Traumatic brain injury may occur in the area of the brain responsible for controlling movements in the arm and hand, leading to hemiplegia. It is known that people who have arm and hand weakness are more likely to compensate during functional activities by using their stronger arm. The reason for this is that movement of the weaker arm and hand may be slower or demanding greater effort, thus causing frustration. This condition progressively results in “forgetting” use of the weaker hand and spontaneously using only the healthy hand to accomplish everyday activities. This compensation leads to further functional decrements as the muscles lose more of their strength, being underused.
CIMT is a form of intensive treatment for people with TBI who have shown recovery or preservation of some movements in the affected arm and hand. Some research studies have examined the effects of CIMT on adults and children with acquired brain injuries and showed improvements in the affected hand’s quantity and quality of movement. The magnitude of the effects was found to be irrelevant to the time interval since the occurrence of the injury. Our therapists’ evaluation will determine whether CIMT might be beneficial for you.