Constraint-induced movement therapy (CIMT) is an intervention that has proven to be effective for improving motor skills in children with unilateral spastic cerebral palsy. CIMT consists of three key elements: intensity, restraint and shaping. This intervention is currently being used in many centers as a form of rehabilitation therapy for children with cerebral palsy.
Signature constraint-induced movement therapy
Restraint of the well-functioning upper limb for almost all waking hours for a minimum of 2 weeks, which is accompanied by intensive training of the involved upper limb for at least 3 hours per day.
Modified constraint-induced movement therapy (mCIMT)
Restraint and intensive training are included in this model of delivery however certain features vary, including the type of restraint of the non-affected upper limb, the type of structured training provided, program duration and length and the location, context and provider of training.
The key components of mCIMT are utilized and are also accompanied by bimanual training.
Restraining of the well-functioning hand/arm but not accompanied by a structured training program.
Source: Eliasson, A., Krumlinde-Sundholm, L., Gordon, A., Feys, H., Klingels, K., Aarts, P., et al. Guidelines for future research in constraint-induced movement therapy for children with unilateral cerebral palsy: an expert consensus. Developmental Medicine & Child Neurology 2014; 56: 125-137.
This app can help “provide effective, goal-directed upper limp therapy for young children with cerebral palsy”. By selecting certain criteria, the app will help match toys or activities that are perfectly suited to your child’s therapeutic needs!
Designed for children with mild to moderate impairment of the hemiplegic hand, with active shoulder, elbow and wrist movements. All children must be independent ambulators without the use of assistive devices.
This handbook provides an integrative history about CIMT that includes its major research findings, theoretical underpinnings, practical guidelines for practitioners and health care providers, and peer-reviewed information for students preparing to be pediatric practitioners and educators.
This assessment measures how well the affected hand is used in conjunction with the non-affected hand to accomplish bimanual activities. Extensive training and certification is required in order to perform this assessment.
Criterion-referenced measure of change in which each individual identifies personalized functional goals and specify a range of outcomes which are then rated on a 5-point scale of attainment.
Individualized, client-centered outcome measure in which individuals identify personal goals based on restrictions in everyday living performance. These goals are rated in terms of importance, performance and satisfaction with performance.
This observational assessment measures quality of movement in both upper extremities. Results are divided into four categories which include: dissociated movements, grasps, weight bearing and protective extension.
Unilateral measure of speed and dexterity. Used commonly in studies involving children with cerebral palsy, however, further psychometric testing is warranted.