Unlocking the Restraint: Development of a Behaviour Change Intervention to Increase the Provision of Modified Constraint-Induced Movement Therapy in Stroke Rehabilitation

There is compelling evidence that modified constraint-induced movement therapy (mCIMT) can significantly improve upper limb function after a stroke.  However, a service audit revealed that only a small number of patients in a large subacute, early-supported discharge rehabilitation service were receiving mCIMT.  To address this, a behaviour change intervention was developed after a previous attempt using only education had failed.  This paper aims to document the steps taken in implementing the intervention and offer practical guidance to clinicians and rehabilitation services on how to successfully implement this effective rehabilitation technique, despite its complexity.


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