The pediatric constraint-induced moment therapy program is focused on improving the upper extremity function for children with one-sided weakness caused by stroke, cerebral palsy, brain tumor or other conditions.

Children's offers a full and modified CIMT program. Both methods have led to reports of improved movement and upper extremity function in children with hemiplegia in the current research. In both programs, the child wears a cast 24 hours a day for four weeks. The cast is monitored closely by the therapist and family. It is removed briefly once each week to wash the arm and hand and allow the child to move and stretch.

The full CIMT program consists of six hours of therapy per day for 21 treatment days over the course of four weeks. The modified CIMT program consists of two hours of therapy per day for 16 treatment days over the course of four weeks.

Treatment goals are set based on needs identified collaboratively between the family and the therapist. Treatment is given in a child-friendly environment and consists of a mix of typical daily activities, such as getting dressed and eating, along with age-appropriate gross motor play (crawling, climbing) and fine motor play (picking up toys, manipulating objects). In both programs, the child participates in extensive practice and repetition of movements and problem solving and will receive positive praise and reinforcement of desired movements and skills.

Who is eligible for CIMT?

In order to participate, a child must be one year of age or older and diagnosed with a neuromotor disability that results in one upper extremity being significantly weaker than the other. The child should be medically stable and the family able to support the time required to participate in the program.

Information about referrals

All children seen for CIMT require a physician's order. If you would like your child to be evaluated, we suggest you speak with your primary care physician to discuss if this would be an appropriate treatment for your child.

Who pays for the CIMT program?

Children's accepts many forms of private insurance, medical assistance and group plans. Because there are many insurance companies with different plans, it is your responsibility to understand your child's insurance coverage. We recommend that you call your insurance company to assure coverage.

Who do I call with questions or to set up an appointment?

Call Kathy Grinde, physical therapist, at (763) 416-8712.