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Topics in Stroke Rehabilitation Volume 13, 2006 - Issue 2: Ottawa Panel Evidence-Based Clinical Practice Guidelines for Post-Stroke Rehabilitation
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Original Article

Ottawa Panel Evidence-Based Clinical Practice Guidelines for Post-Stroke Rehabilitation

Ottawa Panel
Pages 1-269 | Published online: 02 Feb 2015

REFERENCES

Introduction

  • Petrasovits A, Nair C. Epidemiology of stroke in Canada. Health Reports. 1994;6:39–44.
  • Anderson CS, Linto J, Stewart-Wynne EG. A population-based assessment of the impact and burden of caregiving for long-term stroke survivors. Stroke. 1995;26:843–849.
  • Wolf PA, D'Agostino RB, O'Neal A, Sytkowski P, Case CD, Belanger AJ, Kannal WB. Secular trends in stroke incidence and mortality: the Framingham Study. Stroke. 1992;23:1551–1555.
  • Wade DT, Lewer RL, Skilbeck CE, David RM. Stroke: A Critical Approach to Diagnosis, Treatment and Management. London: Chapman and Hall; 1992.
  • Woolf SH. Practice guidelines: a new reality in medicine I. Recent developments. Arch Intern Med. 1990;150:1811–1818.
  • Grimshaw JM, Freemantle N, Wallace S, et al. Developing and implementing clinical practice guidelines. Quality Health Care. 1995;4:55–64.
  • Saunders DH, Greig CA, Young A, Mead GE. Physical fitness training for stroke patients. Cochrane Database Syst Rev. 2004;(1):CD00316.
  • Rimmer JH, Wang E. Aerobic exercise training in stroke survivors. Top Stroke Rehabil. 2005;12(1): 17–30.
  • Gordon NF, Gulanick M, Costa F, Fletcher G, Franklin BA, Roth EJ, Shephard T. American Heart Association Council on Clinical Cardiology, Subcommittee on Exercise, Cardiac Rehabilitation, and Prevention; the Council on Cardiovascular Nursing; the Council on Nutrition, Physical Activity, and Metabolism; and the Stroke Council. Physical activity and exercise recommendations for stroke survivors: an American Heart Association scientific statement from the Council on Clinical Cardiology, Subcommittee on Exercise, Cardiac Rehabilitation, and Prevention; the Council on Cardiovascular Nursing; the Council on Nutrition, Physical Activity, and Metabolism; and the Stroke Council. Stroke. 2004;35(5):1230–1240.
  • Shepherd RB. Exercise and training to optimize functional motor performance in stroke: driving neural reorganization? Neural Plasticity. 2001;8(1-2):121–129.
  • van der Lee JH, Snels IA, Beckerman H, Lankhorst GJ, Wagenaar RC, Bouter LM. Exercise therapy for arm function in stroke patients: a systematic review of randomized controlled trials. Clin Rehabil. 2001;15(1):20–31.
  • van Peppen RP, Kwakkel G, Wood-Dauphinee S, Hendriks HJ, Van der Wees PJ, Dekker J. The impact of physical therapy on functional outcomes after stroke: what's the evidence? Clin Rehabil. 2004;18(8):833–862.
  • Stein J. Motor recovery strategies after stroke. Top Stroke Rehabil. 2004;11(2):12–22.
  • Brosseau L, Sarnecka J, Démosthènes P, et al. Efficacy of post-stroke therapeutic exercises: a metaanalysis. Topics in Stroke Rehabil. Manuscript submitted for publication.
  • Macko RF, DeSouza CA, Tretter LD, et al. Treadmill aerobic exercise training reduces the energy expenditure and cardiovascular demands of hemiparetic gait in chronic stroke patients. A preliminary report. Stroke. 1997;28:326–330.
  • Morris ME, Matyas TA, Bach TM, Goldie PA. Electrogoniometric feedback: its effect on genu recurvatum in stroke. Arch Phys Med Rehabil. 1992;73:1147–1154.
  • Riolo L, Fisher K. Is there evidence that strength training could help improve muscle function and other outcomes without reinforcing abnormal movement patterns or increasing reflex activity in a man who has had a stroke? Phys Ther. 2003;83(9):844–851.
