{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T17:00:52Z","timestamp":1788541252414,"version":"build-2803163510"},"reference-count":29,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2015,11,1]],"date-time":"2015-11-01T00:00:00Z","timestamp":1446336000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["American Journal of Occupational Therapy"],"published-print":{"date-parts":[[2015,11]]},"abstract":"<jats:p>\n                    Pediatric constraint-induced movement therapy (pCIMT) is one of the most efficacious treatments for children with cerebral palsy (CP). Distinctive components of pCIMT include constraint of the less impaired upper extremity (UE), high-intensity therapy for the more impaired UE (\u22653 hr\/day, many days per week, for multiple weeks), use of shaping techniques combined with repetitive task practice, and bimanual transfer. A critical issue is whether multiple treatments of pCIMT produce additional benefit. In a clinical cohort (mean age = 31 mo) of 28 children with asymmetrical CP whose parents sought multiple pCIMT treatments, the children gained a mean of 13.2 (standard deviation\n                    <jats:italic toggle=\"yes\">[SD]<\/jats:italic>\n                    = 4.2) new functional skills after Treatment 1; Treatment 2 produced a mean of 7.3 (\n                    <jats:italic toggle=\"yes\">SD<\/jats:italic>\n                    = 4.7) new skills; and Treatment 3, 6.5 (\n                    <jats:italic toggle=\"yes\">SD<\/jats:italic>\n                    = 4.2). These findings support the conclusion that multiple pCIMT treatments can produce clinically important functional gains for children with hemiparetic CP.\n                  <\/jats:p>","DOI":"10.5014\/ajot.2015.019323","type":"journal-article","created":{"date-parts":[[2015,11,9]],"date-time":"2015-11-09T09:31:06Z","timestamp":1447061466000},"page":"770-779","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":22,"title":["Multiple Treatments of Pediatric Constraint-Induced Movement Therapy (pCIMT): A Clinical Cohort Study"],"prefix":"10.1177","volume":"69","author":[{"given":"Stephanie C.","family":"DeLuca","sequence":"first","affiliation":[{"name":"Stephanie C. DeLuca, PhD, is Director, Neuromotor Research Clinic, Virginia Tech Carilion Research Institute, and Assistant Professor, Department of Pediatrics, Virginia Tech Carilion School of Medicine, Roanoke; Assistant Professor, Department of Psychology, Virginia Tech, Blacksburg; and Assistant Professor, Department of Rehabilitation and Wellness, Jefferson College of Health Sciences, Roanoke, VA;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharon Landesman","family":"Ramey","sequence":"additional","affiliation":[{"name":"Sharon Landesman Ramey, PhD, is Distinguished Scholar and Professor, Virginia Tech Carilion Research Institute, and Professor, Department of Pediatrics, Virginia Tech Carilion School of Medicine, Roanoke; Professor, Department of Psychology, Virginia Tech, Blacksburg; and Professor, Psychiatry and Behavioral Medicine, Virginia Tech Carilion School of Medicine, Roanoke"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary Rebekah","family":"Trucks","sequence":"additional","affiliation":[{"name":"Mary Rebekah Trucks, OTR\/L, is Research Faculty and Senior Occupational Therapist, Virginia Tech Carilion Research Institute, Roanoke"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dorian Ainsworth","family":"Wallace","sequence":"additional","affiliation":[{"name":"Dorian Ainsworth Wallace, OTR\/L, is Research Faculty and Senior Occupational Therapist, Virginia Tech Carilion Research Institute, Roanoke"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2015,11,9]]},"reference":[{"key":"e_1_3_2_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-8749.2007.00751.x"},{"key":"e_1_3_2_3_1","doi-asserted-by":"publisher","DOI":"10.1037\/11139-000"},{"key":"e_1_3_2_4_1","first-page":"129","volume-title":"Handbook of pediatric constraint-induced movement therapy (CIMT): A guide for occupational therapy and health care clinicians, researchers, and educators","author":"Case-Smith J.","year":"2013","unstructured":"Case-Smith J. (2013). Applying occupation and motor learning principles in pediatric CIMT: Theoretical foundations and conceptual framework. In Ramey S. L., Coker-Bolt P., , & DeLuca S. C. (Eds.), Handbook of pediatric constraint-induced movement therapy (CIMT): A guide for occupational therapy and health care clinicians, researchers, and educators (pp. 129\u2013147). Bethesda, MD: AOTA Press."},{"key":"e_1_3_2_5_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2012.002386"},{"key":"e_1_3_2_6_1","volume-title":"Occupational therapy for children","author":"Case-Smith J.","year":"2010","unstructured":"Case-Smith J., , & O\u2019Brien J. (2010). Occupational therapy for children (6th ed.). Maryland Heights, MO: Mosby\/Elsevier.","edition":"6"},{"key":"e_1_3_2_7_1","volume-title":"Learning","author":"Catania A. C.","year":"2007","unstructured":"Catania A. C. (2007). Learning (4th ed.). 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Bethesda, MD: AOTA Press."},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.12273"},{"key":"e_1_3_2_15_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0012162206001162"},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0012162206000922"},{"key":"e_1_3_2_17_1","volume-title":"The experimental analysis of behavior, Part 1: Techniques in behavioral and neural sciences","author":"Iversen I. H.","year":"1991","unstructured":"Iversen I. H., , & Lattal K. A. (1991). The experimental analysis of behavior, Part 1: Techniques in behavioral and neural sciences. Oxford, England: Elsevier Science & Technology."},{"key":"e_1_3_2_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.12246"},{"key":"e_1_3_2_19_1","volume-title":"Handbook of pediatric constraint-induced movement therapy (CIMT): A guide for occupational therapy and health care clinicians, researchers, and educators","author":"Ramey S. L.","year":"2013","unstructured":"Ramey S. L., Coker-Bolt P., , & DeLuca S. C. (Eds.). (2013). Handbook of pediatric constraint-induced movement therapy (CIMT): A guide for occupational therapy and health care clinicians, researchers, and educators. Bethesda, MD: AOTA Press."},{"key":"e_1_3_2_20_1","first-page":"19","volume-title":"Handbook of pediatric constraint-induced movement therapy (CIMT): A guide for occupational therapy and health care clinicians, researchers, and educators","author":"Ramey S. L.","year":"2013","unstructured":"Ramey S. L., , & DeLuca S. C. (2013). Pediatric constraint-induced movement therapy: History and definition. In Ramey S. L., Coker-Bolt P., , & DeLuca S. C. (Eds.), Handbook of pediatric constraint-induced movement therapy (CIMT): A guide for occupational therapy and health care clinicians, researchers, and educators (pp. 19\u201339). 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