Document Type

Critically Appraised Topic

Publication Date

2011

Clinical Scenario

As we know, cerebrovascular accident induced hemiplegia can have a devastating impact on someone’s daily life and capacity to perform meaningful activities. In such cases, the client’s upper extremity mobility limitations are of specific concern because of such a close relationship in increases in daily function. As the prevalence of CVA cases rise with the growing aging population, occupational therapists must press to develop powerful, result oriented interventions and modalities. The idea that placing a constraint on the unaffected limb of a person with hemiparesis to promote neuro-motor recovery and reorganization of the affected hemisphere while counteracting learned non-use has been both greatly praised and hotly refuted amongst the occupational therapy community. In order to draw conclusions about the effectiveness of these interventions and to support reasoning for insurance reimbursement, therapists must conduct clinical trials.

Clinical Question

How does Constraint Induced Movement Therapy impact recovery after CVA when compared to other types of intervention?

Clinical Bottom Line

There is a large but conflicting body of evidence regarding CIMT as an effective therapy modality to treat CVA hemiplegia. Despite the existing research already done on CIMT effectiveness, further research needs to be conducted to prove the benefits and disadvantages and to legitimize it as a universally reimbursable intervention for occupational therapists to provide to clients with CVAs.

Share

COinS