Taub Therapy Clinic

1717 6th Ave S
Birmingham, AL 35233
866.554.TAUB

Taub Therapy Clinic is located at the University of Alabama at Birmingham Hospital.  Browse through the links to learn more about Taub Therapy Clinic and some of the patients who have gotten their lives back.

If you or someone you love has suffered a stroke or traumatic brain injury and is looking to regain independence, learn how to apply for treatment at Taub Therapy Clinic  , or call our toll-free number: 866-554-TAUB.

Providing The Most Effective Stroke Therapy In The World

CI therapy, empowers people to improve the use of their limbs, no matter how long ago their stroke or traumatic brain injury (TBI) occurred. As one of the most effective stroke rehabilitation programs in the world, a large majority of those who have completed the program, regain significant movement. Through the one-on-one encouragement of a therapist, patients can relearn to use their affected limb by restricting the use of the unaffected one. By causing neurons to "rewire" themselves, CI therapy not only changes the brain, it changes lives.

"Taub Therapy gives patients hope that they can recapture the life they had before suffering a stroke or TBI."
Edward Taub, Ph.D., Director of Taub Therapy Clinic



How has CI Therapy changed thinking toward rehabilitation?

Some patients have been told they will be impaired or disabled for the rest of their lives. Past research has even suggested that patients reach their maximum level of possible rehabilitation one year after the stroke or injury. However, Dr. Taub’s groundbreaking research on CI therapy gives patients hope that they can improve the use of their limbs, no matter how long ago the stroke or brain injury occurred. Taub Therapy Clinic offers patients the opportunity and support to accomplish their goals.

What happens when the brain is damaged following a stroke?

During a stroke, the brain is damaged by a lack of blood flow to it, and the area surrounding the damage swells. During the initial weeks of healing, a strong tendency not to use the affected limb, called learned non-use, develops in the areas of the body controlled by the damaged portion of the brain. Because the affected limb is weak and difficult to control, the patient relies on the unaffected limb. However, as the brain heals and swelling decreases, the neurons immediately surrounding the damaged neurons are “recruited” for other functions. In essence, this illustrates the concept of “use it or lose it”. When the limb associated with those neurons isn’t used, the neurons are recruited by the brain for other functions.

How does CI Therapy work?

CI Therapy works because it helps patients overcome the learned non-use that develops in the early post-stroke or post-injury period. CI Therapy has been shown to rewire the brain; after therapy, a larger part of the brain is involved in producing movement of the weaker limb than before therapy.

CI therapy is effective, but it’s also intense. CI therapy patients may become physically and emotionally exhausted. At first, patients may feel discouraged because the results are not immediate. But by the end of the first week, most patients can see the results of their hard work—results that can be life-changing. That's why it's important for you to be supportive throughout therapy.

How can I help my loved one achieve success at the Taub Therapy Clinic?
  • Provide emotional support and encouragement. CI therapy can be physically and emotionally challenging. Your loved one may feel tired after each day of therapy.
  • You should not be present during therapy sessions. The Taub Therapy Clinic can provide you with information about things to do in Birmingham.
  • Back away from your role as a caregiver. Encourage your loved one to follow the therapist’s instructions. This many mean practicing tasks without help or it may mean practicing tasks with some assistance from you.
  • Encourage him or her to complete “homework” assignments at night and on the weekends.
How can I be supportive after we have returned home? Continuing the home program is crucial to the patient's long-term success.
  • About 30 to 60 minutes of exercise should be carried out daily at home.
  • Encourage your loved one by providing an environment conducive to continuing the exercise routine.
  • Assume the role of the therapist.
  • Celebrate successes and provide positive reinforcement.
  • Call the Taub Therapy Clinic with any questions or concerns that you may have.

As the patient, you will play an integral role in your own success at the Taub Therapy Clinic. To ensure that CI therapy is right for you, you must apply to participate.

Who is a candidate for CI Therapy?

Most candidates for CI therapy suffer from the chronic effects of a stroke, traumatic brain injury, or other neurological injury, and have already completed traditional their rehabilitation. CI therapy is effective no matter how long ago the stroke or injury occurred. CI therapy is designed to help people who can make at least some limited movement with the affected arm and hand. Patients applying for therapy for the affected leg must be able to walk 25 feet five times a day with or without physical assistance.

