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CIMT and Upper Limb Therapy

Boy with Hemiplegia in Constraint Induced Movement Therapy

Taking bookings now for Intensive CIMT/Upper Limb Therapy/Bimanual during the school Summer holidays – click here to register

Upper Limb Therapy

Girl playing piano in music therapyAt CPotential, we offer a variety of therapy packages focusing on hand skills for children with motor disorders. Working as an integrated team and drawing on technology as part of our rehabilitation packages, we can bring a huge wealth and range of skills to engage and develop hand skills.

As a team, we work with you to see what type of intervention and package works for you and your child. This could include 1,2 or 3-week intensives where we see you several times a week in the Centre, through to once-a-week sessions with a home programme tailored for you and your child with clear goals and expectations. In the school holidays, there is also the option of group therapy for hand skills.

We work with you to succeed with the right combination of therapies at the right time for your child.

How can Upper Limb Therapy help my child?

Girl practising hand skills in therapy campWe are bimanual beings! And the overall aim of hand skills programmes at CPotential is to increase and maximise your children’s bimanual skills (using two hands together) – that all children need for day-to-day activities like feeding, dressing, writing, and play.

We know that learning new hand skills can be hard and frustrating therefore, using gold-standard assessments we plan fun and play sessions making sure the goals we set are motivating but also embedded in evidence and principles of neuroplasticity.

At CPotential we place a lot of emphasis on the follow-up and how the skills and movements learnt in therapy can be transferred to everyday life at home and school. This transfer package is more than a programme on a piece of paper but involves virtual or face-to-face follow-up and troubleshooting if things are hard to keep going when you are at home.

We can offer interventions such as CIMT (Constraint Induced Movement Therapy) and Bimanual Skills Training.

Girl making animal shaped biscuitsWhat is CIMT (Constraint Induced Movement Therapy)?

CIMT is an evidence-based intervention for children with unilateral cerebral palsy (difficulty using one hand/arm) experiencing for example hemiplegia or dystonia.  CIMT increases the use of the more affected hand targeting movements such as developing grasp and release.  CIMT involves wearing a cast or mitt to reduce movement in the dominant hand; allowing the person to then notice and use the affected hand in therapy. Based on the principles of neuroplasticity including lots of practice and repetition of fun play-based targeted activities, new skills and targeted movements can emerge.

How can Constraint Induced Movement Therapy (CIMT) help my child?

CIMT encourages your child to use their affected hand by specific play and task-related activities combined with wearing a mitt or cast on your child’s preferred hand. The mitt or cast can be worn for a short period of time daily or for a number of weeks.

Increasing the use of the affected arm during CIMT has been shown to strengthen neural connections and increase activity in the part of the brain responsible for the movement of the affected body part.

Bimanual Skills Training

CIMT at CPotential is seen as often complementary to Bimanual Skills Training. Once the targeted movements are established in CIMT we work with you to support your child to learn how to use them when your child starts to use two hands together.

How can Bimanual Skills Training help my child? 

Boy in physiotherapy using MyoPlus

Bi manual skills training supports children to develop hand skills for day-to-day activities such as feeding and play. Bi manual skills involve a high level of practice and thinking (cognition) to understand and use two hands together. This can feel demanding and at times frustrating so we work with you and your child to develop specific goals with the right level of challenge combined with task-orientated and fun play-based work.

As well as the interventions above we offer functional hand skills work as part of all of our therapy sessions. Working as an integrated team we can bring a huge wealth and range of skills to engage your child.

We understand that developing hand skills is complex so thinking together with you we also work on some of the building blocks for hand skills in our sessions for example, supporting your child’s focus, attention, body awareness, postural control, and sensory processing skills. Our overall aim is to support your child to be able to use their hands to do things that they want and need to do.

How much are CIMT, Upper Limb Therapy and Bimanual Skills Training?

We believe that no child or young person should go without treatment due to financial circumstances.

As a not-for-profit organisation, CPotential is committed to fundraising for bursary support so we can provide the very best tailored integrated rehabilitation programmes for children and young people with movement disorders, at a vastly reduced rate.

Across our core suite of services, our prices range from £0 to £100 per session, depending on personal circumstances, bursary availability, and eligibility criteria. To help us gauge eligibility for a Therapy Plan Bursary, we do require a household income range that best represents current financial status. E.g. £0 to £25,000, £26,000 to £50,000, £51,000 to £75,000 or £76,000 to £100,000+. See baseline fees here.

There is a one-off fee of £20 for an initial assessment to access all CPotential services.

How do I book?

Please complete our form below and we’ll be in touch soon to arrange an initial assessment.

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