Pediatric Constraint-Induced Movement Therapy: Current Practices and Implementation Barriers.

Only 148 people completed the survey, a 7.6% response rate, and the authors say those already familiar with pCIMT were the most likely to answer, so awareness and availability are probably overstated. The researchers could not compare the people who replied with those who did not, so it is unclear how representative these views are. Everything reported is what providers said, not what was observed in clinics. Socioeconomic disadvantage was estimated from the institution's ZIP code, which may not reflect the circumstances of the children actually travelling in for care. Caregivers were not surveyed, and the authors say family-level barriers such as cost, transport and knowledge would likely remain even if pCIMT were widely available. Clinical and academic respondents were pooled, so the study cannot separate the two perspectives.

The authors declared no potential conflicts of interest with respect to the research, authorship and publication of the article.

Do not read these figures as a nationwide picture of pCIMT. Only 148 providers completed the survey, a 7.6% response rate, and the authors say those already familiar with pCIMT were the most likely to answer, so awareness and availability are probably overstated. The survey asked what people believe, so it says nothing about whether pCIMT works.