So #HannahCIMT finished the 3 week programme today. We will be following up with subjective outcome measures in a few weeks to see how well she carries over the improvements made. This week she was able to brush her hair with her left hand, and use a knife & fork successfully

Objectively we saw active ROM, power, selectivity, fine motor and function. Typically our official measures showed no change... because Hannah tried so hard and got so nervous she got stressed and fumbled each time #HannahCIMT

This was a real shame, but each individual task was measured so we have a raft of improvement scores unofficially, as well as videos (very useful too!) Objective data means nothing without function so the real outcome is how this affects her daily life #HannahCIMT

Points to note: Hannah completed 45 hours of 1-2-1 therapy contact over 3 weeks, completed daily afternoon and wknd home practice tasks and wore a mitt for 90% of her waking hours. This is INTENSIVE input that we are privileged to be able to offer #HannahCIMT ...

...The videos we shared are selected deliberately to show the best changes. Sometimes she didn't always beat her score. Sometimes she got frustrated. Often she got tired. #CIMT is difficult and needs motivation, time and energy to get through. #HannahCIMT ...

..Hannah is actually a regular patient. For the last year when not at sea I've seen her once weekly using elements of #CIMT along with mobility work. She was improving. But the rate and degree of change in these 3 weeks is phenomenal. It shows that intensity is key #HannahCIMT..

...finally all the changes seen were achieved without hands on contact. She had to use compensatory movement patterns for sure. But over time with repetition these patterns refined by themselves. The brain is clever like that. #HannahCIMT #IntensityWorks #HOBO