Pediatrics
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Review Meta Analysis Comparative Study
Systematic review and meta-analysis of therapeutic management of upper-limb dysfunction in children with congenital hemiplegia.
Rehabilitation for children with congenital hemiplegia to improve function in the impaired upper limb and enhance participation may be time-consuming and costly. ⋯ No one treatment approach seems to be superior; however, injections of botulinum toxin A provide a supplementary benefit to a variety of upper-limb-training approaches. Additional research is needed to justify more-intensive approaches such as constraint-induced movement therapy and hand-arm bimanual intensive training.