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Invited Commentary

J. Charles, PT, PhD, MSW, is Assistant Professor, Division of Physical Therapy, Emory University School of Medicine, 1441 Clifton Rd NE, Atlanta, GA 30322.
S.L. Wolf, PT, PhD, FAPTA, FAHA, is Professor, Departments of Rehabilitation Medicine and Medicine, and Associate Professor, Department of Cell Biology, Emory University School of Medicine; Professor, Health and Elder Care, Nell Hodgson Woodruff School of Nursing at Emory University; and Senior Research Scientist, Atlanta VA Rehab R&D Center.

Address all correspondence to Dr Charles at: jcharl3@emory.edu.

Because this article has no abstract, we have provided an extract of the full text and any section headings.

The objectives of this systematic review of the current literature were: (1) to determine whether there was evidence to support the efficacy of constraint-induced movement therapy (CIMT) in children with hemiplegic cerebral palsy (CP) and (2) to identify key child characteristics and intervention protocols that can be associated with the effects of CIMT.¹ Huang et al are to be commended for modifying this meta-analysis through a validated scoring system, as well as for calculating treatment effects (when possible) in those studies that did not report them.

Although the results of this analysis supported the efficacy of pediatric CIMT to improve more-involved upper-extremity function in children with hemiplegia, a by-product of the analysis was the focus placed on the variety of protocols used in these studies. These variations in study designs also were elucidated by the authors’ second objective of their systematic review. Addressing these variations raises the question of why . . . [Full Text of this Article]

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				H.-h. Huang, L. Fetters, J. Hale, and A. McBride Author Response Physical Therapy, November 1, 2009; 89(11): 1144 - 1144. [Full Text] [PDF]