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CI-terapi som arbetsterapeutisk intervention för barn med cerebral pares.: En litteraturöversikt.
Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
Luleå University of Technology, Department of Health Sciences, Health and Rehabilitation.
2018 (Swedish)Independent thesis Basic level (professional degree), 10 credits / 15 HE creditsStudent thesisAlternative title
Constraint induced movement therapy as an occupational intervention for children with cerebral palsy. : A literature review. (English)
Abstract [sv]

Syftet med studien var att sammanställa arbetsterapeutiska interventioner inom CI-terapi och dess effekter på aktivitetsförmåga för barn med unilateral CP i åldrarna 2-18 år. Åtta artiklar granskades i litteraturöversikten, varav sex var randomiserade kontrollerade studier. De kvantitativa artiklarna analyserades enligt en deduktiv ansats och beskrevs under tre av fyra arbetsterapeutiska interventionsmodeller. I kategorin Modell för kompensation framkom att anpassning av den sociala miljön var av vikt för att främja motivation. I kategorin Modell för aktivitetsträning framkom att aktiviteter bör vara åldersanpassade och att målsättningen ska vara personlig. I kategorin Modell för förbättring av personliga faktorer och kroppsfunktioner framkom att rörelser isolerades genom lek för att ge förbättrad kroppsfunktion. I kategorin Effekter framkom att alla studier beskrev olika ökade positiva effekter med påverkan på aktivitetsförmåga. Resultatet av denna studie visar att motivation och engagemang hos barnet med unilateral cerebral pares vid mottagande av CI-terapi är betydande. Positiv effekt påvisas gällande handfunktion, vilket har en fortsatt märkbar effekt i tre till sex månader. För att få en bild av vilka interventioner som är bäst lämpade för den effekt som önskas finns ett behov av vidare forskning.

Abstract [en]

The purpose of the study was to compile occupational interventions within Constraint induced movement therapy and their effects on occupational ability for children with unilateral cerebral palsy in the ages 2-18 years. Eight articles were examined in this literature review, of which six of them were Randomised Control Trials. The quantitative articles were analysed according to a deductive approach and described under three out of four occupational intervention models. In the category Compensatory Model results showed that adaptations to the social environment were of importance to enhance motivation. In the category Acquisitional Model results showed that activities should be adapted to age and that the goal should be set individually. In the category Restorative Model results showed that movements could be isolated through play with the purpose of enhancing motor functions. In the category Effects results showed that all articles described different increasing positive effects concerning occupational ability. The result of study shows that motivation and commitment of the child with unilateral cerebral palsy is of great importance when recieving Constraint Induced Movement Therapy. The results concerning hand function show positive effect at the follow-up 3-6 months later. Further research is needed to understand which interventions are most suited to get the desired effect.

Place, publisher, year, edition, pages
2018. , p. 30
Keywords [en]
Cerebral palsy, Constraint induced movement therapy, child, occupational therapy
Keywords [sv]
Cerebral pares, Constraint induced movement therapy, barn, arbetsterapi
National Category
Medical and Health Sciences Occupational Therapy
Identifiers
URN: urn:nbn:se:ltu:diva-69216OAI: oai:DiVA.org:ltu-69216DiVA, id: diva2:1215274
Subject / course
Student thesis, at least 15 credits
Educational program
Occupational Therapist, bachelor’s level
Supervisors
Examiners
Available from: 2018-06-08 Created: 2018-06-08 Last updated: 2018-06-08Bibliographically approved

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CiteExportLink to record
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Citation style
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