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Published Online
on September 16, 2004

Stroke. 2004
Published online before print September 16, 2004, doi: 10.1161/01.STR.0000143320.64953.c4
A more recent version of this article appeared on November 1, 2004
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Submitted on May 28, 2004
Revised on June 18, 2004
Accepted on August 5, 2004

Constraint-Induced Movement Therapy

James C. Grotta MD*; Elizabeth A. Noser MD; Tony Ro PhD; Corwin Boake PhD; Harvey Levin PhD; Jarek Aronowski PhD; and Timothy Schallert PhD

From the Department of Neurology Stroke Program (J.C.G., E.A.N., J.A.), University of Texas-Houston Medical School, Houston; the Department of Psychology (T.R.), Rice University, Houston; the Department of Physical Medicine and Rehabilitation (C.B.), University of Texas-Houston Medical School, Houston; the Department of Physical Medicine and Rehabilitation (H.L.), Baylor Medical School, Waco; and the Department of Psychology (T.S.), University of Texas, Austin, Texas.

* To whom correspondence should be addressed. E-mail: james.c.grotta{at}uth.tmc.edu.

Abstract--Constraint-induced movement therapy improves outcome after chronic stroke, conforms experimental observations of neuronal plasticity, and proves the efficacy of intensive occupational therapy. More acutely instituted constraint-induced movement therapy has both practical and theoretic risks and benefits that deserve further careful evaluation.


Key words: acute care • occupational therapy • rehabilitation • stroke, acute




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