT included limited staff and inappropriate clinical setting (35.1%, n=61), lack of understanding (19.5%, n=34), and developmental issues of function on the unaffected side (13.8%, n=24). The cooperation of patients (77.6%, n=76), cognitive/behavioral factors (42.9%, n=42), and cooperation of caregivers (25.5%, n=25) were the 3 major concerns that could be limitations with CIMT.
      Conclusions : Although considerable evidence supports the use of CIMT, many of physiatrist and therapists do not apply this method in practice. The improvement of limitations is necessary for wide use of CIMT in clinical practice in Korea.

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      참고문헌 (Reference)

      1 Eliasson, A. C., "The effectiveness of Baby-CIMT in infants younger than 12 months with clinical signs of unilateral-cerebral palsy : An explorative study with randomized design" 72 : 191-201, 2018

      2 Sakzewski, L., "Systematic review and meta-analysis of therapeutic management of upper-limb dysfunction in children with congenital hemiplegia" 123 (123): e1111-e1122, 2009

      3 Page, S. J., "Stroke patients' and therapists'opinions of constraint-induced movement therapy" 16 (16): 55-60, 2002

      4 Eliasson, A. C., "Guidelines for future research in constraint-induced movement therapy for children with unilateral cerebral palsy : An expert consensus" 56 (56): 125-137, 2014

      5 Willis, J. K., "Forced use treatment of childhood hemiparesis" 110 (110): 94-96, 2002

      6 Taub, E., "Efficacy of constraint-induced movement therapy for children with cerebral palsy with asymmetric motor impairment" 113 (113): 305-312, 2004

      7 Tervahauta, M. H., "Efficacy of constraint-induced movement therapy compared with bimanual intensive training in children with unilateral cerebral palsy : A systematic review" 31 (31): 1445-1456, 2017

      8 Chen, Y. P., "Effectiveness of constraint-induced movement therapy on upper-extremity function in children with cerebral palsy : A systematic review and meta-analysis of randomized controlled trials" 28 (28): 939-953, 2014

      9 Ostendorf, C. G., "Effect of forced use of the upper extremity of a hemiplegic patient on changes in function a single-case design" 61 (61): 1022-1028, 1981

      10 DeLuca, S. C., "Constraint-induced movement therapy(CIMT)for young children with cerebral palsy : Effects of therapeutic dosage" 5 (5): 133-142, 2012

      1 Eliasson, A. C., "The effectiveness of Baby-CIMT in infants younger than 12 months with clinical signs of unilateral-cerebral palsy : An explorative study with randomized design" 72 : 191-201, 2018

      2 Sakzewski, L., "Systematic review and meta-analysis of therapeutic management of upper-limb dysfunction in children with congenital hemiplegia" 123 (123): e1111-e1122, 2009

      3 Page, S. J., "Stroke patients' and therapists'opinions of constraint-induced movement therapy" 16 (16): 55-60, 2002

      4 Eliasson, A. C., "Guidelines for future research in constraint-induced movement therapy for children with unilateral cerebral palsy : An expert consensus" 56 (56): 125-137, 2014

      5 Willis, J. K., "Forced use treatment of childhood hemiparesis" 110 (110): 94-96, 2002

      6 Taub, E., "Efficacy of constraint-induced movement therapy for children with cerebral palsy with asymmetric motor impairment" 113 (113): 305-312, 2004

      7 Tervahauta, M. H., "Efficacy of constraint-induced movement therapy compared with bimanual intensive training in children with unilateral cerebral palsy : A systematic review" 31 (31): 1445-1456, 2017

      8 Chen, Y. P., "Effectiveness of constraint-induced movement therapy on upper-extremity function in children with cerebral palsy : A systematic review and meta-analysis of randomized controlled trials" 28 (28): 939-953, 2014

      9 Ostendorf, C. G., "Effect of forced use of the upper extremity of a hemiplegic patient on changes in function a single-case design" 61 (61): 1022-1028, 1981

      10 DeLuca, S. C., "Constraint-induced movement therapy(CIMT)for young children with cerebral palsy : Effects of therapeutic dosage" 5 (5): 133-142, 2012

      11 Hoare, B., "Constraint-induced movement therapy in the treatment of the upper limb in children with hemiplegic cerebral palsy : A Cochrane systematic review" 21 (21): 675-685, 2007

      12 Hoare, B. J., "Constraint-induced movement therapy in children with unilateral cerebral palsy" 1 (1): CD004149-, 2019

      13 Chiu, H. C., "Constraint-induced movement therapy improves upper limb activity and participation in hemiplegic cerebral palsy : A systematic review" 62 (62): 130-137, 2016

      14 Gordon, A. M., "Bimanual training and constraint-induced movement therapy in children with hemiplegic cerebral palsy : A randomized trial" 25 (25): 692-702, 2011

      15 Pedlow, K., "Application of constraint-induced movement therapy in clinical practice : An online survey" 95 (95): 276-282, 2014

      16 Eliasson, A. C., "An ecological approach of constraint induced movement therapy for 23-year-old children : A randomized control trial" 32 (32): 2820-2828, 2011

      17 Novak, I., "A systematic review of interventions for children with cerebral palsy : State of the evidence" 55 (55): 885-910, 2013

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