  • Dobkin BH. Strategies for stroke rehabilitation. Lancet Neurol. 2004;3(9):528–536.
  • Volpe BT, Krebs HI, Hogan N. Robot-aided sensorimotor training in stroke rehabilitation. Adv Neurol. 2003;92:429–433.
  • Taub E, Uswatte G. Constraint-induced movement therapy: bridging from the primate laboratory to the stroke rehabilitation laboratory. J Rehabil Med. 2003;(suppl 41):34–40.
  • Taub E, Crago JE, Uswatte G. Constraint-induced movement therapy: a new approach to treatment in physical rehabilitation. Rehabil Psychol. 1998;43(2):152–170.
  • Taub E, Morris DM. Constraint-induced movement therapy to enhance recovery after stroke. Curr Atherosclerosis Rep. 2001;3(4):279–286.
  • Morris DM, Crago JE, DeLucas C, Pidikiti RD, Taub E. Constraint-induced movement therapy for motor recovery. NeuroRehabilitation. 1997;9:29–43.
  • Kwakkel G, van Peppen R, Wagenaar RC, et al. Effects of augmented exercise therapy time after stroke: a meta-analysis. Stroke. 2004;35(11): 2529–2539.
  • Kwakkel G, Wagenaar RC, Koelman TW, Lankhorst GJ, Koetsier JC. Effects of intensity of rehabilitation after stroke. Stroke. 1997;28:1550–1556.
  • Langhorne P, Wagenaar R, Partridge C. Physiotherapy after stroke: more is better? Physiother Res Int. 1996;1(2):75–87.
  • Weir RP. Rehabilitation of cerebrovascular disorder (stroke): early discharge and support: a critical appraisal of the literature. NZ Health Technol Assess. 1999;2:1–53.
  • Malouin F, Richards CL, McFadyen B, Doyon J. [New perspectives of locomotor rehabilitation after stroke]. M S-Medecine Sciences. 2003;19(10): 994–998.
  • Moseley AM, Stark A, Cameron ID, Pollock A. Treadmill training and body weight support for walking after stroke [review]. Cochrane Database Syst Rev. 2003;(3):CD002840.
  • Hesse S, Werner C. Partial body weight supported treadmill training for gait recovery following stroke. Adv Neurol. 2003;92:423–428.
  • Hesse S, Werner C, von Frankenberg S, Bardeleben A. Treadmill training with partial body weight support after stroke. Phys Med Rehabil Clin North Am. 2003;14\(suppl 1):S111–S123.
  • Hesse S, Werner C, Bardeleben A, Barbeau H. Body weight-supported treadmill training after stroke. Curr Atherosclerosis Rep. 2001;3(4):287–294.
  • Richards CL, Malouin F, Dean C. Gait in stroke: assessment and rehabilitation. Clin Geriatr Med. 1999;15(4):833–855.
  • Hesse S. Recovery of gait and other motor functions after stroke: novel physical and pharmacological treatment strategies. Restorative Neurol Neurosci. 2004;22(3-5):359–369.
  • Barclay-Goddard R, Stevenson T, Poluha W, Moffatt MEK, Taback SP. Force platform feedback for standing balance training after stroke [review]. Cochrane Database Syst Rev. 2004;(4):CD004129.
  • Pollock A, Baer G, Pomeroy V, Langhorne P. Physiotherapy treatment approaches for the recovery of postural control and lower limb function following stroke [review]. Cochrane Database Syst Rev. 2003;(2):CD001920. DOI: 10.1002/14651858.
  • Kwan J, Sandercock P. In-hospital care pathways for stroke [review]. Cochrane Database Syst Rev. 2004;(4):CD002924. DOI: 10.1002/14651858.
  • Early Supported Discharge Trialists. Services for reducing duration of hospital care for acute stroke patients [review]. Cochrane Database Syst Rev. 2005;(2):CD000443.
  • Outpatient Service Trialists. Therapy-based rehabilitation services for stroke patients at home [review]. Cochrane Database Syst Rev. 2003;(1): CD002925. DOI: 10.1002/14651858.
  • Stroke Unit Trialist's Collaboration. Organized inpatient (stroke unit) care for stroke [review]. Cochrane Database Syst Rev. 2001;(3):CD000197. DOI: 10.1002/14651858.
