[2015] Ashley Reed (OTA 110 Winter 2015, Default class, OTA133Summer2015, OTA133Fall2015): Constrain

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[2015] Ashley Reed (OTA 110 Winter 2015, Default class, OTA133Summer2015, OTA133Fall2015): Constrain

was developed by Edward Taub who is a neuroscientist of the University of Alabama at Birmingham. He thought this would help patients that had a stroke. He states that many stroke patients tend to not use their affected side. By engaging in repetitive activities with their affected limb, their brain will grow new neural pathways.https://en.wikipedia.org/wiki/Constraint-induced_movement_therapy

designed for Physical Therapists, Occupational Therapists, Physical Therapist Assistants and Certified Occupational Therapist Assistants with a desire to develop CI therapy programs in their clinical setting. The length of the course is 5 days and costs $900https://www.uab.edu/citherapy/training-manuals-a-publications

History

Training

The therapy program runs for 2 weeks straight. The first 5 days will include a 3-4 hour therapy session that are one on one with a trained therapist. After that, there will be a two-day break (typically over a weekend) but the client still has to follow the constraint procedure on those days and wear the constraint device as told. Five days continue for the second week for 3-4 hours of therapy with constraint of the unaffected arm occurring at home throughout. The therapist will help the caregiver in coming up with play activities and daily living tasks that will encourage the use of the child’s involved arm at home within the child’s normal daily routine that happens outside of therapy. Each session, the caregiver will give the therapist feedback on how the child is doing with certain daily tasks with the affected arm.

https://www.youtube.com/watch?v=zwlmB4U-Udo

Constraint Induced Therapy

This treatment can be used for anyone who has an affected limb. Therapy can hep in children who have an impairment whether its mild or severe. Specifically this treatment has been used for children who have cerebral palsy, hemiparesis, brachial plexus injury, and childhood stroke. This type of therapy will help the child continue to participate in their occupations such as play, social activities, and their ADL's such as drerssing, bathing, toileting, and eating. Treatment will work on fine motor,specifically grasp, weight bearing, gross motor, reaching, holding, manipulating objects in the hand, etc.

This treatment therapy is not reimbursed by insurance companies. The two-week program costs $6000.00. This includes the follow up phone calls that happen on a weekly basis for the first month. Monthly phone calls happen after up to the 6-month mark post-treatment and are part of the original cost. To be evaluated for the program, the evaluation fee is $350.00. This fee is often refundable by insurance companies.If an adult or child is evaluated for the program but doesnt meet the qualifications, a plan of care will be established for that individual based on their specific needs, circumstances and personal goals.

References-https://en.wikipedia.org/wiki/Constraint-induced_movement_therapy-https://www.uab.edu/citherapy/training-manuals-a-publications-https://www.youtube.com/watch?v=zwlmB4U-Udo-http://advancedots.com/index.php/adult-services/cimt


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