What kind of time commitment is involved?

One of the reasons CI therapy is more effective than other therapy programs because of its intensity. Depending upon each patient’s condition, CI therapy may last two to three weeks for three and a half to four hours each day. Patients must also complete exercises independently in the evenings and on weekends. After completing their CI therapy program, patients are given an individualized program to follow at home. The patient is also asked to complete four self-evaluations to help the clinic track progress and make recommendations for improving the home program.

Is CI Therapy right for me?

CI therapy is designed to be challenging. Patients often experience feelings of frustration and fatigue in the beginning before seeing improvement. That’s why it’s important for you to possess:
  • passion for and commitment to the program
  • unwavering determination to succeed
  • willingness to focus and follow instructions
  • motivation to work hard to achieve your goals
  • a commitment to continuing your exercises upon returning home

How do I apply?

Candidates must submit a written application to the Taub Therapy Clinic. To apply, request an application by calling 1-866-554-TAUB. Or download and print the pdf version of the application and send by mail or fax. Upon approval, patients must undergo a basic physical evaluation at the Taub Therapy Clinic.

Click here to download application.

This application is in PDF format. If you do not have the free Adobe Acrobat Reader software, download now.

Mailing address:

Taub Therapy Clinic Attention: Angela Metcalf Spain Rehabilitation Center Room 104 1717 6th Avenue South Birmingham, AL 35249 Fax : (205) 975-9700

Why is a physical evaluation necessary?

After your application has been approved you will be evaluated by a therapist from the clinic. This standard examination enables the Taub Therapy Clinic to gauge your strength, flexibility and range of motion. It is also used to determine if there are any chronic conditions or other problems that could be aggravated during therapy.

Currently, physical evaluations must be completed in person at Taub Therapy Clinic at UAB Health System in Birmingham, Alabama. Call 1-866-554-TAUB to schedule an appointment.

What is CI Therapy?
A stroke and brain injury rehabilitation program developed by Edward Taub, Ph.D., CI therapy as provided by the Taub Therapy Clinic, is the most effective form of constraint-induced movement therapy (CI therapy). Although CI therapy consists of a family of therapies, they share the concept of teaching the brain to “rewire” itself. Dr. Taub’s research has proven that patients can learn how to improve the motor ability of their affected limb by ceasing to rely primarily on the unaffected limb, no matter how long ago the injury occurred.

Who is a candidate for CI Therapy?
Most candidates for CI therapy suffer from the chronic effects of a stroke and have already completed traditional post-stroke rehabilitation. However, Taub Therapy has also been proven to benefit those who have lost limb function due to traumatic brain injuries or brain damage from surgery or radiation therapy. CI therapy is effective no matter how long ago the stroke or injury occurred. CI therapy is designed to help people who can make at least some limited movement with the affected arm and hand. Patients applying for therapy for the affected leg must be able to walk about 25 feet, at least five times a day, with or without physical assistance. The Taub Therapy Clinic does not currently treat patients with receptive aphasia, which is a language disorder caused by damage in a specific area of the brain that controls language expression and comprehension, and can leave a person unable to communicate effectively with others. Please contact a clinic therapist at 866-554-TAUB if you have aphasia-related questions.

How do I know if I do not meet the necessary qualifications for CI Therapy?
Based on the information you submit to the Taub Therapy Clinic, a determination will be made that your current level of function did not meet the required criteria for participating in the program and you will be notified.

How long should it be since my stroke occurred?
At least three months must have elapsed following stroke or other neurological injury, before a person is eligible for CI therapy. However, CI therapy may be effective no matter how long ago the stroke occurred.

What is the treatment cost for CI Therapy?
The Taub Therapy Clinic operates on a fee-for-service basis. Medicare and other insurance plans do not currently pay for the treatment; however some patients have been reimbursed by their insurance companies post-therapy. You will be responsible for paying the clinic. Patients who receive treatment at the clinic will incur the following costs: 1) $450 for the medical evaluation and the therapy evaluations 2) $6,000 for the two-week upper extremity treatment program or $9,000 for the three-week, upper extremity treatment program, or $9,600 for the three-week, lower extremity program 3) Travel costs and lodging for the duration of your stay in Birmingham Payment for the evaluations and for the treatment may be made using a credit card, money order or cashier’s check.

