{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T07:31:27Z","timestamp":1786692687158,"version":"build-2736575974"},"reference-count":27,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T00:00:00Z","timestamp":1770076800000},"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":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Importance:<\/jats:title>\n                    <jats:p>Pediatric constraint-induced movement therapy (PCIMT) is increasing as a treatment method for children with unilateral hemiparesis, but limited evidence has been published on the outcomes of clinic-based PCIMT programs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To evaluate the outcomes of a clinic-based PCIMT program on upper extremity movement quality of children with unilateral hemiparesis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Quantitative, retrospective study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>A children\u2019s hospital in the southern United States.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants:<\/jats:title>\n                    <jats:p>Twenty-six children ages 2.5 to 8 yr with unilateral hemiparesis who previously completed a 3-wk PCIMT program were enrolled.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention:<\/jats:title>\n                    <jats:p>A clinic-based PCIMT program from the ACQUIREc therapy protocol was used. Treatment included a 3-wk PCIMT program, consisting of 2 wk of unimanual activities followed by 1 wk of bimanual activities 4 days a week, 4 hr a day.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcomes and Measures:<\/jats:title>\n                    <jats:p>Upper extremity movement quality was assessed with the Melbourne Assessment of Unilateral Upper Limb Function\u20132 based on pre- and postintervention scores documented in participants\u2019 clinical records. Participants were categorized by their Manual Abilities Classification Scale (MACS) or Mini-MACS level.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Significant improvements were observed in range of motion, accuracy, dexterity, and fluency of movement postintervention. MACS and Mini-MACS levels were significant predictors of accuracy improvement but not of other movement quality measures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions and Relevance:<\/jats:title>\n                    <jats:p>Findings suggest that clinic-based PCIMT programs can significantly improve upper extremity movement quality for children with unilateral hemiparesis. These findings support the clinical application of PCIMT and highlight the need for further research to optimize treatment protocols and predict outcomes based on classification levels.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.5014\/ajot.2026.051327","type":"journal-article","created":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T12:30:35Z","timestamp":1770121835000},"page":"361-369","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Outcomes of a Clinic-Based PCIMT Program on Upper Extremity Movement Quality"],"prefix":"10.1177","volume":"80","author":[{"given":"Regan L.","family":"Blankenship","sequence":"first","affiliation":[{"name":"Regan L. Blankenship, DHSc, MS, OTR\/L, is Assistant Professor, Division of Occupational Therapy, Medical University of South Carolina, Charleston;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lori","family":"Breeden","sequence":"additional","affiliation":[{"name":"Lori Breeden, EdD, OTR, is Associate Professor Emerita, School of Occupational Therapy, University of Indianapolis, Indianapolis, IN."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katy","family":"Mitchell","sequence":"additional","affiliation":[{"name":"Katy Mitchell, PT, PhD, is Professor, School of Physical Therapy, Texas Woman\u2019s University, Denton."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie C.","family":"DeLuca","sequence":"additional","affiliation":[{"name":"Stephanie C. DeLuca, PhD, is Associate Professor, Fralin Biomedical Research Institute, Virginia Tech, Roanoke."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,2,3]]},"reference":[{"key":"e_1_3_1_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2017-017204"},{"key":"e_1_3_1_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.14143"},{"key":"e_1_3_1_4_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2012.002386"},{"key":"e_1_3_1_5_1","first-page":"249","volume-title":"Handbook of pediatric constrain-induced movement therapy: A guide for occupational therapy and health care clinicians, researchers, and educators","author":"Coker-Bolt P.","year":"2013","unstructured":"Coker-Bolt P., Trucks M. R., , & Lutenbacher R. (2013). Working with families and therapy teams to maximize pediatric CIMT benefits. In Landesman Ramey S., Coker-Bolt P., , & DeLuca S. C. (Eds.), Handbook of pediatric constrain-induced movement therapy: A guide for occupational therapy and health care clinicians, researchers, and educators (pp. 249\u2013264). AOTA Press. https:\/\/doi.org\/10.7139\/2017.978-1-56900-472-2"},{"key":"e_1_3_1_6_1","doi-asserted-by":"publisher","DOI":"10.1177\/08830738060210110401"},{"key":"e_1_3_1_7_1","volume-title":"ACQUIREc therapy: A training manual for effective application of pediatric constraint-induced movement therapy.","author":"DeLuca S.","year":"2007","unstructured":"DeLuca S., Echols K., , & Ramey S. L. (Eds.). (2007). ACQUIREc therapy: A training manual for effective application of pediatric constraint-induced movement therapy. 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