Constraint-Induced Movement Therapy (CIMT) is a rehabilitation technique with a behavioral approach for people with asymmetrical use of the limbs.
Through task-oriented trainig associated with behavioral methods applied intensively and repetitively, CIMT aims to increase and improve the use of the most affected limb.
With a daily duration of 3 hours of training for a period of two or three consecutive weeks, it promotes clinical improvement by overcoming learned non-use and use-dependent cortical reorganization.
Currently one of the most scientifically evidenced techniques within neurofunctional physiotherapy and occupational therapy.
In the last few years, we have participated in research projects in collaboration with important national and international universities, including the University of Alabama in Birmingham (USA).
This is the original protocol created in the 1980s at the University of Alabama which, to date, is one of the greatest pieces of scientific evidence in the literature for increasing the use and quality of the paretic upper limb after a brain injury. Created to treat hemiparesis after stroke, but is applied other injuries that lead to decreased use of the paretic limb.
CIMT in pediatrics is an adaptation of the original protocol, with substantial scientific evidence, it maintains the use of the four pillars of the technique, the difference being that the restriction is performed through a removable synthetic cast in the unaffected upper limb. The protocol serves children and adolescents with sequelae of Cerebral Palsy (CP) and other injuries, such as tumor, stroke and head trauma.
This is the latest protocol from the University of Alabama. It was validated in 2018 by OT Sarah dos Anjos, on her PhD, with the Research Group at the University of Alabama. In the original protocol for Lower Limbs, there is no restriction and the motor training and transfer package are maintained.