What kind of time commitment is involved for CI Therapy?
CI therapy is more effective than other therapy programs because of its intensity and its behavioral component. Depending upon each patient’s condition, CI therapy may last two to three weeks for three and a half to four hours each day. Patients must also complete exercises independently in the evenings and on weekends. After completing CI therapy at the Taub Therapy Clinic, patients are given an individualized program to follow at home. The patient is also asked to complete four self-evaluations to help the clinic track progress and make recommendations for improving the home program.

Is CI Therapy right for me?
CI therapy is designed to be challenging. Patients often experience feelings of frustration and fatigue in the beginning before seeing improvement. That’s why it’s important for you to possess: • passion for and commitment to the program • unwavering determination to succeed • willingness to focus and follow instructions • motivation to work hard to achieve your goals willingness to continue exercising after returning home

What sets CI Therapy at the Taub Therapy apart from other CI therapy programs?
The first of its kind, the Taub Therapy Clinic has done more extensive clinical research on CI therapy than any other clinic in the world. For those who meet the admission movement criteria, Dr. Taub’s methods have been proven to work no matter how long ago the stroke or brain injury occurred. No other program provides the intensive, therapist-guided practice of movement that is essential to CI therapy. Dr. Taub personally oversees treatment programs to ensure that each patient receives the best outcome possible.

Is the patient responsible for the expense of traveling and room and board?
Taub Therapy Clinic patients are responsible for all travel and room and board expenses. We will provide a list of area hotels that offer a discounted rate. We also provide information about our local state park for those patients who travel in RVs.

Why is a physical evaluation in Birmingham necessary?
After your application has been approved, you must undergo a physical evaluation by Victor Mark, M.D., Medical Director of the Taub Therapy Clinic, and a therapist from the clinic. This standard examination enables clinic staff to gauge your strength, flexibility, and functional ability. It is also used to determine if there are any chronic conditions or other problems that could be aggravated during therapy. The total evaluation cost is $450.

How long does the evaluation last?
The evaluation takes approximately two hours.

What happens during therapy sessions?
A physical or occupational therapist works exclusively with each patient to practice a behavioral technique known as shaping. As the patient repeats timed exercises, the therapist acts as a coach, encouraging the patient to improve each task. This positive reinforcement and one-on-one interaction is key to the success of CI therapy. Because each patient is unique, a therapist designs a program based on the individual’s ability level and goals. Exercises simulate activities of daily living and functional tasks. Materials used are intentionally commonplace, making it easier for patients to continue therapy on their own after returning home. Upper Extremity: In order to prevent its use, the unaffected hand is placed in a special mitt for 90% of waking hours. The mitt encourages the use of the affected arm and, over time, “rewires” the brain. Typical exercises include stacking cups and picking up small objects. Lower Extremity: Although the unaffected leg is not restrained, the patient must rely on the affected leg to repeatedly perform a variety of exercises designed to improve strength and coordination. Typical exercises include stepping over objects, walking at a fast pace, side-stepping, and backward walking.

Would a caregiver need to come with me to Birmingham, Alabama?
We strongly encourage patients to bring a caregiver to provide assistance and encouragement while the patient is away from the clinic.

How successful is CI Therapy as provided by the Taub Therapy Clinic?
Since opening in 2001, the Taub Therapy Clinic has proven to be one of the most effective stroke rehabilitation programs in the world. A large majority of those who have completed the program regain significant movement and improved function. The results have been so impressive, the Taub Therapy Clinic has been profiled by Newsweek, The New York Times, US News and World Report, USA Today, The National Geographic Channel, CNN, ABC and CBS, among others. By giving patients an individualized home program, CI therapy, as provided by the Taub Therapy Clinic, empowers patients to continue improving on their own. Patients have different ways of measuring success. For some, it means playing a musical instrument again. For others, it means walking with confidence. Or it can even be as simple as turning on a light switch with the affected hand for the first time. The bottom line: regaining movement can lead to a whole new outlook on life. CI therapy, as provided by the Taub Therapy Clinic, has also proven to have a significant impact on caregiver's lives by enabling them to return to work. A recent survey showed that 70 percent of those who gave up work to care for a family member were able to return to work after their loved one completed treatment at the Taub Therapy Clinic.