CME is actually less painful than many forms of traditional therapy. For example, because range of motion exercises are incorporated into functional activities no prolonged stretching is administered. However, CME is hard work and children often cry because of unfamiliarity with the movement or with the level of effort needed. It is important to note that although the child may be crying, they are also physically cooperating with the activity and are in fact, working very hard to successfully perform the exercises. Crying usually ceases upon completion of any given exercise. Over time most children learn to tolerate and even enjoy their CME sessions.