Evidence map›Paper›PMID 39659237›Full record

ArticleOTJR : occupation, participation and health2026

Pediatric Constraint-Induced Movement Therapy: Current Practices and Implementation Barriers.

Sophia C Larson, Alyssa E Smith, Bhooma R Aravamuthan, Hunter G Moore, Kaylin A Antonoff, Sharon Ramey, Catherine R Hoyt

Abstract read
In one paragraph

Article in OTJR : occupation, participation and health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Development of a Practical Guide for Pediatric Constraint-Induced Movement Therapy: Enhancing Understanding and Informed Decision-Making.The American journal of occupational therapy : official publication of the American Occupational Therapy Association · 2026
    Article
  2. Article
  3. Article
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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.

Sophia C LarsonWashington University School of Medicine, St. Louis, MO, USA.ORCID 0009-0000-4829-4106
Alyssa E SmithWashington University School of Medicine, St. Louis, MO, USA.
Bhooma R AravamuthanWashington University School of Medicine, St. Louis, MO, USA.
Hunter G MooreWashington University School of Medicine, St. Louis, MO, USA.
Kaylin A AntonoffWashington University School of Medicine, St. Louis, MO, USA.
Sharon RameyVirginia Polytechnic Institute and State University, Blacksburg, USA.
Catherine R HoytWashington University School of Medicine, St. Louis, MO, USA.ORCID 0000-0002-3398-9439

Funding

WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
StrokeNet I-ACQUIRE 12-month Follow-up StudyU01NS106655 · NINDS · VIRGINIA POLYTECHNIC INST AND ST UNIV · PI LO, WARREN DAVID, RAMEY, SHARON LANDESMAN · 2019 to 2024
$15.2M
National Pediatric Rehabilitation Resource Center: Techniques DevelopmentP2CHD101912 · NICHD · VIRGINIA POLYTECHNIC INST AND ST UNIV · PI RAMEY, SHARON LANDESMAN · 2020 to 2024
$5.0M
NCATS NIH HHS UL1 TR002345NICHD NIH HHS P2C HD101912NINDS NIH HHS U01 NS106655
6 · The paper itself

Abstract

Hemiplegic Cerebral Palsy (CP) is the most common pediatric motor disability, characterized by unilateral motor weakness. Pediatric Constraint-Induced Movement Therapy (pCIMT) improves affected extremity function but faces variable clinical integration. This study assessed U.S. providers' awareness and use of pCIMT, educational practices, and barriers to broader implementation for more eligible children. Overall, 148 providers specializing in pediatric stroke or hemiplegic CP completed surveys on pCIMT familiarity, implementation challenges, and support for evidence-based practices (EBP). Participants indicated high pCIMT competency. Although 75% reported regional pCIMT availability, only 14% indicated that pCIMT is accessible to all children who could benefit. Reported barriers included therapist and family availability, cost, and institutional limitations. Despite valuing EBP, participants reported minimal workplace support for its use. The study revealed significant barriers to pCIMT accessibility and implementation. Further research is needed to address these challenges and improve clinical adoption of EBP, such as pCIMT.

Indexed as

Cerebral PalsyHemiplegiaOccupational TherapyRestraint, PhysicalStroke RehabilitationAdultChildEvidence-Based PracticeFemaleHealth Services AccessibilityHumansMaleSurveys and QuestionnairesUnited Statesclinical implementationevidence-based practicehemiplegiapCIMTpediatric strokeunilateral cerebral palsy

Identifiers

PMID39659237
PMCPMC12152207

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.