Adherence to CIMT
During therapy, we were able to maximize adherence to wearing the restraint using strategies such as patient decision making about therapeutic activities and subsequent structured rewards.11 As with all reports of the use of CIMT, these accommodations were achieved at the expense of standardization of the intervention but were crucial for all patients, especially for the patient with the lowest mental age. Although the time frame of 3 hours of intervention daily was a standard, there was no standard protocol to follow to ensure consistency of the intervention across patients. We found that conducting CIMT in these patients was a challenging task. However, by creating individual routines that were congruent with each patient's mental age, physical fitness level, and personal interests, we were able to ensure on-site adherence in all participants.
Adherence to CIMTDuring therapy, we were able to maximize adherence to wearing the restraint using strategies such as patient decision making about therapeutic activities and subsequent structured rewards.11 As with all reports of the use of CIMT, these accommodations were achieved at the expense of standardization of the intervention but were crucial for all patients, especially for the patient with the lowest mental age. Although the time frame of 3 hours of intervention daily was a standard, there was no standard protocol to follow to ensure consistency of the intervention across patients. We found that conducting CIMT in these patients was a challenging task. However, by creating individual routines that were congruent with each patient's mental age, physical fitness level, and personal interests, we were able to ensure on-site adherence in all participants.
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