{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T20:19:55Z","timestamp":1780085995901,"version":"3.54.0"},"reference-count":35,"publisher":"MDPI AG","issue":"11","license":[{"start":{"date-parts":[[2020,11,22]],"date-time":"2020-11-22T00:00:00Z","timestamp":1606003200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>Modified constraint-induced movement therapy (mCIMT) is efficient at improving upper limb non-use. The experiences of families and children with mCIMT could allow researchers to understand how it influences their day-to-day life and to improve the function of the affected upper limb without altering family life and avoiding frustration. In this qualitative study, we aimed to collect the experiences of parents and their children (aged 4\u20138 years) who did mCIMT at home regarding the application of low-intensity modified constraint-induced movement therapy to improve the affected upper limb functionality in infantile hemiplegia with moderate manual ability. Individual semi-structured interviews were performed to obtain insights into their experience with mCIMT. The experiences of parents and children were described in thematic sections. Eight children with hemiplegia (six years, standard deviation, SD: 1.77) and their parents were asked about their experiences after applying 50 h of mCIMT at home. Three main themes emerged from the children\u2019s interview data: (1) the experience of wearing the containment in the modified constraint-induced movement therapy (CIMT) intervention, (2) the reaction to performing the therapy at home with his\/her family, and (3) learning of the affected upper limb. In the parents\u2019 interview data, there were two main themes: (1) the difficulty of executing an intensive therapy protocol (mCIMT: 50 h) at home and (2) the feeling of not wanting to finish the intervention. The experiences of the parents and their children regarding mCIMT allowed us to understand the facilitators and barriers that affect the execution of mCIMT at home, and this understanding allows us to improve its future application.<\/jats:p>","DOI":"10.3390\/children7110248","type":"journal-article","created":{"date-parts":[[2020,11,23]],"date-time":"2020-11-23T01:28:48Z","timestamp":1606094928000},"page":"248","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Modified Constraint-Induced Movement Therapy at Home\u2014Is It Possible? Families and Children\u2019s Experience"],"prefix":"10.3390","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4034-2585","authenticated-orcid":false,"given":"Roc\u00edo","family":"Palomo-Carri\u00f3n","sequence":"first","affiliation":[{"name":"Department of Nursery, Physiotherapy and Occupational Therapy, Faculty of Physiotherapy and Nursing, University of Castilla-La Mancha, 45500 Toledo, Spain"},{"name":"Group of Physiotherapy Research of Toledo (GIFTO), 45500 Toledo, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2388-2213","authenticated-orcid":false,"given":"Helena","family":"Romay-Barrero","sequence":"additional","affiliation":[{"name":"Department of Nursery, Physiotherapy and Occupational Therapy, Faculty of Physiotherapy and Nursing, University of Castilla-La Mancha, 45500 Toledo, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4669-0679","authenticated-orcid":false,"given":"Rita-Pilar","family":"Romero-Galisteo","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, Faculty of Health Sciences, University of M\u00e1laga, 29071 M\u00e1laga, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9611-3939","authenticated-orcid":false,"given":"Elena","family":"Pinero-Pinto","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Faculty of Nursing, Physiotherapy and Podiatry, University of Sevilla, 41009 Sevilla, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4308-7340","authenticated-orcid":false,"given":"Purificaci\u00f3n","family":"L\u00f3pez-Mu\u00f1oz","sequence":"additional","affiliation":[{"name":"Department of Nursery, Physiotherapy and Occupational Therapy, Faculty of Physiotherapy and Nursing, University of Castilla-La Mancha, 45500 Toledo, Spain"},{"name":"Group of Physiotherapy Research of Toledo (GIFTO), 45500 Toledo, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"In\u00e9s","family":"Mart\u00ednez-Gal\u00e1n","sequence":"additional","affiliation":[{"name":"Department of Nursery, Physiotherapy and Occupational Therapy, Faculty of Physiotherapy and Nursing, University of Castilla-La Mancha, 45500 Toledo, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2020,11,22]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"e1111","DOI":"10.1542\/peds.2008-3335","article-title":"Systematic review and metaanalysis of therapeutic management of upper-limb dysfunction in children with congenital hemiplegia","volume":"123","author":"Sakzewski","year":"2009","journal-title":"Pediatrics"},{"key":"ref_2","first-page":"257","article-title":"Constraint-induced movement therapy: Characterizing the intervention protocol","volume":"42","author":"Morris","year":"2006","journal-title":"Eur. Med."