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Remodeling the Brain Plastic Structural Brain Changes Produced by Different Motor Therapies After Stroke

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Remodeling the Brain Plastic Structural Brain Changes Produced by Different Motor Therapies After Stroke Lynne V. Gauthier, MA; Edward Taub, PhD; Christi Perkins, BS; Magdalene Ortmann; Victor W. Mark, MD; Gitendra Uswatte, PhD Department of Psychology (L.V.G., E.T. C.P., M.O., G.U.), Department of Physical Medicine and Rehabilitation (V.W.M.), and Department of Physical Therapy (G.U.), University of Alabama at Birmingham, Birmingham, Ala. Stroke . 2008;39:1520-1525.     Background and Purpose —Studies on adult stroke patients have demonstrated functional changes in cortical excitability, metabolic rate, or blood flow after motor therapy, measures that can fluctuate rapidly over time. This study evaluated whether evidence could also be found for structural brain changes during an efficacious rehabilitation program. Methods —Chronic stroke patients were randomly assigned to receive either constraint-induced movement therapy (n 16) or a comparison ...
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Sensorimotor incongruence alters limb perception and movement

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Sensorimotor incongruence alters limb perception and movement Michihiro Osumi a , Satoshi Nobusako a , Takuro Zama b , Megumi Taniguchi a , Sotaro Shimada b , Shu Morioka a , ⁎ a Neurorehabilitation Research Center, Kio University, Nara, Japan b Department of Electronics and Bioinformatics, School of Science and Technology, Meiji University, Kanagawa, Japan ABSTRACT Altered limb ownership or heaviness has been observed in patients with hemiplegia, chronic pain, and several other conditions. Although these sensations are thought to be caused by sensorimotor incongruence, few studies have systematically veri fi ed this relationship. In addition, it remains unclear whether these subjective sensations a ff ect movement execution. In a psycho- physical experiment, we systematically investigated the relationships between sensorimotor in- tegration and subjective limb perception, such as sense of ownership/heaviness, and veri fi ed the relationship between subjective ...
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Clinically Important Differences for the Upper-Extremity Fugl-Meyer Scale in People With Minimal to Moderate Impairment Due to Chronic Stroke

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Clinically Important Differences for the Upper-Extremity Fugl-Meyer Scale in People With Minimal to Moderate Impairment Due to Chronic Stroke Stephen J. Page, George D. Fulk, Pierce Boyne Physical Therapy 2012   Background：The upper-extremity portion of the Fugl-Meyer Scale (UE-FM) is one of the most established and commonly used outcome measures in stroke rehabilitative trials. Empirical work is needed to determine the amount of change in UE-FM scores that can be regarded as important and clinically meaningful for health professionals, patients, and other stakeholders. Objective：This study used anchor-based methods to estimate the clinically important difference (CID) for the UE-FM in people with minimal to moderate impairment due to chronic stroke. Method：One hundred forty-six individuals with stable, mild to moderate upper-extremity (UE) hemiparesis were administered the UE-FM before and after an intervention targeting their affected UEs. The treat...
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