Constraint Induced Movement Therapy (CIMT) plus Bimanual Training (BIT) is used with patients who have difficulty using one arm or hand. These individuals often have decreased range of motion, strength, coordination and sensation in one of their upper extremities which often affects their ability to complete activities that require the use of two hands. CIMT includes:

  • Limiting use of the better arm by wearing a constraint
  • Providing intensive practice for the weaker arm

An occupational therapist (OT) provides the therapy which can be done in an individual or group setting. Children’s has developed three CIMT protocols for patients and families. OTs at Children’s work closely with the family to choose which of the three protocols will work best for them. Caregivers and patients are given home program suggestions each week.

Model of Therapy Intensive Intensive Frequent
Duration of Intervention 3 weeks 6 weeks 8 weeks
Duration of mCIMT/BIT

2 weeks mCIMT

1 week BIT

4 weeks mCIMT

2 weeks BIT

5 weeks mCIMT

2 weeks BIT

Dosage of treatment with therapist 1-2 hours per day for at least 3 days per week 1-2 hours per day; 3 days per week 1-2 hours per day for one day per week
Structured Practice with Caregiver 3 hours per day when not with therapist 2-4.5 hours per week 4-6 hours per week
Method of Constraint
  • Ace Wrap
  • Pedi-wrap
  • Removable Cast
  • Splint / Glove 
 
  • Ace Wrap
  • Pedi-wrap
  • Removable Cast
  • Splint / Glove
 
  • Ace Wrap
  • Pedi-wrap
  • Removable Cast
  • Splint / Glove
 

Why Choose Us? 

Cincinnati Children's has developed an Evidence-Based Care Guideline (EBCG) for Constraint Induced Movement Therapy plus Bimanual Therapy. A care guideline for CIMT reduces variation in care, improves patient outcomes, and promotes quality care based on current knowledge and research.

Who Can Benefit? 

Children with many conditions and/or diagnoses may benefit from CIMT including:

  • Cerebral palsy
  • Brachial plexus injury
  • Traumatic brain injuries
  • Hemiparesis
  • Childhood strokes
  • Other central nervous system conditions

Location of Service

Constraint Induced Movement Therapy is available at all outpatient neighborhood locations.