title: Application of constraint-induced movement therapy in clinical practice: an online survey.
abstract: OBJECTIVE
  To investigate current knowledge and application in practice of constraint-induced movement therapy (CIMT) by therapists within the United Kingdom.
  
  
  METHODS
  An online 19-item survey.
  
  
  METHODS
  Neurological rehabilitation.
  
  
  METHODS
  Occupational therapists and physiotherapists (N=489) currently working or within 3 months of working with the adult acquired brain injury population were recruited from 2 specialist interest groups.
  
  
  METHODS
  Database administrators of 2 specialist interest groups circulated an e-mail to all therapists on the database to invite them to complete the online survey.
  
  
  METHODS
  Not applicable.
  
  
  RESULTS
  Most therapists (62.9%, n=306) had not used CIMT. Those who had used it were only using 2 or 3 components of the core 7-component CIMT protocol. Therapists identified 2 main barriers to the implementation of CIMT: lack of resources (staffing; 20.7%, n=63) and lack of training (20%, n=61).
  
  
  CONCLUSIONS
  Adoption into practice remains limited. Despite a significant evidence base in support of CIMT, most therapists are not using CIMT in practice. This article indicates how concerns and barriers related to CIMT may be minimized to translate this robust intervention from research into clinical practice.
authors.affiliation: Health and Rehabilitation Sciences Research Institute and School of Health Sciences, University of Ulster, Newtownabbey, Co. Antrim, Northern Ireland.
authors.forename: Katy
authors.initials: K
authors.lastname: Pedlow
authors.affiliation: School of Medicine, Physiotherapy, Flinders University, Adelaide, Australia. Electronic address: s.lennon@flinders.edu.au.
authors.forename: Sheila
authors.initials: S
authors.lastname: Lennon
authors.affiliation: Regional Acquired Brain Injury Unit, Musgrave Park Hospital, Belfast, Northern Ireland.
authors.forename: Colin
authors.initials: C
authors.lastname: Wilson
mesh_terms: D001930:Brain Injuries / Q000534:rehabilitation*; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D006113:United Kingdom
keywords: ABI; Brain injuries; CIMT; Data collection; EXCITE; Extremity Constraint Induced Therapy Evaluation (trial); Rehabilitation; Stroke; TBI; Therapy; UK; United Kingdom; Upper extremity; acquired brain injury; constraint-induced movement therapy; traumatic brain injury