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1155\/NP.2005.245","article-title":"A critical review of constraint-induced movement therapy and forced use in children with hemiplegia","volume":"12","author":"Charles","year":"2005","journal-title":"Neural Plast."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"675","DOI":"10.1177\/0269215507080783","article-title":"Constraint-induced movement therapy in the treatment of the upper limb in children with hemiplegic cerebral palsy: A Cochrane systematic review","volume":"21","author":"Hoare","year":"2007","journal-title":"Clin. Rehabil."},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Hoare, B.J., Wallen, M.A., Thorley, M.N., Jackman, M.L., Carey, L.M., and Imms, C. (2019). Constraint-induced movement therapy in children with unilateral cerebral palsy. Cochrane Database Syst. Rev., 1\u2013274.","DOI":"10.1002\/14651858.CD004149.pub3"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"1236","DOI":"10.1111\/dmcn.14676","article-title":"What is the effect of constraint-induced movement therapy on children with unilateral cerebral palsy? A Cochrane Review summary with commentary","volume":"62","author":"Ilieva","year":"2020","journal-title":"Dev. Med. Child Neurol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"692","DOI":"10.1177\/1545968311402508","article-title":"Bimanual training and constraint-induced movement therapy in children with hemiplegic cerebral palsy: A randomized trial","volume":"25","author":"Gordon","year":"2011","journal-title":"Neurorehabilit. Neural Repair"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1111\/j.1469-8749.2010.03859.x","article-title":"Randomized trial of constraint-induced movement therapy and bimanual training on activity outcomes for children with congenital hemiplegia","volume":"53","author":"Sakzewski","year":"2011","journal-title":"Dev. Med. Child Neurol."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"2820","DOI":"10.1016\/j.ridd.2011.05.024","article-title":"An ecological approach of Constraint Induced Movement Therapy for 2-3-year-old children: A randomized control trial","volume":"32","author":"Eliasson","year":"2011","journal-title":"Res. Dev. Disabil."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"2006","DOI":"10.3109\/09638288.2011.555594","article-title":"Implementation of constraint-induced movement therapy for young children with unilateral cerebral palsy in Jordan: A home-based model","volume":"33","author":"Eliasson","year":"2011","journal-title":"Disabil. Rehabil."},{"key":"ref_11","first-page":"48","article-title":"Constraint-induced movement therapy as a paradigm of translational research in neurorehabilitation: Reviews and prospects","volume":"3","author":"Huang","year":"2011","journal-title":"Am. J. Transl. Res."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"209","DOI":"10.1177\/0269215511420306","article-title":"Effectiveness of constraint-induced movement therapy on activity and participation after stroke: A systematic review and meta-analysis of randomized controlled trials","volume":"26","author":"Peurala","year":"2012","journal-title":"Clin. Rehabil."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"88","DOI":"10.3109\/17518420903386161","article-title":"A balancing act: Children\u2019s experience of modified constraint-induced movement therapy","volume":"13","author":"Gilmore","year":"2010","journal-title":"Dev. Neurorehabil."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"343","DOI":"10.3109\/11038128.2013.799227","article-title":"How do children and caregivers perceive their experience of undergoing the CIMT protocol?","volume":"20","author":"Mancini","year":"2013","journal-title":"Scand. J. Occup. Ther."},{"key":"ref_15","first-page":"373","article-title":"Parent\u2019s perception of constraint induced movement therapy in cerebral palsy management in rehabilitation centers of Lahore","volume":"69","author":"Manzoor","year":"2019","journal-title":"J. Pak. Med. Assoc."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1080\/01942638.2016.1185505","article-title":"Parents\u2019 Experiences and Perceptions when Classifying their Children with Cerebral Palsy: Recommendations for Service Providers","volume":"37","author":"Scime","year":"2017","journal-title":"Phys. Occup. Ther. Pediatr."},{"key":"ref_17","first-page":"127","article-title":"Application of Low-Intensity Modified Constraint-Induced Movement Therapy to Improve the Affected Upper Limb Functionality in Infantile Hemiplegia with Moderate Manual Ability","volume":"7","year":"2020","journal-title":"Case Ser. Child."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"245","DOI":"10.3109\/01942638.2013.866611","article-title":"Efficacy and acceptability of reduced intensity constraint-induced movement therapy for children aged 9-11 years with hemiplegic cerebral palsy: A pilot study","volume":"34","author":"McConnell","year":"2014","journal-title":"Phys. Occup. Ther. Pediatr."