Evidence map›Paper›PMID 40051911›Full record

ArticleFrontiers in pediatrics2025

Caregiver determinants and capacity for participation in constraint-induced movement therapy.

Hunter G Moore, Amy Ayala, Bhooma R Aravamuthan, Alyssa E Smith, Sharon L Ramey, Catherine R Hoyt

Abstract read
In one paragraph

Article in Frontiers in pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper 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
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

6 authors.

Hunter G MooreProgram in Occupation Therapy, Washington University School of Medicine, St. Louis, MO, United States.
Amy AyalaBiostatistics and Qualitative Research Shared Resource, Washington University School of Medicine, St. Louis, MO, United States.
Bhooma R AravamuthanDepartment of Neurology, Washington University School of Medicine, St. Louis, MO, United States.
Alyssa E SmithDepartment of Neurology, Washington University School of Medicine, St. Louis, MO, United States.
Sharon L RameyFralin Biomedical Research Institute, Virginia Tech, Roanoke, VA, United States.
Catherine R HoytProgram in Occupation Therapy, Washington University School of Medicine, St. Louis, MO, United States.

Funding

National Pediatric Rehabilitation Resource Center: Techniques DevelopmentP2CHD101912 · NICHD · VIRGINIA POLYTECHNIC INST AND ST UNIV · PI RAMEY, SHARON LANDESMAN · 2020 to 2024
$5.0M
Mid-America Regional Coordinating Center (MARCC)U24NS107230 · NINDS · WASHINGTON UNIVERSITY · PI Andria Lee Ford, Peter David Panagos · 2018 to 2026
$2.8M
NICHD NIH HHS P2C HD101912NINDS NIH HHS U24 NS107230
6 · The paper itself

Abstract

Aim: Hemiplegic cerebral palsy affects 1 in every 1,100 children, making it the most common pediatric motor disability. Constraint-Induced Movement Therapy (CIMT) is an evidence-based intervention that significantly improves upper extremity function when implemented with high fidelity. Despite its effectiveness, CIMT's intensive nature-requiring daily therapy for up to twenty days-limits its availability. This study examined caregivers' perspectives on implementing and adapting home-based CIMT to identify practical solutions for improving intervention accessibility. Method: Caregivers of a child who has a diagnosis associated with upper extremity motor impairment consistent with cerebral palsy were recruited from the Cerebral Palsy Center at the St. Louis Children's Hospital. Caregivers completed a semi-structured interview to share their CIMT experiences, as well as their ideas and opinions related to modified versions of CIMT. All interviews were coded and analyzed for themes using descriptive analysis. Results: Twelve interviews were conducted and revealed that caregivers would be interested in CIMT with an at-home model. Those who had experience with CIMT stated they found meaningful results from their participation in CIMT. Caregivers communicated potential challenges such as their child remaining engaged in at-home therapy, caregiver confidence in implementing the therapy, and the time required for implementing caregiver-led, home-based CIMT. Interpretation: Study findings identified that caregivers see value in a modified, at-home CIMT program. Developing a modified version of CIMT is needed to increase access to this beneficial intervention.

Indexed as

barrierscaregiver-led CIMTCIMTEPIsqualitative

Identifiers

PMID40051911
PMCPMC11882512

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.