Few Draw backs of CIMT :
#Attempted movements on affected side might leads to abnormal synergy patterns as Patient tries to accomplish the task there is always high risk of trick movements which may lead to some complex synergy patterns..

#Irradiation of nerve impulses during activity may lead to fatigue which in turn may leads to increase in spasticity..

#Mental burn out among Patients is quite common, as normal limb movements are restricted.. which in turn has effect on tone..

#Restriction of normal arm leads to lack of arm swing which inturn aggaravates gait deviations..

#The loss of independence that results from having to wear a sling during all waking hours for two weeks.

#The therapy has only been shown to be effective with patients exhibiting some movement in the fingers and/or wrist(Role of CIMT in Acute Stroke????)

# Role of CIMT in Middle Cerebral Artery is limited, as Upper limb recovery is very less..

# The intensity of CIMT is not feasible in the typical rehabilitation environment, nor is it reimbursable within our current health care system

# Role of CIMT with chronic stroke patients with long duration over 2 years ??? because much of the observed cortical reorganization following stroke occurs during the first six months...

# If the patient's Non Dominant extremity is affected.. then the role of CIMT is definetely questionable..