Evidence map›Paper›PMID 36703170›Full record

Trial reportJournal of neuroengineering and rehabilitation2023

Comparative effects of kinect-based versus therapist-based constraint-induced movement therapy on motor control and daily motor function in children with unilateral cerebral palsy: a randomized control trial.

Tsai-Yu Shih, Tien-Ni Wang, Jeng-Yi Shieh, Szu-Yu Lin, Shanq-Jang Ruan, Hsien-Hui Tang, Hao-Ling Chen

Registry-linked trialAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of neuroengineering and rehabilitation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02808195 (Comparative Effectiveness of a Kinect-based Unilateral Arm Training System vs Constraint-Induced Therapy for Children With Cerebral Palsy), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02808195 nacompletednot on this map

Comparative Effectiveness of a Kinect-based Unilateral Arm Training System vs Constraint-Induced Therapy for Children With Cerebral Palsy

TypeinterventionalSponsorNational Taiwan University HospitalRan2016 to 2024Enrolled60ConditionsCerebral PalsyArmsConstraint-induced therapy, kinect-based constraint-induced therapy
3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Tsai-Yu ShihSchool of Occupational Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan.
Tien-Ni WangSchool of Occupational Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan.
Jeng-Yi ShiehDepartment of Physical Medicine and Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan.
Szu-Yu LinSchool of Occupational Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan.
Shanq-Jang RuanDepartment of Electronic and Computer Engineering, National Taiwan University of Science and Technology, Taipei, Taiwan.
Hsien-Hui TangDepartment of Design, National Taiwan University of Science and Technology, Taipei, Taiwan.
Hao-Ling ChenSchool of Occupational Therapy, College of Medicine, National Taiwan University, Taipei, Taiwan. hlchen@ntu.edu.tw.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundConstraint-induced movement therapy (CIMT) is a prominent neurorehabilitation approach for improving affected upper extremity motor function in children with unilateral cerebral palsy (UCP). However, the restraint of the less-affected upper extremity and intensive training protocol during CIMT may decrease children's motivation and increase the therapist's workload and family's burden. A kinect-based CIMT program, aiming to mitigate the concerns of CIMT, has been developed. The preliminary results demonstrated that this program was child-friendly and feasible for improving upper extremity motor function. However, whether the kinect-based CIMT can achieve better or at least comparable effects to that of traditional CIMT (i.e., therapist-based CIMT) should be further investigated. Therefore, this study aimed to compare the effects of kinect-based CIMT with that of therapist-based CIMT on upper extremity and trunk motor control and on daily motor function in children with UCP.

methodsTwenty-nine children with UCP were recruited and randomly allocated to kinect-based CIMT (n = 14) or therapist-based CIMT (n = 15). The intervention dosage was 2.25 h a day, 2 days a week for 8 weeks. Outcome measures, namely upper extremity and trunk motor control and daily motor function, were evaluated before and after 36-h interventions. Upper extremity and trunk motor control were assessed with unimanual reach-to-grasp kinematics, and daily motor function was evaluated with the Revised Pediatric Motor Activity Log. Between-group comparisons of effectiveness on all outcome measures were analyzed by analysis of covariance (α = 0.05).

resultsThe two groups demonstrated similar improvements in upper extremity motor control and daily motor function. In addition, the kinect-based CIMT group demonstrated greater improvements in trunk motor control than the therapist-based CIMT group did (F(1,28) > 4.862, p < 0.036).

conclusionKinect-based CIMT has effects comparable to that of therapist-based CIMT on UE motor control and daily motor function. Moreover, kinect-based CIMT helps decrease trunk compensation during reaching in children with UCP. Therefore, kinect-based CIMT can be used as an alternative approach to therapist-based CIMT.

trial registrationClinicalTrials.gov Identifier: NCT02808195. Registered on 2016/06/21, https://clinicaltrials.gov/ct2/show/NCT02808195 .

Indexed as

Cerebral PalsyNeurological RehabilitationChildHumansMovementPhysical Therapy ModalitiesTreatment OutcomeUpper ExtremityCerebral palsyChildrenConstraint-induced therapyUpper extremityVirtual reality

Identifiers

PMID36703170
PMCPMC9880374

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.