Constraint Therapy

Constraint Induced Movement Therapy is a treatment technique designed to aid rehabilitation of the arm/hand that has been affected following a stroke or other neurological damage.

This weakness and difficulty of use often leads to increased use of the stronger arm. Over time this behavior leads to the affected arm being neglected and a pattern of learned non-use is established.

 

 

HOW DOES IT WORK?

The stronger arm is restrained using a glove or mitt. This is worn to serve as a reminder not to use it. The client would then be encouraged to follow a individualized programme of varied exercises and everyday tasks. This focus on the weaker arm and its positive reinforcement works to overcome the learned non-use.

The intensive training of the upper limb during CIMT has been shown to reorganize brain activity, working on neuroplasticity to create new pathways and, therefore, improving movement and function of the affected arm/hand.

ESTABLISHED BENEFITS OF CMIT

1. Improved range of movement and strength of weaker arm
2. Increased functional use of weaker arm
3. Improved selective/quality of movement
4. Increased motivation to use weaker arm
5. Increased awareness of weaker arm
6. Improved independence in everyday tasks
7. Overall improvement quality of life

MODIFIED CIMT PROGRAMME

SESSION 1 

• Assessment
• Goals for treatment
• Introduction to CIMT programme/trial of mitt

SESSION 2  
• Outcome measures
• Personalised CIMT programme set up (designed in collaboration with client)
• Contracts

SESSION 3 

• Review and update of CIMT programme (review of tasks, adding new tasks, increasing time spent on tasks)

SESSION 4 

• Review and update of CIMT programme

SESSION 5

• Outcome measures
• Plan for self directed CIMT in collaboration with client

SESSION 6

• Optional Review 3 or 4 weeks