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Initial Assessment

Following the telephone consultation the CIMT therapist will determine if your child is suitable for CIMT and suggest that you book an initial assessment. The assessment is carried out at one of our clinic locations by a specialist CIMT therapist and normally takes approximately 90 minutes. It is recommended that you attend with the person who will be supporting you on your programme so that they are involved and understand their role.

Young adult undergoes timed challenge with his CIMT physiotherapist

During the assessment your therapist will:

  • Ask you about the history of your condition.
  • Conduct a structured questionnaire to determine how often and how well you are able to use your affected arm. This questionnaire gives a score, which will be used as a baseline for treatment.
  • Carry out a physical assessment of the affected arm, looking at range of movement, muscle strength, spasticity, coordination and dexterity.
  • Ask about what therapy you have already had and how you have progressed.
  • Discuss with you what individual goals you have and advise whether they would be achievable with CIMT.
  • Discuss with you what length of programme would be most suitable for you.
  • Answer any further questions you may have about the programme and expected outcomes.

Following the assessment your CIMT therapist will write a short report detailing the findings of their assessment and their recommendations for a CIMT programme.

If the therapist feels a CIMT programme is not suitable, they will fully explain this to you and include it in the report alongside recommendations for alternative treatments. We will always aim to determine suitability through the telephone consultation first to avoid any unnecessary assessments.

Once you have received the report you will be able to discuss dates for a programme and arrange the booking. Our team will help to provide information on the logistics of attending the programme if you are travelling far to work with us, and if you had any further questions prior to booking a programme then our therapists would be happy to help.

To find out more about our constraint induced movement therapy programmes please call 0330 223 0077 to speak to one of our specialist CIMT therapists.

Following telephone screening an initial assessment is carried out by one of our specialist CIMT therapists. During this assessment the therapist will establish further background to your condition such as how your condition has progressed, previous physiotherapy and how you manage on a functional day-day basis. They will ask questions to establish your ability to participate in an intense constraint induced movement therapy programme and levels of motivation and commitment.

The CIMT therapist will establish if you have any factors which may hinder your participation in the programme such as excessive pain or fatigue. They will also establish whether you have the necessary support from family or carers to participate in constraint induced movement therapy. Our CIMT therapists will discuss what is expected therefore it is useful for the carer or family member to be present during the initial assessment.

In addition the CIMT therapist will conduct a physical assessment specifically looking at the upper limb. The physical assessment will include assessment of:

  • Active movements
  • Passive movement
  • Muscle strength
  • Muscle length
  • Spasticity
  • Coordination
  • Sensation
  • Dexterity

The CIMT therapist will also assess your mobility and balance to gain an impression of your overall function and help devise the most suitable programme for you. Other areas of assessment may include: A visual/hearing assessment, Memory assessment

As part of the assessment process the therapist may carry out some of the typical tasks utilised during our programme to assess your abilities and help give you an idea of the type of tasks that will be carried out.

By the end of the initial assessment the therapist will be able to decide whether you meet the inclusion criteria to participate in the constraint induced movement therapy programme. If you are not suitable the therapist will explain why and may suggest alternative options for treatment.

If you are suitable for CIMT the therapist will describe the programme fully and outline what is expected. They will discuss what outcomes may be achieved by participating in the programme to help set realistic goals.

If both the therapist and patient agree, a suitable time period for the treatment will be arranged and the person will be assigned to either a 2 week programme or 3 week programme depending on the grade of movement you are assigned. The 3 week programme is usually recommended for patients with less movement.

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Call us on 0330 223 0077 or email to speak to one of our specialist CIMT therapists.

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