{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T14:34:31Z","timestamp":1782398071273,"version":"3.54.5"},"reference-count":60,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2014,3,26]],"date-time":"2014-03-26T00:00:00Z","timestamp":1395792000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Develop Med Child Neuro"],"published-print":{"date-parts":[[2014,9]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>This study reviewed interventions suitable for treating tactile dysfunction in children with cerebral palsy (<jats:styled-content style=\"fixed-case\">CP<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A systematic review was conducted of six databases, searched for population: (\u2018brain injury\u2019 <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> \u2018cerebral palsy\u2019 <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> \u2018stroke\u2019 <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> \u2018cerebrovascular accident\u2019) and intervention: (\u2018tactile\u2019 <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> \u2018sensation\u2019). Inclusion criteria were: (1) published after 1950 in English; (2) participants older than 4\u00a0years with brain injury; (3) upper limb intervention; and (4) examined tactile registration or perception.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 2938 studies identified, 30 met the inclusion criteria. Results from included studies indicated that tactile function improved in adults with stroke after transfer enhanced training (<jats:italic>t<\/jats:italic>[47]=2.75, <jats:italic>p<\/jats:italic>=0.004), stimulus specific training (<jats:italic>p<\/jats:italic>&lt;0.001), ice therapy (<jats:italic>F<\/jats:italic>=5.71, <jats:italic>p<\/jats:italic>=0.028), mirror therapy (<jats:italic>F<\/jats:italic>=7.7, <jats:italic>p<\/jats:italic>=0.009), and functional deafferentation using an anaesthetic cream (<jats:italic>t<\/jats:italic>=3.76; <jats:italic>p<\/jats:italic>&lt;0.01). No intervention reported improvement in tactile dysfunction for children with <jats:styled-content style=\"fixed-case\">CP<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Interpretation<\/jats:title><jats:p>Research is required to develop tactile interventions for children with <jats:styled-content style=\"fixed-case\">CP<\/jats:styled-content> that integrate methodology from effective approaches for adults after stroke. Stimulus specific training, transfer enhanced training, and mirror therapy are promising. Other approaches are less suitable for children because of invasiveness (electrical stimulation), safety (ice therapy), or limitation of bimanual function (eutectic mixture of local anaesthetics, pneumatic cuff).<\/jats:p><\/jats:sec>","DOI":"10.1111\/dmcn.12439","type":"journal-article","created":{"date-parts":[[2014,3,26]],"date-time":"2014-03-26T10:58:36Z","timestamp":1395831516000},"page":"815-832","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":36,"title":["Determination of interventions for upper extremity tactile impairment in children with cerebral palsy: a systematic review"],"prefix":"10.1111","volume":"56","author":[{"given":"Megan L","family":"Auld","sequence":"first","affiliation":[{"name":"Cerebral Palsy League Brisbane QLD Australia"},{"name":"School of Health &amp; Rehabilitation Sciences The University of Queensland Brisbane QLD 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