Constraint-Induced Movement Therapy

The goal of Constraint Therapy is to develop new neural pathways through repetitive use of the affected limb. During this program, children will wear constraint casts on their uninvolved hands, which will allow the uninvolved extremity to be used for stabilization, but not for refined hand use. This will promote increased use of the involved extremity for reaching, grasping, and manipulation. Adjuncts to help promote alignment, such as splints or kinesiotape, will also be used to support use of the involved extremity. Occupational Therapists work to address the whole body for optimal results in use of the affected limb. A home program will be given to the family to use on non-therapy days to reinforce use of the involved extremity.

Who Can Benefit?

Children with unilateral upper extremity impairment who are two to four years old and meet the following criteria:

  • Some ability to grasp/release objects with involved hand.
  • Passive wrist extension to at least 20 degrees.
  • Passive forearm supination to at least neutral.
  • Able to follow simple directions.
  • Play skills generally within age expectations.
  • Family willing to carry over home program with use of constraint cast.
  • Medically stable condition (i.e. seizures are controlled, etc.)

Program Objectives

  • Increase awareness and spontaneous use of involved extremity.
  • Increase spontaneous use of the involved extremity for bilateral activities.
  • Improve alignment of the trunk and involved extremity.
  • Increase strength of the involved extremity.
  • Improve postural control and strength in the trunk to support bimanual tasks.
  • Increase independence with functional tasks.

How Do I Get Started?

Getting started is easy! Contact our Intake Coordinator at 630.282.2026 to ask questions or schedule an appointment.

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