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Constraint-Induced Movement Therapy (CIMT)

Rehabilitation through forced use of the affected extremity after stroke.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Fizik Tedavi ve Rehabilitasyon department. Book Appointment →

What is Constraint-Induced Movement Therapy (CIMT)?

Constraint-Induced Movement Therapy (CIMT), developed by Edward Taub, is a neuroplasticity-based approach used in rehabilitation of the affected upper extremity after stroke and traumatic brain injury. It targets the concept of 'learned non-use'.

In the classical CIMT protocol the unaffected hand is restrained with a mitt/glove for 90% of the day for 2 weeks, while intensive task-specific training is performed with the affected hand (6 hours per day for 10-14 days). Modified CIMT (mCIMT) involves a 3-hour daily and 30-hour weekly version.

Conditions: minimum motor criteria — 10° of active wrist extension and 10° of finger extension in the affected hand. In patients with lower function, modified protocols are applied.

Symptoms

Hand-arm weakness after stroke
Non-use of affected extremity (learned nonuse)
Asymmetric use in daily life
Chronic functional loss after stroke
Decreased hand dexterity
Habit of one-handed use

Risk Factors

Stroke
Traumatic brain injury
Cerebral palsy (children)
Multiple sclerosis
Spastic hemiparesis
Learned non-use

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • In subacute or chronic stroke
  • When minimum motor criteria are met
  • When upper extremity functional loss persists
  • When intensive rehabilitation is acceptable
  • When traditional therapy has plateaued

Treatment Methods

01
Motor criteria assessment
02
Restraining the unaffected hand (mitt/glove)
03
Intensive task-specific training 2-6 hours per day
04
Shaping and task practice
05
Home transfer package
06
Integration into activities of daily living
07
Modified CIMT (3 weeks)
08
Family education and social support

Which Department to Visit?

You can visit our Fizik Tedavi ve Rehabilitasyon department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Fizik Tedavi ve Rehabilitasyon Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.