Constraint-Induced Movement Therapy (CIMT)

Constraint-Induced Movement Therapy (CIMT) is an intensive intervention designed to improve use of the more affected arm and hand in children with hemiplegia. Originally developed for adults after stroke, CIMT has been adapted by our lab for children with hemiplegic cerebral palsy and has been a major focus of our research since 1997.

In CIMT, the less affected arm is gently restrained while children participate in structured play and functional activities using their more affected arm. Our program uses a soft cotton sling rather than a cast to create a more child-friendly experience, with therapy delivered in fun, group-based settings.

Our research has shown that CIMT can be beneficial for some children with cerebral palsy, particularly by encouraging greater use of the more affected hand. More than 200 children have participated in our studies to date. Ongoing research continues to explore which children benefit most, as well as the ideal timing, intensity, and frequency of treatment.