Modified Constraint-Induced Movement Therapy at Home—Is It Possible? Families and Children’s Experience

Modified constraint-induced movement therapy (mCIMT) is efficient at improving upper limb non-use. The experiences of families and children with mCIMT could allow researchers to understand how it influences their day-to-day life and to improve the function of the affected upper limb without altering...

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Main Authors: Rocío Palomo-Carrión, Helena Romay-Barrero, Rita-Pilar Romero-Galisteo, Elena Pinero-Pinto, Purificación López-Muñoz, Inés Martínez-Galán
Format: Article
Language:English
Published: MDPI AG 2020-11-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/7/11/248
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author Rocío Palomo-Carrión
Helena Romay-Barrero
Rita-Pilar Romero-Galisteo
Elena Pinero-Pinto
Purificación López-Muñoz
Inés Martínez-Galán
author_facet Rocío Palomo-Carrión
Helena Romay-Barrero
Rita-Pilar Romero-Galisteo
Elena Pinero-Pinto
Purificación López-Muñoz
Inés Martínez-Galán
author_sort Rocío Palomo-Carrión
collection DOAJ
description Modified constraint-induced movement therapy (mCIMT) is efficient at improving upper limb non-use. The experiences of families and children with mCIMT could allow researchers to understand how it influences their day-to-day life and to improve the function of the affected upper limb without altering family life and avoiding frustration. In this qualitative study, we aimed to collect the experiences of parents and their children (aged 4–8 years) who did mCIMT at home regarding the application of low-intensity modified constraint-induced movement therapy to improve the affected upper limb functionality in infantile hemiplegia with moderate manual ability. Individual semi-structured interviews were performed to obtain insights into their experience with mCIMT. The experiences of parents and children were described in thematic sections. Eight children with hemiplegia (six years, standard deviation, SD: 1.77) and their parents were asked about their experiences after applying 50 h of mCIMT at home. Three main themes emerged from the children’s interview data: (1) the experience of wearing the containment in the modified constraint-induced movement therapy (CIMT) intervention, (2) the reaction to performing the therapy at home with his/her family, and (3) learning of the affected upper limb. In the parents’ interview data, there were two main themes: (1) the difficulty of executing an intensive therapy protocol (mCIMT: 50 h) at home and (2) the feeling of not wanting to finish the intervention. The experiences of the parents and their children regarding mCIMT allowed us to understand the facilitators and barriers that affect the execution of mCIMT at home, and this understanding allows us to improve its future application.
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spelling doaj.art-961380d4644142e9ba7277a8e92d2c742023-11-20T21:52:50ZengMDPI AGChildren2227-90672020-11-0171124810.3390/children7110248Modified Constraint-Induced Movement Therapy at Home—Is It Possible? Families and Children’s ExperienceRocío Palomo-Carrión0Helena Romay-Barrero1Rita-Pilar Romero-Galisteo2Elena Pinero-Pinto3Purificación López-Muñoz4Inés Martínez-Galán5Department of Nursery, Physiotherapy and Occupational Therapy, Faculty of Physiotherapy and Nursing, University of Castilla-La Mancha, 45500 Toledo, SpainDepartment of Nursery, Physiotherapy and Occupational Therapy, Faculty of Physiotherapy and Nursing, University of Castilla-La Mancha, 45500 Toledo, SpainDepartment of Physiotherapy, Faculty of Health Sciences, University of Málaga, 29071 Málaga, SpainDepartment of Physical Therapy, Faculty of Nursing, Physiotherapy and Podiatry, University of Sevilla, 41009 Sevilla, SpainDepartment of Nursery, Physiotherapy and Occupational Therapy, Faculty of Physiotherapy and Nursing, University of Castilla-La Mancha, 45500 Toledo, SpainDepartment of Nursery, Physiotherapy and Occupational Therapy, Faculty of Physiotherapy and Nursing, University of Castilla-La Mancha, 45500 Toledo, SpainModified constraint-induced movement therapy (mCIMT) is efficient at improving upper limb non-use. The experiences of families and children with mCIMT could allow researchers to understand how it influences their day-to-day life and to improve the function of the affected upper limb without altering family life and avoiding frustration. In this qualitative study, we aimed to collect the experiences of parents and their children (aged 4–8 years) who did mCIMT at home regarding the application of low-intensity modified constraint-induced movement therapy to improve the affected upper limb functionality in infantile hemiplegia with moderate manual ability. Individual semi-structured interviews were performed to obtain insights into their experience with mCIMT. The experiences of parents and children were described in thematic sections. Eight children with hemiplegia (six years, standard deviation, SD: 1.77) and their parents were asked about their experiences after applying 50 h of mCIMT at home. Three main themes emerged from the children’s interview data: (1) the experience of wearing the containment in the modified constraint-induced movement therapy (CIMT) intervention, (2) the reaction to performing the therapy at home with his/her family, and (3) learning of the affected upper limb. In the parents’ interview data, there were two main themes: (1) the difficulty of executing an intensive therapy protocol (mCIMT: 50 h) at home and (2) the feeling of not wanting to finish the intervention. The experiences of the parents and their children regarding mCIMT allowed us to understand the facilitators and barriers that affect the execution of mCIMT at home, and this understanding allows us to improve its future application.https://www.mdpi.com/2227-9067/7/11/248constraint-induced movement therapychildexperiencefamilyhomeinfantile hemiplegia
spellingShingle Rocío Palomo-Carrión
Helena Romay-Barrero
Rita-Pilar Romero-Galisteo
Elena Pinero-Pinto
Purificación López-Muñoz
Inés Martínez-Galán
Modified Constraint-Induced Movement Therapy at Home—Is It Possible? Families and Children’s Experience
Children
constraint-induced movement therapy
child
experience
family
home
infantile hemiplegia
title Modified Constraint-Induced Movement Therapy at Home—Is It Possible? Families and Children’s Experience
title_full Modified Constraint-Induced Movement Therapy at Home—Is It Possible? Families and Children’s Experience
title_fullStr Modified Constraint-Induced Movement Therapy at Home—Is It Possible? Families and Children’s Experience
title_full_unstemmed Modified Constraint-Induced Movement Therapy at Home—Is It Possible? Families and Children’s Experience
title_short Modified Constraint-Induced Movement Therapy at Home—Is It Possible? Families and Children’s Experience
title_sort modified constraint induced movement therapy at home is it possible families and children s experience
topic constraint-induced movement therapy
child
experience
family
home
infantile hemiplegia
url https://www.mdpi.com/2227-9067/7/11/248
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