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Constraint-Induced Movement Therapy (CIT) is a recent therapeutic intervention for people with hemiplegia involving restraint of the non-involved extremity and structured practice with the more affected extremity. CIT involves restraint of the less affected extremity of children with hemiplegic cerebral palsy, along with practice with the more affected extremity.

Study will determine the effectiveness, mechanism, and safety of 5 treatments of 6-Hz primed low-frequency rTMS applied to the non-stroke hemisphere and combined with constraint induced therapy (CIT) to promote recovery of the paretic hand.

Hand-Arm Bimanual Intensive Therapy (HABIT) in Children with Hemiplegia is a new intervention developed at Columbia University. HABIT aims to improve the use and coordination of both arms in daily function. It involves intensive bimanual training. Like CI therapy, it requires 90 hours of intensive therapy and it is performed in group settings with an emphasis of having fun. But unlike CI therapy HABIT focuses on improving the ability to perform bimanual activities. The efficacy of this new bimanual treatment for improving coordination with two hands is being tested.

The Center for Cerebral Palsy Research was founded in 1996 and is committed to understanding the mechanisms underlying the symptoms of cerebral palsy and developing evidence-based treatment approaches targeting these symptoms. The Center is a non-profit organization located at Teachers College, Columbia University, a leading institution of Education, Health and Psychology. Our Center is committed to improving the lives of children with cerebral palsy through research. These include both speech and motor disorders associated with CP.