A balancing act: children's experience of modified constraint-induced movement therapy

Dev Neurorehabil. 2010;13(2):88-94. doi: 10.3109/17518420903386161.

Abstract

Objective: This qualitative study explored the experiences of children participating in modified constraint-induced movement therapy (CIMT) within a circus-themed day camp.

Methods: Individual semi-structured interviews were performed with 32 children (15 girls, 17 boys; mean age 10.1 years) to gain insights into their experience of CIMT. Interviews were audio recorded, transcribed verbatim and independently read by two authors to identify common themes.

Results: Three themes emerged from the data: children's experience of wearing the glove employed in the modified CIMT, their reactions to the camp format and the gains they made during the camp.

Conclusion: The results highlighted the need to achieve a balance between the frustration of participating in modified CIMT and what was seen as motivators to sustain involvement. Findings are interpreted in the context of self-determination theory and remind clinicians to ensure interventions consider autonomy, competence and relatedness.

Publication types

  • Comparative Study
  • Multicenter Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Attitude to Health*
  • Australia
  • Cerebral Palsy / physiopathology
  • Cerebral Palsy / rehabilitation*
  • Child
  • Child, Preschool
  • Exercise Therapy / methods
  • Exercise Therapy / psychology*
  • Female
  • Frustration
  • Health Care Surveys
  • Hemiplegia / rehabilitation*
  • Humans
  • Interview, Psychological
  • Male
  • Motivation
  • Movement
  • Muscle Spasticity / physiopathology
  • Muscle Spasticity / rehabilitation*
  • Qualitative Research
  • Randomized Controlled Trials as Topic
  • Restraint, Physical / methods
  • Restraint, Physical / psychology*
  • Upper Extremity / physiopathology