Constraint-induced movement therapy (CI, CIT, or CIMT) is a form of rehabilitation therapy that improves upper extremity function in stroke and other central nervous system damage patients by increasing the use of their affected upper limb.[1] Due to its high duration of treatment, the therapy has been found to frequently be infeasible when attempts have been made to apply it to clinical situations, and both patients and treating clinicians have reported poor compliance and concerns with patient safety.[2][3] In the United States, the high duration of the therapy has also made the therapy not able to get reimbursed in most clinical environments.
However, distributed or "modified" CIT protocols have enjoyed similar efficacy to CIMT,[4] have been able to be administered in outpatient clinical environments, and have enjoyed high success rates internationally.
^Page, Stephen J.; Levine, Peter; Sisto, SueAnn; Bond, Quin; Johnston, Mark V. (2002-02-01). "Stroke patients' and therapists' opinions of constraint-induced movement therapy". Clinical Rehabilitation. 16 (1): 55–60. doi:10.1191/0269215502cr473oa. ISSN0269-2155. PMID11837526. S2CID23839669.
^Daniel, Leah; Howard, Whitney; Braun, Danielle; Page, Stephen J. (2012-06-01). "Opinions of constraint-induced movement therapy among therapists in southwestern Ohio". Topics in Stroke Rehabilitation. 19 (3): 268–275. doi:10.1310/tsr1903-268. ISSN1074-9357. PMID22668681. S2CID24797599.
^Fleet, Alana; Page, Stephen J.; MacKay-Lyons, Marilyn; Boe, Shaun G. (2014-08-01). "Modified constraint-induced movement therapy for upper extremity recovery post stroke: what is the evidence?". Topics in Stroke Rehabilitation. 21 (4): 319–331. doi:10.1310/tsr2104-319. ISSN1074-9357. PMID25150664. S2CID9766277.