Status message

Active context: patient_care_menu

Constraint Induced and Bimanual Therapy

Overview l Inspiring Stories l Summer Camp l Publications l Helping Hands Blog

Kennedy Krieger Institute • 707 North Broadway • Baltimore, MD 21205


Joan Carney, Ed. D.

About Our Program:

Since 2004, Kennedy Krieger Institute has offered an intensive pediatric constraint induced movement therapy program based on "best practices" derived from current research in improving upper extremity function for children with paralysis caused by stroke, cerebral palsy or other conditions.

The Constraint Induced and Bimanual Therapy Program consists of one to three hours of therapy per day for approximately four weeks to improve functioning of the more involved upper extremity. During this time, the non-affected upper limb is placed in a cast that goes from above the elbow to the fingertips for the duration of the treatments. The cast is carefully monitored by therapists, family and nursing staff for proper circulation and skin integrity. It is made in a way that it can be easily removed if necessary.

Constraint Induced Movement Therapy

At the end of the treatment, a customized home based program is developed and reviewed with the family. Patients are then seen in our follow-up clinic to adjust the home program as needed and to document the outcomes of the therapy.

The therapeutic team includes a physician who specialized in rehabilitation medicine, nurses, occupational and physical therapists and psychologists. Other specialists, including a speech therapist and educator, can be consulted as needed.

Therapy is typically covered by insurance. Our finance specialists can assist in determining this prior to treatment.

Primary Program Goals:

Our therapists work on coaxing the maximal function from the affected limb by using stimulating activities of gradually increasing difficulty. This process is called "shaping" and is based on taking small steps to achieve a specific goal. Abundant positive reinforcement is used every time success is achieved. The goal is to begin use or to increase use of the affected limb rather than ignoring it. Our goal to increase use of the affected arm and hand will allow your child to participate more fully in play, self-care and school activities. We believe that a combination of weakness, increased tone, incoordination and "learned" non-use accounts in large part for the decrease in the ability to use both hands. This program is designed to combat these factors.

Hours of Operation:

The program hours are from 8:00 a.m. -- 3:30 p.m., daily. Wednesdays are half days for all patients. Specific patient schedules will be designed to accomodate each patient's needs.


Referrals may be made by Kennedy Krieger physicians and therapists, community physicians, school or community therapists or the family. Additional information regarding the Constraint-Induced and Bimanual Therapy Program can be obtained by calling the Nurse Clinical Care Manager at (443) 923-4587.

Related Potential Magazine Articles

Appointments & Referrals

Helping Hands: Constraint Induced Movement Therapy (CIMT) Blog

This blog provides the latest updates on new and innovative programs, and recent hemiplegia research. We will also share tips, tricks and resources.

Monthly Blog:
May 2018

CIMT Helping Hands Blog

The Very Hungry Caterpillar: 3 Craft Ideas

View All Blog Posts 


CIBT Hemiplegia Survey


We would like to make sure that we are meeting the needs of our families and children with hemiplegia.

In order to do that, we need your feedback. Please complete this brief, 10-question survey about services and resources available to you and your child.



Read inspiring stories, news and updates about the Institute's patient care, research, special education, professional training, and community programs.


Resource Finder


A free resource that provides access to information and support for individuals and families living with developmental disabilities.