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1016\/j.nedt.2003.10.001","article-title":"Qualitative content analysis in nursing research: Concepts, procedures and measure to achieve trustworthiness","volume":"24","author":"Graneheim","year":"2004","journal-title":"Nurse Educ. Today"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"931","DOI":"10.1177\/08830738060210110401","article-title":"Intensive pediatric constraint-induced therapy for children with cerebral palsy: Randomized, controlled, crossover trial","volume":"21","author":"DeLuca","year":"2006","journal-title":"J. Child Neurol."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"837","DOI":"10.1016\/j.apmr.2004.10.008","article-title":"Methods of constraint induced movement therapy for children with hemiplegic cerebral palsy: Development of a child-friendly intervention for improving upper-extremity function","volume":"866","author":"Gordon","year":"2005","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1111\/j.1440-1630.2006.00569.x","article-title":"Understanding children\u2019s motivation from a self-determination theoretical perspective: Implications for practice","volume":"53","author":"Poulsen","year":"2006","journal-title":"Aust. Occup. Ther. J."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1037\/0708-5591.49.1.14","article-title":"Facilitating optimal motivation and psychological well-being across life\u2019s domains","volume":"49","author":"Deci","year":"2008","journal-title":"Can. Psychol."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"976","DOI":"10.1111\/dmcn.12471","article-title":"Mastery Motivation as a predictor of occupational performance following upper limb intervention for school-aged children with congenital hemiplegia","volume":"56","author":"Miller","year":"2014","journal-title":"Dev. Med. Child Neurol."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1177\/1545968309359767","article-title":"Effectiveness of modified constraint-induced movement therapy in children with unilateral spastic cerebral palsy: A randomized controlled trial","volume":"24","author":"Aarts","year":"2010","journal-title":"Neurorehabil. Neural Repair"},{"key":"ref_26","first-page":"347","article-title":"Technique to improve chronic motor deficit after stroke","volume":"74","author":"Taub","year":"1993","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_27","unstructured":"Csikszentmihalyi, M. (1990). Flow: The Psychology of Optimal Experience, Harper & Row."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"1281","DOI":"10.1177\/0883073807307084","article-title":"Cortical reorganization after modified constraint-induced movement therapy in pediatric hemiplegic cerebral palsy","volume":"22","author":"Sutcliffe","year":"2007","journal-title":"J. Child Neurol."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"102","DOI":"10.1002\/ddrr.59","article-title":"Constraint-induced movement therapy (CIMT): Pediatric applications","volume":"15","author":"Brady","year":"2009","journal-title":"Dev. Disabil. Res. Rev."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"355","DOI":"10.1177\/1074840710383145","article-title":"Do family interventions improve health?","volume":"16","author":"Chesla","year":"2010","journal-title":"J. Fam. Nurs."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"743","DOI":"10.1111\/j.1741-3737.2010.00728.x","article-title":"Advances in families and health research in the 21st century","volume":"72","author":"Carr","year":"2010","journal-title":"J. Marriage Fam."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1016\/j.jadohealth.2014.07.016","article-title":"Childhood chronic health conditions and educational attainment: A social ecological approach","volume":"56","author":"Champaloux","year":"2015","journal-title":"J. Adolesc. Health"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"94","DOI":"10.1016\/j.apmr.2013.03.017","article-title":"Economic evaluation of adult rehabilitation: A systematic review and meta-analysis of randomized controlled trials in a variety of settings","volume":"95","author":"Brusco","year":"2014","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"1139","DOI":"10.1111\/dmcn.13497","article-title":"Coaction of individual and environmental factors: A review of intensive therapy paradigms for children with unilateral spastic cerebral palsy","volume":"59","author":"Ferre","year":"2017","journal-title":"Dev. Med. Child Neurol."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"843","DOI":"10.1016\/j.pcl.2009.05.016","article-title":"The Pediatric Quality of Life Inventory: Measuring Pediatric Health-Related Quality of Life from the Perspective of Children and Their Parents","volume":"56","author":"Varni","year":"2009","journal-title":"Pediatr. Clin. N. Am."}],"container-title":["Children"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2227-9067\/7\/11\/248\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T10:35:37Z","timestamp":1760178937000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2227-9067\/7\/11\/248"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,11,22]]},"references-count":35,"journal-issue":{"issue":"11","published-online":{"date-parts":[[2020,11]]}},"alternative-id":["children7110248"],"URL":"https:\/\/doi.org\/10.3390\/children7110248","relation":{},"ISSN":["2227-9067"],"issn-type":[{"value":"2227-9067","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,11,22]]}}}