Cochrane · systematic review · CD004149
Constraint‐induced movement therapy in children with unilateral cerebral palsy
Hoare, BJ, Wallen, MA, Thorley, MN, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library
Developmental, Psychosocial and Learning ProblemsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
29
current version
GRADE rated
17
No studies
8
Included studies
NR
No studies 8 · 27.6%Ungraded 4 · 13.8%Very low 11 · 37.9%Low 6 · 20.7%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Constraint induced movement therapy (CIMT) compared to low‐dose comparison for children with unilateral cerebral palsy
Population: children with unilateral cerebral palsy
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Bimanual performance Constraint induced movement therapy (CIMT) vs low‐dose comparison | no estimate extracted | 2 studies · 39 participants | Low Downgraded: risk of bias, imprecision |
Unimanual capacity Constraint induced movement therapy (CIMT) vs low‐dose comparison | no estimate extracted | 1 study · 23 participants | Very low Downgraded: risk of bias, imprecision |
Unimanual capacity Constraint induced movement therapy (CIMT) vs low‐dose comparison | no estimate extracted | 2 studies · 103 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Manual ability ‐ not measured Constraint induced movement therapy (CIMT) vs low‐dose comparison | no estimate extracted | NR | No studies |
Self‐care ‐ not measured Constraint induced movement therapy (CIMT) vs low‐dose comparison | no estimate extracted | NR | No studies |
Individualised measures of performance ‐ not measured Constraint induced movement therapy (CIMT) vs low‐dose comparison | no estimate extracted | NR | No studies |
Adverse events Constraint induced movement therapy (CIMT) vs low‐dose comparison | no estimate extracted | 16 studies · 454 participants | Ungraded |
Constraint induced movement therapy (CIMT) compared to high‐dose comparison for children with unilateral cerebral palsy
Population: children with unilateral cerebral palsy
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Bimanual performance Constraint induced movement therapy (CIMT) vs high‐dose comparison | no estimate extracted | 3 studies · 126 participants | Low Downgraded: risk of bias, imprecision |
Unimanual capacity Constraint induced movement therapy (CIMT) vs high‐dose comparison | no estimate extracted | 1 study · 43 participants | Very low Downgraded: risk of bias, imprecision |
Unimanual capacity Constraint induced movement therapy (CIMT) vs high‐dose comparison | no estimate extracted | 1 study · 34 participants | Very low Downgraded: risk of bias, imprecision |
Manual ability ‐ not measured Constraint induced movement therapy (CIMT) vs high‐dose comparison | no estimate extracted | NR | No studies |
Self‐care Constraint induced movement therapy (CIMT) vs high‐dose comparison | no estimate extracted | 1 study · 34 participants | Very low Downgraded: risk of bias, imprecision |
Individualised measures of performance Constraint induced movement therapy (CIMT) vs high‐dose comparison | no estimate extracted | 3 studies · 126 participants | Low Downgraded: risk of bias, imprecision |
Adverse events Constraint induced movement therapy (CIMT) vs high‐dose comparison | no estimate extracted | 4 studies · 186 participants | Ungraded |
Constraint induced movement therapy (CIMT) compared to dose‐matched comparison for children with unilateral cerebral palsy
Population: children with unilateral cerebral palsy
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Bimanual performance Constraint induced movement therapy (CIMT) vs dose‐matched comparison | no estimate extracted | 7 studies · 229 participants | Low Downgraded: risk of bias, imprecision |
Unimanual capacity Constraint induced movement therapy (CIMT) vs dose‐matched comparison | no estimate extracted | 6 studies · 203 participants | Low Downgraded: risk of bias, imprecision |
Unimanual capacity Constraint induced movement therapy (CIMT) vs dose‐matched comparison | no estimate extracted | 3 studies · 124 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Manual ability Constraint induced movement therapy (CIMT) vs dose‐matched comparison | no estimate extracted | 3 studies · 95 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Self‐care Constraint induced movement therapy (CIMT) vs dose‐matched comparison | no estimate extracted | 2 studies · 45 participants | Low Downgraded: risk of bias, imprecision |
Individualised measures of performance Constraint induced movement therapy (CIMT) vs dose‐matched comparison | no estimate extracted | 6 studies · 191 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Adverse events Constraint induced movement therapy (CIMT) vs dose‐matched comparison | no estimate extracted | 15 studies · 569 participants | Ungraded |
Constraint induced movement therapy (CIMT) compared to different forms CIMT for children with unilateral cerebral palsy
Population: children with unilateral cerebral palsy
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Bimanual performance Constraint induced movement therapy (CIMT) vs different forms CIMT | no estimate extracted | 2 studies · 60 participants | Very low Downgraded: risk of bias, imprecision |
Bimanual performance Constraint induced movement therapy (CIMT) vs different forms CIMT | no estimate extracted | 2 studies · 60 participants | Very low Downgraded: risk of bias, imprecision |
Unimanual capacity ‐ not measured Constraint induced movement therapy (CIMT) vs different forms CIMT | no estimate extracted | NR | No studies |
Unimanual capacity Constraint induced movement therapy (CIMT) vs different forms CIMT | no estimate extracted | 1 study · 60 participants | Very low Downgraded: risk of bias, imprecision |
Manual Ability ‐ not measured Constraint induced movement therapy (CIMT) vs different forms CIMT | no estimate extracted | NR | No studies |
Self‐care ‐ not measured Constraint induced movement therapy (CIMT) vs different forms CIMT | no estimate extracted | NR | No studies |
Individualised measures of performance ‐ not measured Constraint induced movement therapy (CIMT) vs different forms CIMT | no estimate extracted | NR | No studies |
Adverse events Constraint induced movement therapy (CIMT) vs different forms CIMT | no estimate extracted | 3 studies · 94 participants | Ungraded |