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Technique to improve chronic motor deficit after stroke

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TLDR
Extensive restraint of an unaffected upper extremity and practice of functional movements with the impaired limb proved to be an effective means of restoring substantial motor function in stroke patients with chronic motor impairment identified by the inclusion criteria of this project.
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This article is published in Archives of Physical Medicine and Rehabilitation.The article was published on 1993-04-01 and is currently open access. It has received 1566 citations till now. The article focuses on the topics: Constraint-induced movement therapy & Motor Deficit.

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Citations
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Neural Substrates for the Effects of Rehabilitative Training on Motor Recovery After Ischemic Infarct

TL;DR: The results suggest that, after local damage to the motor cortex, rehabilitative training can shape subsequent reorganization in the adjacent intact cortex, and that the undamaged motor cortex may play an important role in motor recovery.
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Motor recovery after stroke: a systematic review

TL;DR: Although the existing evidence is limited by poor trial designs, some treatments do show promise for improving motor recovery, particularly those that have focused on high-intensity and repetitive task-specific practice.
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Guidelines for Adult Stroke Rehabilitation and Recovery: A Guideline for Healthcare Professionals from the American Heart Association/American Stroke Association

TL;DR: This guideline provides a synopsis of best clinical practices in the rehabilitative care of adults recovering from stroke to reduce the risk of downstream medical morbidity resulting from immobility, depression, loss of autonomy, and reduced functional independence.
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Effect of constraint-induced movement therapy on upper extremity function 3 to 9 months after stroke: the EXCITE randomized clinical trial.

TL;DR: The Extremity Constraint Induced Therapy Evaluation (EXCITE) trial as mentioned in this paper showed that a 2-week program of constraint-induced movement therapy (CIMT) for patients more than 1 year after stroke who maintain some hand and wrist movement can improve upper extremity function that persists for at least 1 year.
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Plasticity during stroke recovery: from synapse to behaviour.

TL;DR: Evidence from animal models suggests that a time-limited window of neuroplasticity opens following a stroke, during which the greatest gains in recovery occur, and how to optimally engage and modify surviving neuronal networks is studied.
References
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Journal ArticleDOI

A simple test of visual neglect

TL;DR: A simple, clinically useful test for visual neglect is explained and the results of this test, which was standardized with normal subjects and presented to patients with unilateral cerebral lesions, shed light on the nature of visual neglect.
Journal ArticleDOI

Forced use of hemiplegic upper extremities to reverse the effect of learned nonuse among chronic stroke and head-injured patients.

TL;DR: The data suggest that learned nonuse does occur in select neurological patients and that this behavior can be reversed through application of a forced use paradigm.
Journal ArticleDOI

Age‐specific norms for the Mini‐Mental State Exam

TL;DR: When screening for progressive decline in cognitive performance, the use of age-specific norms may provide greater sensitivity than the present recommended cutoff score of less than 24.
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