Constraint-induced Movement Therapy
Constraint-induced movement therapy (CIMT), is an innovative, scientifically supported method of upper extremity rehabilitation for children with neuromotor impairments. CIMT is gaining increased support and emerging as a best practice in the treatment of children with hemiplegia. CIMT involves constraint of the non-affected upper extremity in combination with intensive therapy.
What is the CIMT Program?
The CIMT program consists of three weeks of intensive outpatient occupational therapy services - five days per week, three hours per day - at Cleveland Clinic Children's Hospital for Rehabilitation. The child's non-affected upper extremity is placed in a cast, and he or she is expected to perform all self-care tasks and fine-motor tasks using the affected upper extremity during the program. A consistent family member/caregiver is expected to attend the program with the child.
What are the goals of CIMT?
CIMT has four goals:
- To facilitate more spontaneous use of the affected upper extremity
- To improve quality of movement of the affected upper extremity
- To increase overall functional use of the affected upper extremity
- To improve quality of life skills
Who may benefit from CIMT?
Three groups of pediatric patients may benefit from CIMT:
- Children with a clinical presentation of upper extremity hemiplegia who can initiate and move that upper extremity
- Children who are able to follow directions and work in intensive therapy
- Children whose parents/caregivers are able to dedicate time to the program
For more information or to refer a patient, please contact Sue Gara, OTR/L, Occupational Therapy Manager and CIMT Program Coordinator, at 216.448.6154.