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Updated: Dec 31, 2025

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Constraint-Induced Movement Therapy for Lower Extremity Function: Describing the LE-CIMT Protocol.

Sarah Dos Anjos1, David Morris2, Edward Taub3

  • 1Departments of Physical Therapy and Occupational Therapy, University of Alabama at Birmingham, 1720 2nd Avenue South, SHPB360, Birmingham, AL 35294 USA.

Physical Therapy
|January 4, 2020
PubMed
Summary

Constraint-induced movement therapy for the lower extremity (LE-CIMT) improves leg function after stroke. This adapted therapy uses intensive training and strategies to help patients use their affected leg more in daily life.

Keywords:
Constraint-Induced Movement TherapyLegParesisRehabilitation

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Area of Science:

  • Neurorehabilitation
  • Physical Therapy
  • Stroke Recovery

Background:

  • Constraint-induced movement therapy (CIMT) effectively improves upper extremity (UE) function post-stroke.
  • Positive UE-CIMT outcomes prompted adaptation for lower extremity (LE) function.
  • Modifications to the UE protocol were necessary for LE-CIMT development.

Purpose of the Study:

  • To describe the complete Lower Extremity-Constraint Induced Movement Therapy (LE-CIMT) protocol.
  • To promote further development and investigation of the LE-CIMT approach.

Main Methods:

  • Intensive supervised training: 3.5 hours/day for 10 consecutive weekdays.
  • Motor training utilizing shaping strategies.
  • Application of a transfer package to promote real-world skill utilization.
  • Emphasis on encouraging use of the more-affected LE with improved coordination.

Main Results:

  • Research indicates positive outcomes with the LE-CIMT intervention.
  • The protocol is continually evolving based on ongoing research.

Conclusions:

  • LE-CIMT is a promising intervention for improving lower extremity function.
  • Further research and protocol refinement are encouraged.