CIMT

Question 1

What are the potential causes of hemiparesia

Answer 1

Causes - injury to one side of brain: CP, TBI, Hemisphecterectomy (removal of hemisphere), tumors, CVA

Question 2

what are the signs and symptoms of hemiparesia?

Answer 2

Signs/Symptoms: on one side of body (oppposite side of brain injury)

weakness

Hypertonia in trunk and hypotonia in limb

Sensory impairment

Decrease use of affected limb=> becomes weaker

Question 3

What is CIMT?

Answer 3

Restraint of uninvolved UE during intensive structure therapeutic activities (ex: if R side involved => constrain L side) => force-used of involved side

Question 4

What are the benefits of CIMT

Answer 4

increase f of use of involved limb

Improves bilateral activities

Improves quality of use in functional activities

Cortical reorganization (increase cortical representation of affected side thus new connections)

Question 5

what are the different types of constraint used?

Answer 5

permanent cast (=> if child who is younger or has limited safety, won’t put cast bc wont have reaction if fall)

Sling: less constraining and can maintain leisure activity

Orthosis

Glove (to prevent grasp)
Use touch or verbal to constrain

Question 6

what are the characteristics of cimt group therapy (5)

Answer 6

(better bc more motivated)

1. no significant behavioural difficulties or intellectual deficits
2. motivated to participate in group
3. GMFCS: level I or II (ambulant no walker)
4. MACS: level I, II or III
5. Homogenous age group w realistic functional goals

Question 7

what are the characteristic of cimt individual therapy (4)

Answer 7

2-16 yo
family motivation
child’s collaboration
Realistic goals

Question 8

Group CIMT Therapy:

• duration
• age:
• therapy type:
• type of constraint

Answer 8

50-60 hr/12 day camp
constraint wear: 4.5 h/d
age: 6-13 yr
therapy: interdisciplinary
types of constraint: homemade sling

Question 9

Individual CIMT Therapy:

• duration
• age:
• therapy type:
• type of constraint

Answer 9

50-60 hr/2-10 wk
constraint wear: variable
age: 2-16 yr
therapy: OT 1X/wk, other professional if needed
types of constraint: verbal, physical, splint sling

Question 10

what are the 3 key component of cimt

Answer 10

1. Intensity & repetition: repeat movement
2. motor learning approach
3. graded activities to ensure just right challenge

Question 11

What are some GM, FM and bilateral activities that can be done during CIMT

Answer 11

GM: yoga (increases flexibility, Obstacle course (balance), Unravel mummy (gross motor, coorindation, strength, proprioception), hydrotherapy

FM: painting (extension wrist/elbow), search in sand

bilateral: cutting food, tie shoes (often at end of day, have children work on functional task by removing sling to work bilaterally)