Active upper-limb therapies for hand function, individual goal achievement, and self-care in children with cerebral palsy: A network meta-analysis.

ABSTRACT:

Aim

To compare active upper-limb therapies for children with cerebral palsy using a network meta-analysis.

Method

For this systematic review, five electronic databases were searched up to 2nd September 2024. Outcomes pertaining to improved hand use (Assisting Hand Assessment, AHA), goal attainment (Canadian Occupational Performance Measure, COPM), and self-care were analysed with therapies classified into 15 discrete categories.

Results

Quantitative analysis of 48 randomized controlled trials (n = 1629) was performed. Compared with control, treatment effect on hand function (AHA mean difference, standard error) was greater for bimanual therapy (BiM: 4.6, 1.0), modified constraint-induced movement therapy (mCIMT; 4.0, 1.0), goal-directed therapy (GDT; 3.8, 1.6), action

SUBMITTER: Burgess A 

PROVIDER: S-EPMC12618955 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature