C.I.M.T. Supported by the Tutors

In the January/February 2012 edition of the American Journal of Occupational Therapy Jane Case-Smith, Director, Occupational Therapy Division, Ohio State University; Stephanie C. DeLuca, Assistant Professor, Department of Occupational Therapy, University of Alabama at Birmingham;Richard Stevenson, Professor of Pediatrics, University of Virginia, Charlottesville andSharon Landesman Ramey, Professor, Virginia Tech Carilion Research Institute, Roanoke, Va. discuss a study looking at the dose of  constraint-induced movement therapy (CIMT).
The objective of the study was whether pediatric constraint-induced movement therapy (CIMT) is a promising intervention for children with unilateral cerebral palsy (CP). This  trial  tested whether  6 hours versus 3 hours per day for 21 days would produce a larger maintenance of gains after 6 months of  treatment.
The conclusion reached was that the hypothesis that maintenance of effects would differ for children who received 6 versus 3 hours per day of CIMT (126 versus 63 total hours) was not supported.
The HANDTUTOR has been an effective device to be used together with CIMT. It, together with its sister devices (ARMTUTOR, LEGTUTOR, 3DTUTOR, aims to increase the amount of use and quality of movement of the weaker arm or limb by following a structured treatment program.
The treatment program works by producing ‘rewiring’ of the brain; this means that a larger part of the brain becomes active when producing movement of the weaker arm. This program is underpinned by several research studies which have proven benefits, particularly for stroke patients and CP patients.
The program involves a number of components in particular the use of repetitive training practice or repetitive impairment practice. This involves the child or adult doing intensive customized repetitive isolated exercises with the weaker arm arm using the ArmTutor and hand using the HandTutor.  The exercise practice customized by the physical and occupational therapist to the patient movement ability. The dedicated rehabilitation software provides information on the patients performance and corrects the patient in the form of biofeedback when they are not doing the movement correctly. This means that the training practice is customized to the patients movement ability regarding on their functional ability. The patient can also begin to understand how they are moving as the biofeedback is amplified movement feedback. Together with a score on how well the patient is performing allows the patient and PT to better do intensive and motivating exercise practice.  Research has proven that such intensive and repetitive use of the weaker arm over this short period leads to increased use of the weaker arm as well as improved quality of movement. The TUTORS have been used effectively together CIMT training and therapy and most recently at the Rusk rehabilitation hospital children’s summer camp. The TUTORS are designed to be used by children as well as adults..
The TUTORS are currently being used in leading hospitals and clinics in the U.S. and Europe and are fully certified by the FDA and CE. See WWW.HANDTUTOR.COM for more information.

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