Application of constraint-induced movement therapy in clinical practice: An online survey

Katy Pedlow, Sheila Lennon, Colin Wilson

    Research output: Contribution to journalArticlepeer-review

    12 Citations (Scopus)

    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.

    Original languageEnglish
    Pages (from-to)276-282
    Number of pages7
    JournalArchives of Physical Medicine and Rehabilitation
    Volume95
    Issue number2
    DOIs
    Publication statusPublished - Feb 2014

    Keywords

    • Brain injuries
    • Data collection
    • Rehabilitation
    • Stroke
    • Therapy
    • Upper extremity

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