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Constraint induced movement therapy in hemiplegic cerebral palsy: a national survey of its use by physiotherapists in the UK

Tucker, Rachael; Drummond, Avril E.R.; Moffatt, Fiona

Constraint induced movement therapy in hemiplegic cerebral palsy: a national survey of its use by physiotherapists in the UK Thumbnail


Authors

Rachael Tucker

AVRIL DRUMMOND avril.drummond@nottingham.ac.uk
Professor of Healthcare Research

Fiona Moffatt



Abstract

Background/aims: There is an emerging evidence base into the use of Constraint Induced Movement Therapy (CIMT) in hemiplegic Cerebral Palsy (CP). However, there is little evidence of its use in the UK. This study aimed to conduct a national survey of physiotherapists to explore their use of CIMT in hemiplegic CP and to identify barriers and facilitators to its use.

Methods: An online survey was distributed to members of the Association of Paediatric Chartered Physiotherapists (APCP) within the UK. At this time, there were approximately 2300 members on the professional database. Participants were asked about their experience and views regarding CIMT use/training, including their beliefs regarding delivery of CIMT in the UK health system.


Findings: Responses were from 121 therapists from 12 regions of the UK, working across the National Health Service, private sector and education; based in inpatient, outpatient, community and school settings. Fifty three percent had never used CIMT although 73.6% felt it was an appropriate treatment. Most therapists felt they did not have enough training to use CIMT.

Barriers included ethical issues, resources and training. Facilitators to its use included treatment modification, support of others and outcome appraisal. The ethical and legal ramifications of restraint were a common concern which prevented therapists from using CIMT. Family compliance influenced therapists’ decision to use CIMT.
Conclusions: There is evidence to suggest physiotherapists in the UK are using CIMT to some extent in this patient group and that there is established clinical interest. Further research is needed to clarify ethical and legal ramifications of restraint.

Citation

Tucker, R., Drummond, A. E., & Moffatt, F. (2017). Constraint induced movement therapy in hemiplegic cerebral palsy: a national survey of its use by physiotherapists in the UK. International Journal of Therapy and Rehabilitation, 103(Suppl.1), e56-e57. https://doi.org/10.1016/j.physio.2017.11.011

Journal Article Type Article
Acceptance Date Apr 7, 2017
Publication Date Dec 20, 2017
Deposit Date Apr 20, 2017
Publicly Available Date Mar 29, 2024
Journal International Journal of Therapy and Rehabilitation
Print ISSN 1741-1645
Electronic ISSN 1759-779X
Publisher Mark Allen Healthcare
Peer Reviewed Peer Reviewed
Volume 103
Issue Suppl.1
Pages e56-e57
DOI https://doi.org/10.1016/j.physio.2017.11.011
Keywords Constraint induced movement therapy, Hemiplegic, Cerebral palsy
Public URL https://nottingham-repository.worktribe.com/output/855129
Publisher URL https://www.physiotherapyjournal.com/article/S0031-9406(17)30128-1/abstract

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