The Best Of Constraint Induced Therapy Rehabilitation – BerkelBike Best Tricycles

The concepts behind constraint induced therapy (CIT) were developed nearly a century ago when scientists realized that after a nervous system injury that impaired movement of a limb, experimental monkeys consciously avoided the use of that limb and preferentially used the “good” or intact one.

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The scientists realized that this would certainly increase recovery time, then they strapped the monkey’s good arm to its body, which motivated the monkey to use the free, but affected arm. This improved the recovery. The scientist called this “forced therapy.”
Since then, new names were adopted for this therapy, including constraint induced therapy (CIT) and constraint induced movement therapy (CIMT). The positive effects of CIMT were shown in a randomized control trial which was published in the Journal of the American Medical Association at the end of 2006

CIT for who?
The clinical experiment (EXCITE), which proved the effectiveness of CIMT, revealed that it performed best for persons with moderate strokes affecting the arm and hand. In the experiment, the patients moderate strokes affecting the arm and hand showed functional improvement whether their stroke occurred 3 or 9 months before the therapy started, which implies that CIMT might be effective even for patients who suffered a stroke years ago. Preserved cognition is another possible requirement, as this was a requisite for participation in the EXCITE experiment. However, as of early 2009, there has been no studie whether CIT can be used in patients with mild to moderate cognitive impairment.

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How is CIT actually performed?
As you can read from the above, the main intervention in CIMT is forcing a person to use a affected limb as much as possible. In fact, in stroke survivors who are left with a dysfunctioning arm, the goal is to “force them” to use only the dysfunctional arm to perform routine activities such as feeding or getting dressed.
The use of mittens and arm slings prevents patients from using the intact arm for at least 90% of a person’s active time. The program goes on for several weeks. In addition, patients take part in intensive physical therapy sessions of the dysfunctional limb for at least six hours per day, up to seven days a week.
That this rigorous program improves function by inducing a functional reorganization of the brain, has been shown by several studies.

Where can I receive CIT?
Not every rehabilitation centre offers CIMT, neither
does every health insurance policies cover it. Start by asking a local rehabilitation centre whether they offer CIT. You should then ask your physician whether he thinks this therapy is suitable for you. Once you get a referral (or prescription) for therapy, you should then find out if your insurance policy will cover it.

Don’t be discouraged when you are kept from the rehabilitation centre because your insurance policy doesn’t cover the costs. Specialists in this subject are now advocating for home programs with the sporadic guidance of a physical therapist. And in theory, you could do this on your own while you are doing your daily activities.

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Do you the best you can. The more time and effort you put in doing it, the better it will be for your rehabilitation. A mitten or a sling is all you need. Just discuss with your doctor about it before you start to make sure that this is a suitable therapy for you.

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