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Systematic Review and Meta-analysis of Therapeutic Management of Upper-Limb Dysfunction in Children With Congenital Hemiplegia
Pediatrics, 06/05/09
Sakzewski L et al. - Interventions that address UL dysfunction in children with hemiplegia are varied. There is growing evidence that BoNT-A supplements UL, training particularly toward the achievement of individualized goals. There remain limited high-level studies of NDT. CIMT and HABIT are emerging interventions; however, additional RCTs are required. Effective use of the UL affects on all aspects of daily life. Additional, suitably powered RCTs using valid and reliable outcome measures are required to determine the efficacy of UL interventions. Investigation of the minimum dosage of interventions to exact a treatment effect is required to optimize the investment of time and resources for service providers and for children with congenital hemiplegia and their families.
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