Constraint-Induced Movement Therapy for Children and Youth with Hemiplegic/Unilateral Cerebral Palsy

Abstract

Constraint-induced movement therapy (CIMT) is a physical rehabilitation approach that can be used for children with unilateral cerebral palsy (CP). The focus is restraint of the less-affected hand along with intensive practice in daily activities to encourage the use of the more-affected hand with the aim to improve its function. It is one of the most investigated upper-extremity rehabilitation approaches in this population, and there is good evidence of efficacy. This chapter will describe important aspects to consider when implementing CIMT in clinical practice. Various models of the approach will be described, as well as the underlying theories for treatment and supporting evidence. CIMT as well as bimanual training and goal-directed training should be seen as an intensive complement to usual care and other specific needs for children with unilateral CP.