To determine efficacy of pediatric Constraint-Induced Movement therapy, 20 children with congenital hemiparesis (ages 2 to 6 years) were randomly assigned to receive the treatment or usual care. Controls crossed over to the therapy after 6 months. Children receiving the therapy first exhibited emergence of more new classes of motor patterns and skills (eg, crawling, thumb-forefinger prehension;...

Constraint-Induced Movement Therapy (CIMT) is a type of treatment for hemiparetic stroke patients in which the patient is strongly encouraged to use the affected arm. One way of doing this is to immobilise the unaffected arm. This treatment is meant to help patients overcome 'learned non-use'. The learned non-use theory is based on deafferentiation experiments in monkeys. In this review four ra...

splint) movement sequences and passages from their repertoire that had tended to generate dystonic movements in the past. All patients showed improvement without the splint at the end of treatment. The DES scores are given in the figure. The ratings on the scale range from: 0=dystonia as bad as at its worst, 1=slightly improved, 2=moderately improved, 3=almost normal, and 4=normal. A one-way an...

Constraint-induced movement therapy (CIMT) has gained considerable popularity as a treatment technique for upper extremity rehabilitation among patients with mild-to-moderate stroke. While substantial evidence has emerged to support its applicability, issues remain unanswered regarding the best and most practical approach. Following the establishment of what can be called the "signature" CIMT a...

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Constraint induced movement therapy (CIMT) has emerged as a popular treatment for hemiparesis in children. Although clinical programs are of varying lengths and intensities and the method of constraint varies, in general, positive results are reported. Despite the difficulty inherent in studying the effects of any therapy in children, due the variability and complexity of brain injury and the a...

We have developed a device called AutoCITE (Automated Constraint-Induced Therapy Extension) that automates the intensive training component of constraint-induced (CI) movement therapy, also known as CI therapy. This study evaluated the effectiveness of AutoCITE training in a telerehabilitation setting when supervised remotely and with only intermittent interaction with a therapist. Seven partic...