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Constraint Induced Movement Therapy: Dr. M, Shahid Shabbir DPT, Ms - NMPT

Constraint induced movement therapy (CIMT) is a rehabilitation technique that teaches the brain to rewire itself after injury like stroke or traumatic brain injury. It involves intensive practice with the more affected limb while restraining the less affected limb for most of the day. This forces use of the more affected limb and prevents relying on the less affected one. CIMT has been shown to dramatically improve motor function of the more affected limb more than conventional therapies. It focuses on repetitive tasks, restraint of the unaffected limb for 90% of waking hours, and 2-3 weeks of intensive therapy for 6-7 hours per day to retrain the brain.

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105 views13 pages

Constraint Induced Movement Therapy: Dr. M, Shahid Shabbir DPT, Ms - NMPT

Constraint induced movement therapy (CIMT) is a rehabilitation technique that teaches the brain to rewire itself after injury like stroke or traumatic brain injury. It involves intensive practice with the more affected limb while restraining the less affected limb for most of the day. This forces use of the more affected limb and prevents relying on the less affected one. CIMT has been shown to dramatically improve motor function of the more affected limb more than conventional therapies. It focuses on repetitive tasks, restraint of the unaffected limb for 90% of waking hours, and 2-3 weeks of intensive therapy for 6-7 hours per day to retrain the brain.

Uploaded by

rabia khalid
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPTX, PDF, TXT or read online on Scribd
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Constraint induced

movement therapy

By:
Dr. M,Shahid Shabbir
DPT ,MS.NMPT*
O Constraint induced movement therapy is based on
research done by Edward taub, a behavioral
neuroscientist.
O Teaches a brain to “rewire” itself following a major brain
injury such as stroke or tramatic brain injury (TBI)
O Patient can “learn” to improve the motor ability of the
more affected part of their bodies and thus cease to rely
exclusively on or primarily on the less affected parts.
O CIMT is the first rehabilitation modality to show such
progress and dramatically changes.
O CIMT consists of three components
1. Massing of repetitive, structured, practice-
intensive therapy in use of the more affected
arm
2. Restraint of the less affected arm
3. Monitoring arm use in life situation and
problem solving to overcome perceived
barriers to using extremity
O CIMT focus on three major patient population
1. Stoke
2. Cerebral palsy (pediatrics)
3. Traumatic Brain injury/SCI
Learned Non-Use
O Develops as a result of an upper motor neuron
lesion that depresses the central nervous
system and motor activity after a stroke
O The person learn to use the uninvolved or less
involved extremity more often to compensate
the lack of movement in the involved
extremity
O Learn to NOT use the involved extremity
Admission criteria
O 10*10*10
O 10 degrees active wrist extension
O 10 degrees active thumb abduction
O 10 degrees active extension of any other two
digits of affected hand
CIMT Protocol
O Basic components include
O Restraint of unaffected arm for 90% of waking
hours
O 2 to 3 week period, 6 to 7 hours per day of
intense therapy on consecutive week days
O Repetitive training of more affected UE
• For the lower extremity (LE) training for 7 hrs.
per day over a period of 3 weeks.
O In people with ongoing limitation of arm
function after stroke, providing 6-hours of
therapist guided task practice was equivalent
to 1 hour of direct therapy with 5-hours of
home practice over 10 days.
Advantages of CIMT
O Overall greater improvement in function vs.
conventional treatment
O Highly research and highly credible treatment
approach
O Observed gray matter reorganization in
primary motor and sensory cortices and
hippocampus by way of neuroplasticity
O Increase societal participation (IADLS)
O Decrease in medical cost over time

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