CIMT Baby Postcard

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Baby Constraint Induced

C I M T Movement Therapy

Baby Constraint Induced Movement Therapy (CIMT)


is designed for infants as young as 3 months of age at risk of hemiplegic cerebral
palsy or with a diagnosis of hemiplegic cerebral palsy (HCP). Baby CIMT aims to Recommended
increase arm and hand movement and can be easily done at home. activity duration:
30 minutes per day for 7 days
per week for 6 weeks, then
6 week break (bimanual play) ,
and repeat for another 6 weeks
What you need to perform baby CIMT: for a total of >42 hours.
• Gently block the dominant arm/hand (i.e. placing a sock Break up the 30 minutes
or mitten over your child’s arm, a “chip clip” over the opening into shorter sessions
if needed.
of a onesie, sewing the opening of a shirt sleep shut)
• Safe and age-appropriate toys that are easy to grasp and will motivate
your child (i.e. toys with lights or that make sound easily)
• A device to support your child sitting upright, such as an infant seat or high chair

Baby CIMT at home should be supported by weekly coaching with your clinical team, such as an occupational therapist,
physiotherapist or an early interventionist. Activity should be supervised and all toys should be checked periodically for safety.

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Baby Constraint Induced
C I M T Movement Therapy
Setting up for baby CIMT

1 Ensure your child


is sitting upright,
symmetrical, and as
stable as possible (such as
2 Sit in front of
or off to the
side to your child
3 When your child’s
dominant hand is
blocked, play with your
child to encourage Elbow
in a high chair or carrier) specific movements Extension Wrist Thumb
away from the body Forearm Extension Extension/
Supination Finger Abduction
Extension

Get Started

Present some toys Practice “letting go”


Give one toy at a Present “easy to grasp” Provoke pointing
Put a toy in your Present some toys from vertically and horizontally of toys on the table
time, wait for toys nearby, far away, from your hand , from the or high chair tray and poking with
child’s hand to provoke to provoke arm rotation,
your child to move both sides, and in middle to table or high chair tray index finger
holding if your child is and use upright surfaces
his/her arm provoke reaching to practice grasping
not able to grasp yet to provoke wrist extension
and grasping

For information on Holland Bloorview’s CIMT programs, visit:


https://hollandbloorview.ca/cimt
or contact Sophie Lam-Damji, OT at1-800-363-2440 ext. 6377
© 2020 Holland Bloorview Kids Rehabilitation Hospital

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