Paediatric Constraint-Induced Movement Therapy (CIMT)

Evidence-based therapy to strengthen the use of an affected arm and hand

CIMT at a Glance

  • What it is: An evidence-based, intensive approach for an arm and hand affected by neurological injury or differences
  • How it works: A removable cast temporarily limits the stronger arm during therapy activities
  • Delivered: As part of your child’s intensive program, across all disciplines
  • Family role: Parent coaching supports carryover at home
  • First step: A free discovery session with our team

Not sure where to begin? Talk through your child’s needs with our team before you decide.

Book a Discovery Session

Helping Children Discover What Their Hands Can Do

Every child deserves the opportunity to explore, play, and participate using both hands. Constraint-Induced Movement Therapy (CIMT) is an evidence-based, intensive therapy approach designed to help children improve the use of an arm and hand affected by neurological injury or differences.

What this means for your child

Every CIMT session is designed to feel like purposeful play, and parent coaching helps new arm and hand skills carry over at home.

What Is CIMT?

Constraint-Induced Movement Therapy encourages children to use their weaker arm by temporarily limiting use of their stronger arm with a removable cast during therapy activities. This creates opportunities for the brain to strengthen connections that support movement, coordination, and functional use of the affected arm.

Therapy is individualised and focuses on meaningful activities that motivate each child while promoting success through carefully graded challenges.

Incorporated into your child’s intensive. At NAPA, CIMT is more than placing a cast on a child’s stronger arm. It is a carefully designed program that combines intensive, meaningful practice with play, motivation, and family involvement across all disciplines and modality use to help children develop lasting functional skills. Learn more about our intensive therapy program.

Who Can Benefit From CIMT?

CIMT may be appropriate for children with:

  • Hemiplegic cerebral palsy
  • Perinatal or paediatric stroke
  • Traumatic brain injury
  • Brachial plexus injury (in selected cases)
  • Other neurological conditions resulting in one-sided weakness

Children should have some active movement of the affected arm and hand. Our therapists complete a comprehensive evaluation to determine whether CIMT is the best treatment approach for your child.

What Does CIMT Therapy Look Like?

Every session is designed to feel like purposeful play while targeting meaningful goals. Your child’s program may include:

Play-based reaching and grasping

Activities that encourage reaching, grasping, releasing, and manipulation.

Functional everyday tasks

Dressing, eating, colouring, building, and self-care.

Motivating games

Age-appropriate games that promote repetition without feeling repetitive.

Fine motor development

Building the small, precise hand movements used in play and daily life. Try these fine motor activities at home.

Strength, endurance, and coordination

Strengthening and endurance activities alongside coordination and motor planning.

Two-handed skills and carryover

Bilateral hand skills as new abilities emerge, plus parent coaching to support carryover at home.

Our therapists continually adjust activities to provide the “just right challenge,” helping children experience success while building new skills.

Frequently Asked Questions

What is Constraint-Induced Movement Therapy (CIMT)?

CIMT is an evidence-based, intensive therapy approach that helps children improve the use of an arm and hand affected by neurological injury or differences. It encourages children to use their weaker arm by temporarily limiting use of their stronger arm with a removable cast during therapy activities.

Which children may benefit from CIMT?

CIMT may be appropriate for children with hemiplegic cerebral palsy, perinatal or paediatric stroke, traumatic brain injury, brachial plexus injury (in selected cases), and other neurological conditions resulting in one-sided weakness.

Does my child need movement in the affected arm to start CIMT?

Yes. Children should have some active movement of the affected arm and hand. Our therapists complete a comprehensive evaluation to determine whether CIMT is the best treatment approach for your child.

What does a CIMT session look like?

Every session is designed to feel like purposeful play, with activities such as reaching, grasping, releasing, dressing, eating, colouring, building, and age-appropriate games, along with parent coaching to support carryover at home.

Is CIMT part of NAPA’s intensive program?

Yes. At NAPA, CIMT is incorporated into your child’s intensive therapy program, combining intensive, meaningful practice with play, motivation, and family involvement across all disciplines.

Where We Offer CIMT

Please enquire with your local clinic about upcoming CIMT availability.

Could CIMT Help Your Child?

Our therapists complete a comprehensive evaluation to see whether CIMT fits your child’s goals. Reach out to start the conversation.

Book a Discovery SessionGet Started

or call 020 4515 5441

We are here to help. Reach out anytime.

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