Constraint Induced Movement Therapy (CIMT) plus Bimanual Training (BIT) is a type of therapy directed by an occupational therapist for individuals who have difficulty using one arm or hand. They often have decreased range of motion, strength, coordination and sensation in one of their upper extremities which often affects their ability to complete activities that require the use of two hands. CIMT limits use of the better arm by wearing a constraint and provides intensive practice for the weaker arm.