Terapia de movimiento inducido por restricción para el miembro superior de niños con parálisis cerebral en práctica clínica: revisión sistemática de la literatura
DOI:
https://doi.org/10.1590/1809-2950/17425124032017Palabras clave:
Parálisis Cerebral, Extremidad Superior, Hemiplejía, Inmovilización, MovimientoResumen
El propósito del presente estudio fue realizar una revisión sistemática de la literatura para investigar cómo y con qué modificaciones o adaptaciones la terapia de movimiento inducido por restricción ha sido empleada en la práctica clínica para intervenciones terapéuticas en niños con parálisis cerebral. Se realizaron búsquedas en CAPES (Agencia brasileña de fomento) portal periodico, Pubmed, Bireme, Science Direct, Scielo y PEDro bases de datos para artículos relevantes publicados entre enero de 2010 y mayo de 2016. Los artículos recuperados fueron evaluados, puntuados y calificados por dos revisores ciegos utilizando la Escala de base de datos de Pruebas de Fisioterapia (Physical therapy Evidence Database Scale). Las búsquedas condujeron a la recuperación de 102 artículos, 12 de los cuales se incluyeron en la presente revisión sistemática. Se creó una tabla que contiene información sobre los grupos de estudio, criterios de inclusión, intervención, frecuencia de intervención, dificultades encontradas, evaluaciones y resultados. Se encontró una variedad considerable en los modelos de intervención terapéutica. Los resultados de la presente revisión muestran que la terapia de movimiento inducido por restricción en la práctica clínica pediátrica no se emplea en su forma original. Aunque los estudios analizados no tenían una metodología común respecto al uso de este tipo de terapia, el método se ha adaptado con una flexibilidad considerable, promoviendo resultados promisores y positivos con respecto a la intervención terapéutica del miembro parético superior en niños con parálisis cerebral.Descargas
Referencias
Gordon AM, Charles J, Wolf SL. Methods of constraintinduced movement therapy for children with hemiplegic
cerebral palsy: development of a child-friendly intervention
for improving upper-extremity function. Arch Phys Med
Rehabil. 2005;86(4):837-44. doi: 10.1016/j.apmr.2004.10.008
Andersen JC, Majnemer A, O’Grady K, Gordon AM. Intensive
upper extremity training for children with hemiplegia: from
science to practice. Semin Pediatr Neurol. 2013;20(2):100-5.
doi: 10.1016/j.spen.2013.06.001
Balleoti LR, Gritti CC, Silva BC. Efeitos de um protocolo
modificado da terapia por contensão induzida em criança
com paralisia cerebral hemiparética. Rev Ter Ocup Univ
São Paulo. 2014;25(3):264-71. http://dx.doi.org/10.11606/
issn.2238-6149.v25i3p264-271
Sakzewski L, Ziviani J, Boyd RN. Efficacy of upper
limb therapies for unilateral cerebral palsy: a metaanalysis. Pediatrics. 2014;133(1):175-204. doi: 10.1542/
peds.2013-0675
Silva LA, Tamashiro V, Assis RD. Terapia por contenção
induzida: revisão de ensaios clínicos. Fisioter Mov.
;23(1):153-59. doi: 10.1590/S0103-51502010000100015
Diniz L, Abranches MHS. Neuroplasticidade na terapia
de restrição e indução do movimento em pacientes com
acidente vascular encefálico. Med Reabil. 2003;22(3):53-5.
Liepert J, Bauder H, Miltner WHR, Taub E, Weiller C. Treamentinduced cortical reorganization after stroke in humans.
Stroke. 2000;31(6):1210-6. doi: 10.1161/01.STR.31.6.1210
Bleyenheuft Y, Arnould C, Brandão MB, Bleyenheunft C,
Gordon AM. Hand and arm bimanual intensive therapy
including lower extremity (HABIT-ILE) in children with
unilateral spastic cerebral palsy: a randomized trial.
