Abstract
Objective
To investigate current knowledge and application in practice of constraint-induced
movement therapy (CIMT) by therapists within the United Kingdom.
Design
An online 19-item survey.
Setting
Neurological rehabilitation.
Participants
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.
Interventions
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
Not applicable.
Results
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).
Conclusions
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.
Keywords
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)To read this article in full you will need to make a payment
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References
- Loss of arm function after stroke: measurement, frequency and recovery.Int Rehabil Med. 1986; 8: 69-73
- Upper limb function and recovery in the acute phase post stroke.J Rehabil Res Dev. 2005; 42: 65-76
- Constraint induced movement therapy in stroke rehabilitation: perspectives on future clinical applications.NeuroRehabilitation. 2008; 23: 15-28
- The constraint induced movement therapy: a systematic review of randomised controlled trials on the adult stroke patients.Eura Medicophys. 2007; 43: 139-146
- The effectiveness of constraint-induced therapy as a stroke intervention: a meta-analysis.Occup Ther Health Care. 2006; 20: 31-49
- Constraint-induced movement therapy following stroke: a systematic review of randomised controlled trials.Aust J Physiother. 2005; 51: 221-231
- Motor recovery after stroke: a systematic review.Lancet Neurol. 2009; 8: 741-754
- Rehabilitation of arm function after stroke. Literature review.Ann Phys Rehabil Med. 2009; 52: 269-293
- Constraint-induced movement therapy: characterizing the intervention protocol.Eura Medicophys. 2006; 42: 257-268
- Modified constraint-induced therapy in chronic stroke: results of a single blinded randomized controlled trial.Phys Ther. 2008; 88: 1-8
- Effect of constraint-induced movement therapy on upper extremity function 3 to 9 months after stroke: the EXCITE randomized clinical trial.JAMA. 2006; 296: 2095-2104
- Stroke patients and therapist's opinions of constraint induced movement therapy.Clin Rehabil. 2002; 16: 55-60
- Opinions of constraint-induced movement therapy among therapists in southwestern Ohio.Top Stroke Rehabil. 2012; 19: 268-275
- Constraint induced movement therapy for the upper limb post stroke: a postal survey of therapists in Ireland.Phys Ther Rev. 2010; 15: 121
- Management of adult stroke rehabilitation care: a clinical practice guideline.Stroke. 2005; 36: 100-143
- KNGF Clinical Practice Guideline for physical therapy in patients with stroke. Review of the evidence [translation 2008].Ned Tijdschr Fysiother. 2004; : 114
- National clinical guideline for stroke.4th ed. Royal College of Physicians, London2012
- The value of online surveys.Internet Res. 2005; 15: 196-219
- World-Wide Web survey research: benefits, potential problems, and solutions.Behav Res Methods Instrum Comput. 1997; 29: 274-279
- Improving stroke rehabilitation: a controlled study.Stroke. 1993; 24: 1462-1467
- Constraint-induced movement therapy during early stroke rehabilitation.Neurorehabil Neural Repair. 2007; 21: 14-24
Article info
Publication history
Published online: September 10, 2013
Footnotes
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.
Identification
Copyright
© 2014 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
