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Cochrane Database of Systematic Reviews

Constraint‐induced movement therapy for upper extremities in stroke patients

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Información

DOI:
https://doi.org/10.1002/14651858.CD004433.pub2Copiar DOI
Base de datos:
  1. Cochrane Database of Systematic Reviews
Versión publicada:
  1. 07 octubre 2009see what's new
Tipo:
  1. Intervention
Etapa:
  1. Review
Grupo Editorial Cochrane:
  1. Grupo Cochrane de Accidentes cerebrovasculares

Copyright:
  1. Copyright © 2010 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.

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Contraer

Autores

  • Valeria Sirtori

    Correspondencia a: Unita Operativa di Recupero e Rieducazione Funzionale, Fondazione Centro San Raffaele del Monte Tabor, Milan, Italy

    [email protected]

  • Davide Corbetta

    Unita Operativa di Recupero e Rieducazione Funzionale, Fondazione Centro San Raffaele del Monte Tabor, Milan, Italy

  • Lorenzo Moja

    Italian Cochrane Centre, Mario Negri Institute for Pharmacological Research, Milan, Italy

  • Roberto Gatti

    School of Physiotherapy, University Vita‐Salute San Raffaele, Milan, Italy

Contributions of authors

This systematic review has been written on the basis of the review authors' clinic experience (VS, DC & RG). All review authors contributed to all stages of the review. Study selection and methodological quality were independently assessed by two review authors (VS & DC). Disagreements were resolved by consensus, and a third review author (RG) was consulted if disagreement persisted. LM provided insight into epidemiological and statistical methods. VS, DC & LM drafted different parts of the manuscript.

Sources of support

Internal sources

  • None, Not specified.

External sources

  • None, Not specified.

Declarations of interest

None known

Acknowledgements

We would like to thank Mrs Hazel Fraser for her help and assistance, Mrs Brenda Thomas for her help with developing the search strategy, Mrs Elena Telaro for the elaboration to the first protocol, Prof Piergiorgio Duca for his precious help with statistical analyses. Our thanks to the Italian Cochrane Centre for its methodological support. Thanks to Dr Judith Baggott for her precious help with the translation of the manuscript in English. Thanks to Profs Alberts, Boake, Dromerick, Lin, Myint, Ploughman, Wittenberg, Wolf and Wu for their availability and collaboration. Special thanks to Prof Edward Taub for his support.

Version history

Published

Title

Stage

Authors

Version

2015 Oct 08

Constraint‐induced movement therapy for upper extremities in people with stroke

Review

Davide Corbetta, Valeria Sirtori, Greta Castellini, Lorenzo Moja, Roberto Gatti

https://doi.org/10.1002/14651858.CD004433.pub3

2009 Oct 07

Constraint‐induced movement therapy for upper extremities in stroke patients

Review

Valeria Sirtori, Davide Corbetta, Lorenzo Moja, Roberto Gatti

https://doi.org/10.1002/14651858.CD004433.pub2

2009 Jul 08

Constraint‐induced movement therapy for upper extremities in stroke patients

Protocol

Valeria Sirtori, Roberto Gatti, Davide Corbetta

https://doi.org/10.1002/14651858.CD004433

Differences between protocol and review

In 2003, based on original evidence about CIMT, the protocol for this review was published in The Cochrane Library (Sirtori 2003); subsequently, the same authors found that the protocol did not reflect the increasing variability among potentially relevant primary studies and was out of date in terms of systematic review methodology. The main shortcomings in the protocol related to:

  • the inclusion criteria in terms of participants, interventions and outcome measures, as they were too restrictive and narrowly focused, being de facto a subgroup analysis (Cochrane Handbook 2008);

  • the Methods section, which did not provide enough details to ensure replicability.

We have now extensively revised these sections, with the following main amendments.

  • Background: to reflect what is now known in 2009.

  • Objectives: to include studies not only about CIMT but also on modified CIMT (mCIMT) and Forced Use (FU) therapy which are closely related and belong to one specific class of intervention.

  • Types of interventions: to include interventions that differ widely in duration and intensity.

  • Types of outcome measures: new secondary outcomes were added in order to offer physiotherapists and patients a more complete picture of the efficacy of this technique.

  • Methods of the review: to provide enough detail to allow repetition of the review by other researchers.

We considered these legitimate reasons to modify the original protocol.

PICO

Population
Intervention
Comparison
Outcome

El uso y la enseñanza del modelo PICO están muy extendidos en el ámbito de la atención sanitaria basada en la evidencia para formular preguntas y estrategias de búsqueda y para caracterizar estudios o metanálisis clínicos. PICO son las siglas en inglés de cuatro posibles componentes de una pregunta de investigación: paciente, población o problema; intervención; comparación; desenlace (outcome).

Para saber más sobre el uso del modelo PICO, puede consultar el Manual Cochrane.