Neurorehabil Neural Repair. 2015;29(7):645-57. doi:
1177/1545968314562109
Taub E, Miller NE, Novack TA, Cook EW, Fleming WC,
Neponucemo CS, et al. Technique to improve chronic motor
deficit after stroke. Arch Phys Med Rehabil. 1993;74(4):347-54.
Taub E, Uswatte G, Pidikiti R. Constraint-induced movement
therapy: a new family of techniques with broad application
to physical rehabilitation: a clinical review. J Rehabil Res Dev.
;36(3):237-51.
Eliasson AC, Krumlinde-Sundholm L, Gordon AM, Feys H,
Klingels K, Aarts, PBM, et al. Guidelines for future research
in constraint-induced movement therapy for children with
unilateral cerebral palsy: an expert consensus. Dev Med Child
Neurol. 2014;56(2):125-37. doi: 10.1111/dmcn.12273
Taub E. The behavior-analytic origins of constraintinduced movement therapy: an example of behavioral
neurorehabilitation. Behav Anal. 2012;35(2):155-78.
DeLuca SC, Echols K, Law CR, Ramey SL. Intensive pediatric
constraint-induced therapy for children with cerebral palsy:
randomized, controlled, crossover trial. J Child Neurol.
;21(11):931-8. doi 10.2310/7010.2006.00201
Dong VA, Tung IH, Siu HW, Fong KN. Studies comparing
the efficacy of constraint-induced movement therapy and
bimanual training in children with unilateral cerebral palsy: a
systematic review. Dev Neurorehabil. 2013;16(2):133-43. doi:
3109/17518423.2012.702136
Chen YP, Pope S, Tyler D, Warren GL. Effectiveness
of constraint-induced movement therapy on upperextremity function in children with cerebral palsy: a
systematic review and meta-analysis of randomized
controlled trials. Clin Rehabil. 2014;28(10):939-53. doi:
1177/0269215514544982
Shiwa SR, Costa LOP, Moser ADL, Aguiar IC, Oliveira LVF.
PEDro: the physiopherapy evidence database. Fisioter Mov.
;24(3):523-33. doi: 10.1590/S0103-51502011000300017
Aarts PB, Jongerious PH, Geerdink YA, van Limbeek J, Geurts
AC. Effectiveness of modified constraint-induced movement
therapy in children with unilateral spastic cerebral palsy: a
randomized controlled trial. Neurorehabil Neural Repair.
;24(6):509-18. doi: 10.1177/1545968309359767
Aarts PB, Jongerious PH, Geerdink YA, van Limbeek J,
Geurts AC. Modified constraint-induced movement therapy
combined with bimanual training (mCIMT–BiT) in children
with unilateral spastic cerebral palsy: how are improvements
in arm-hand use established? Res Dev Disabil. 2011;32(1):271-
doi: 10.1016/j.ridd.2010.10.008
Brandão MB; Gordon AM; Mancini MC. Functional impact of
constraint therapy and bimanual training in children with
cerebral palsy: a randomized controlled trial. Am J Occup
Ther. 2012;66(6):672-81. doi:10.5014/ajot.2012.004622
Brandão MB, Mancini MC, Vaz DV, Fonseca ST. Adapted
version of constraint-induced movement therapy promotes
functioning in children with cerebral palsy: a randomized
controlled trial. Clin Rehabil. 2010;24(7):639-47. doi:
1177/0269215510367974
Chen HC, Chen CL, Kang LJ, Wu CY, Chen FC, Hong WH.
Improvement of upper extremity motor control and function
after home-based constraint induced therapy in children with
unilateral cerebral palsy: immediate and long-term effects.
Arch Phys Med Rehabil. 2014;95(8):1423-32. doi: 10.1016/j.
apmr.2014.03.025
Chen CL, Kang LJ, Hong WH, Chen FC, Chen HC, Wu CY.
