Article

Purpose: To investigate the use of constraint-induced movement therapy (CIMT) in
Canadian neurological occupational and physical therapy. Method: An online survey
was completed by occupational and physical therapists practising in Canadian
adult neurological rehabilitation. We measured participants' practices,
perceptions, and opinions in relation to their use of CIMT in clinical practice.
Results: A total of 338 surveys were returned for a 13% response rate; 92% of
respondents knew of CIMT, and 43% reported using it. The majority (88%) of
respondents using CIMT employed a non-traditional protocol. Self-rating of level
of CIMT knowledge was found to be a significant predictor of CIMT use
(p</=0.001). Commonly identified barriers to use included "patients having
cognitive challenges that prohibit use of this treatment" and "lack of knowledge
regarding treatment." Conclusions: Although the majority of respondents knew
about CIMT, less than half reported using it. Barriers to CIMT use include lack
of knowledge about the treatment and institutional resources to support its use.
Identifying and addressing barriers to CIMT use-for example, by using continuing
professional education to remediate knowledge gaps or developing new protocols
that require fewer institutional resources-can help improve the feasibility of
CIMT, and thus promote its clinical application.

Langue : ANGLAIS