Constraint-induced movement therapy: A new approach to treatment in physical rehabilitation

Constraint-induced (CI) Movement Therapy is a new approach to the rehabilitation of movement, based on research in neuroscience and behavioral psychology, that has been shown in controlled experiments to greatly increase the amount of use of an impaired upper extremity in chronic stroke patients in both the laboratory and the real world. CI Therapy consists of a family of techniques that induce stroke patients to greatly increase their use of an affected upper extremity for many hours a day over 10 to 14 consecutive days. The signature technique involves restricting the contralateral arm in a sling and training the affected arm. This commentary reviews the animal and human research and the theoretical formulation on which CI Therapy is based.