Effect of therapist-based constraint-induced therapy at
home on motor control, motor performance and daily
function in children with cerebral palsy: a randomized
controlled study. Clin Rehabil. 2013;27(3):236-45. doi:
1177/0269215512455652
Choudhary A, Gulati S, Kabra, M, Singh UP, Sankhyan N, Pandey
RM, et al. Efficacy of modified constraint induce movement
therapy in improving upper limb function in children with
hemiplegic cerebral palsy: a randomized controlled trial. Brain
Dev. 2013;35(9):870-6. doi: 10.1016/j.braindev.2012.11.001
Hsin YJ, Chen FC, Lin KC, Kang LJ, Chen CL, Chen CY. Efficacy
of constraint-induced therapy on functional performance
and health-related quality of life for children with cerebral
palsy: a randomized controlled trial. J Child Neurol. 2012;
(8):992-9. doi: 10.1177/0883073811431011
Sakzewski L, Ziviani J, Boyd RN. Best responders after
intensive upper-limb training for children with unilateral
cerebral palsy. Arch Phys Med Rehabil. 2011;92(4):578-84.
doi: 10.1016/j.apmr.2010.12.003
Sakzewski L, Miller L, Ziviani J, Abbott D, Rose S, Macdonell
RA, et al. Randomized comparison trial of density and
context of upper limb intensive group versus individualized
occupational therapy for children with unilateral cerebral
palsy. Dev Med Child Neurol. 2015;57(6):539-47. doi: 10.1111/
dmcn.12702
Case-Smith J, DeLuca SC, Stevenson R, Ramey SL. Multicenter
randomized controlled trial of pediatric constraint-induced
movement therapy: 6-month follow-up. Am J Occup Ther.
;66(1):15-23. doi:10.5014/ajot.2012.002386
Wallen M, Ziviani J, Naylor N, Evans R, Novak I, Herbert
RD. Modified constraint-induced therapy for children with
hemiplegic cerebral palsy: a randomized trial. Dev Med Child
Neurol. 2011;53(12):1091-9. doi: 10.1111/j.1469-8749.2011.04086.x
Morris DM, Taub E, Mark VW. Constraint-induced movement
therapy: characterizing the intervention protocol. Eura
Medicophys. 2006;42(3):257-68.
Liepert J, Bauder H, Miltner WHR, Taub E, Weiller C. Treatmentinduced cortical reorganization after stroke in humans.
Stroke. 2000;31(6):1210-6. doi: 10.1161/01.STR.31.6.1210
Eliasson AC, Krumlinde-Sundholm L, Shaw K, Wang C.
Effects of constraint-induced movement therapy in young
children with hemiplegic cerebral palsy: an adapted model.
Dev Med Child Neurol. 2005;47(4):266-75.
Eliasson AC, Krumlinde-Sundholm L, Rösblad B, Beckung E,
Arner M, Ohrvall AM, et al. The Manual Ability Classification
System (MACS) for children with cerebral palsy: scale
development and evidence of validity and reliability.
Dev Med Child Neurol. 2006;48(7):549-54. doi: 10.1017/
S0012162206001162
Wallen, M, Ziviani, J. Caution regarding the pediatric motor
activity log to measure upper limb intervention outcomes for
children with unilateral cerebral palsy. Dev Med Child Neurol.
;55(6):497-8. doi: 10.1111/dmcn.12057
Moura RCF, Almeida CS, Dumont AJ, Lazzari RD, Lopes
JB, Duarte NAC, et al. Kinematic upper limb evaluation of
children and adolescents with cerebral palsy: a systematic
review of the literature. J Phys Ther Sci. 2016;28(2):695-700.
doi:10.1589/jpts.28.695
Waters E; Davis E; Mackinnon A, Boyd R, Graham HK, Kai
Lo S, et al. Psychometric properties of the quality of life
questionnaire for children with CP. Dev Med Child Neurol.
;49(1):49-55. doi: 10.1111/j.1469-8749.2007.0126a.x
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