CI Therapy

What is Constraint Induced Therapy?

Constraint Induced Movement Therapy (CIMT), or CI therapy, is an individual intensive treatment program that teaches the brain to "rewire" itself. This treatment model, developed by Dr. Edward Taub, is based on overcoming "learned non-use" in the weaker arm/hand and improving motor skills and coordination in this arm/hand. CI therapy is effective in children who have limited use of one side of their body due to diagnoses such as:

Cerebral Palsy
Head Injury
Brachial Plexus Injury

The CI therapy protocol consists of 3 main elements:

1. Repetitive, task-oriented training of the more impaired upper extremity for several hours     a day for 15 consecutive weekdays.
2. Applying a "transfer package" of adherence-enhancing behavioral methods designed to     transfer gains made in the clinical setting to the patients' real world environments.
3. Constraining the child with a removable arm cast on the less impaired upper extremity     in order to use/train the more impaired upper extremity during the course of treatment.

CI therapy is a "therapeutic package" consisting of a number of different intervention techniques. Some of these techniques have been employed in traditional therapy before; yet usually as individual procedures and at a reduced intensity compared to CI therapy. The main novel feature of CI therapy is the combination of these procedures and their application in a prescribed, integrated and systematic manner to induce a patient to use a more-impaired upper extremity for many hours a day for a period of 3 consecutive weeks.

Using this therapeutic approach is the only rehabilitation technique shown to produce a marked change in brain organization and function.

CI therapy establishes a bridge between the clinic and daily life settings. A majority of therapeutic gains made in the clinic transfer and contribute to the functional independence of the patient in real world environments.

Efficacy of Constraint-Induced Movement Therapy for Children With Cerebral Palsy With Asymmetric Movement Impairment

Efficacy of Constraint-Induced Movement Therapy on Involved Upper Extremity Use in Children With Hemiplegic Cerebral Palsy is Not Age-Dependent

For more information contact:
Charlene Kurkjian, OTR/L CI
Program Director
Call 404-933-9869

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