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Application of constraint-induced movement therapy in clinical practice

PEDLOW K; LENNON S; WILSON C
ARCH PHYS MED REHABIL , 2014, vol. 95, n° 2, p. 276-282
Doc n°: 168189
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.apmr.2013.08.240
Descripteurs : AF3 - TRAUMATISME CRANIEN
Article consultable sur : http://www.archives-pmr.org

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.
CI - Copyright (c) 2014 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
- CIMT Questionnaire

Langue : ANGLAIS

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