Individual Upper-Extremity Intensive Therapy Program

Powerhouse Therapy is an intensive occupational therapy program providing Constraint-Induced Movement Therapy (CIMT) and Bimanual Therapy for children and teens with upper extremity hemiplegia. During the first phase of the program, the non-affected arm is placed into a removable cast to be worn 24 hours daily. The cast is closely monitored for circulation and skin integrity. Therapy consists of one to three hours daily for three or four-week sessions. The focus is placed on ‘rewiring the brain’ through shaping and other repetitive activities, which leads to gaining new motor movements and function in the affected upper extremity. Fun and motivating activities are used to keep children engaged and activities are graded for success.

harper in tunnel square
balance beam

During the second phase, or our Bimanual week, the cast is removed, and repetitive two-handed tasks are used, focusing on bilateral goals, and integrating the skills your child has gained into daily life situations.

Transferring new movements your child gains to the real world environment is a big part of the Powerhouse approach. Home programming begins on the first day and is customized for each child. Therapists follow up with families to help problem solve and make updates as needed.

Our therapeutic team consists of Occupational and Physical Therapists with specialized training in CIMT. Other specialists, including Physical Therapy and Speech Therapy, are available for consult as needed. Aqua Therapy is available during week four of our program.

Therapy is often covered by insurance. Our finance specialist can assist with determining your coverage prior to the start of the program.

Four-week CIMT/Bi-manual program

Three weeks CIMT followed by one-week bi-manual therapy.
5 days per week for 3 hours daily. Children wear a removable cast on the dominant strong arm for 3 weeks with week 4 focused on bimanual therapy.

May 30th-June 24th, 2022
Session 1   8:30-11:30
Session 2   12:00-3:00


Three-week CIMT program

Option 1
May 30th-June 17th 2022
Session 1   8:30-11:30
Session 2   12:00-3:00

Option 2
June 13th-July 1st 2022
Session   8:30-11:30


Lower Extremity CIMT program

June 13th-July 1st, 2022
12:00-3:00, M-F

Those that have completed an upper extremity 3 or 4-week CIMT program are eligible for a 2-week upper extremity brush-up followed by the 3-week lower extremity program.


Two-week Brush-up program

  • 2-week brush-up sessions are available for those who have participated in a previous CIMT program
  • Optional PT consult to help correct repetitive misuse of lower extremity
  • Optional aqua therapy is offered during the bimanual week to improve strength and coordination of upper and lower extremities.