Effectiveness of Sensory and Motor
Rehabilitation of the Upper Limb Following
the Principles of Neuroplasticity:
Patients Stable Poststroke
Nancy yl, Jennifer Roderick, Olfat Mohamed, Monica Hanny,
Josh Kotler, Amy Smith, Nolly Tang, and Gary Abrams
Ep he Demet of Py herp el econ
oa Tap Cnty of catia es
Ce AS AGA nnd: Dp oyna Tee,
eek ene on
ieee TEE tees 1, Noe I
IOP TRPIR Bete and Ch Bape Pa
‘Ravapy amt Mens Sy ie hoe
So pince ca ogee Poca tans
1 N Woah | Mme O, ney Ror Sh,
rebel infarctions (surckes) are the leading
‘Sue of disityin the tnded Sates ws
an estimated 732000 new or securent
strokes por year! Approsimately 30% of hee mal
fering a ace do net surive Alhough some have
{complete recovery, the mapsrity suffer residual
seurlogial impalement parteulrly in he cor
tralueral upper limb” Decreased voluntary contol,
tweslees, stereotypical mevements, co contaaions
Of agsniss and ahtagonses, atmorteal symersics Of
Seeeek atigtee oe eeeeiag eae
thal Inking of arm and leg movements are com
See ee Shes teal tes ete with
weakness, inccorduation, and deceased motor
‘action time also impaired On the ipsilateral side *
Tmnedutcly posuuoke, physiobgicd healing
fan be enianced with appropriate drug manage
‘Pent Tol pentioning, avd puted srateyie owe
‘neni. The most extensive and spontaneous
Expeovements are cbecred in the fit 30°65 90
days postaroie” butin the chronic phase of recov
fy, remodeling and reorganization can be fiat
ff wah goalonented learning.” afier a central
postu gsenp i AG tg
4 the foundaton for leaning, the acquisuon of
few skills and the bass of recovery of function 3
Dial mtopeatog leach Grae vole ect
of motor nearen penis, unser of function from
Sete pene epee eared
peas, stengthening of redundant or parallel
re igen Scag
(dru sproating enbanced myslinalon of remain