This research published on the Archives of Rehabilitation Research and Clinical Translation website explores how participation in daily life, education, and social activities is a central goal of rehabilitation in unilateral cerebral palsy.
This systematic review and meta-analysis synthesised evidence from 23 studies involving 840 participants and found large within-group improvements in participation following rehabilitation interventions. However, certainty of evidence was low due to heterogeneity and methodological limitations. Importantly, no specific intervention type, including constraint-induced movement therapy, technology-assisted approaches, or bimanual therapy, demonstrated clear superiority.
The findings suggest that how interventions are delivered may matter more than the specific modality, and highlight the need for well-designed trials using standardised, participation-focused outcomes.
