Constraint therapy aims to improve the hand and arm use of children with hemiplegia. It involves restricting of the uninvolved or less affected arm to increase the use of the more involved or affected arm. The “good” arm is placed in a soft cast or wrap for the period of time of the constraint. This is done typically two times per day for 1-2 hours each.

During the time the constraint is on, you will be asked to engage your child in specific activities to help increase the motion and function of his/her more involved arm. This type of therapy has been proven successful in children with hemiplegia if activity accompanies the constraint and the program is followed accurately. Constraint therapy is also sometimes referred to as constraint induced movement therapy (CIMT) and constraint-induced therapy (CIT) in the literature. When constraint therapy is been paired with bimanual activity training (using two hands together) patients achieve the most benefical effects.

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