To investigate current knowledge and application in practice of constraint-induced movement therapy (CIMT) by therapists within the United Kingdom.
An online 19-item survey.
Occupational therapists and physiotherapists (N=489) currently working or within 3 months of working with the adult acquired brain injury population were recruited from 2 specialist interest groups.
Database administrators of 2 specialist interest groups circulated an e-mail to all therapists on the database to invite them to complete the online survey.
Main Outcome Measures
Most therapists (62.9%, n=306) had not used CIMT. Those who had used it were only using 2 or 3 components of the core 7-component CIMT protocol. Therapists identified 2 main barriers to the implementation of CIMT: lack of resources (staffing; 20.7%, n=63) and lack of training (20%, n=61).
Adoption into practice remains limited. Despite a significant evidence base in support of CIMT, most therapists are not using CIMT in practice. This article indicates how concerns and barriers related to CIMT may be minimized to translate this robust intervention from research into clinical practice.
List of abbreviations:ABI (acquired brain injury), CIMT (constraint-induced movement therapy), EXCITE (Extremity Constraint Induced Therapy Evaluation (trial)), TBI (traumatic brain injury), UK (United Kingdom)
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Published online: September 10, 2013
Supported by the Department for Employment and Learning.
No commercial party having a direct financial interest in the results of the research supporting this article has conferred or will confer a benefit on the authors or on any organization with which the authors are associated.
© 2014 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.