  • Langhorne P, Cadilhac D, Feigin V, Grieve R, Liu M. How should stroke services be organised? Lancet Neurol. 2002;1(1):62–68.
  • Brady BK, McGahan L, Skidmore B. Systematic review of economic evidence on stroke rehabilitation services. Int J Technol. 2005;21(1):15–21.
  • Legg L, Langhorne P, Outpatient Service Trialists. Rehabilitation therapy services for stroke patients living at home: systematic review of randomised trials. Lancet. 2004;363(9406):352–356.
  • Treib J, Grauer MT, Woessner R, Morgenthaler M. Treatment of stroke on an intensive stroke unit: a novel concept. Intens Care Med. 2000;26( 11 ): 1598–1611.
  • Schleenbaker RE, Mainous AG. Electromyographic biofeedback for neuromuscular reeducation in the hemilegic stroke patients: a meta-analysis. Arch Phys Med Rehabil. 1993;74:1301–1304.
  • Moreland J, Thomson MA. Efficacy of electromyographic biofeedback compared with conventional physical therapy for upper-extremity function in patients. Phys Ther. 1994;74(6):534–547.
  • Glanz M, Klawansky S, Stason W, Berker C, Shah N, Phan H, Chalmers TC. Biofeedback therapy in poststroke rehabilitation: a meta-analysis of the randomized controlled trials. Arch Phys Med Rehabil. 1995;76:508–515.
  • Woldag H, Hummelsheim H. Evidence-based physiotherapeutic concepts for improving arm and hand function in stroke patients: a review. J Neurol. 2002;249(5):518–528.
  • Moreland J, Thomson MA. Electromyographic biofeedback to improve lower extremity function after stroke: a meta-analysis. Arch Phys Med Rehabil. 1988;79:134–140.
  • Bradley L, Hart BB, Mandana S, Flowers K, Riches M, Sanderson P. Electromyographic biofeedback for gait retraining after stroke. Clin Rehabil. 1998;12:11–22.
  • Cozean CD, Pease WS, Hubbel SL. Biofeedback and functional electric stimulation in stroke rehabilitation. Arch Phys Med Rehabil. 1988;69:401–405.
  • Francisco G, Chae J, Chawla H, Kirshblum S, Zorowitz R, Lewis G, Pang S. Electromyogram- triggered neuromuscular stimulation for improving the arm function of acute stroke survivors: a randomized pilot study. Arch Phys Med Rehabil. 1988;79:570–575.
  • Glanz M, Klawansky S, Stason W, Berkey C, Chalmers TC. Functional electrostimulation in poststroke rehabilitation: a meta-analysis of the randomized controlled trials. Arch Phys Med Rehabil. 1996;77:549–553.
  • Price CIM, Pandyan AD. Electrical stimulation for preventing and treating post-stroke shoulder pain [review]. Cochrane Database Syst Rev. 2000;(4):CD001698. DOI: 10.1002/14651858.
  • Pomeroy VM, Pollock A. Electrostimulation for promoting recovery of movement or functional ability after stroke [protocol]. Cochrane Database Syst Rev. 2001 ;(3):CD003241. DOI: 10.1002/ 14651858.
  • Aoyagi Y, Tsubahara A. Therapeutic orthosis and electrical stimulation for upper extremity hemiplegia after stroke: a review of effectiveness based on evidence. Top Stroke Rehabil. 2004;11(3):9–15.
  • Kottink AI, Oostendorp LJ, Buurke JH, Nene AV, Hermens HJ, IJzerman MJ. The orthotic effect of functional electrical stimulation on the improvement of walking in stroke patients with a dropped foot: a systematic review. Artificial Organs. 2004;28(6):577–586.
  • Wilder RP, Wind TC, Jones EV, Crider BE, Edlich RF. Functional electrical stimulation for a dropped foot. J Long-Term Effects Med Implants. 2002;12(3):149–159.
  • Granat MH. Functional electrical stimulation and rehabilitation. Curr Opin Orthopedics. 1994;5(VI): 90–95.
  • Binder-Macleod SA, Lee SCK. Assessment of the efficacy of functional electrical stimulation in patients with hemiplegia. Top Stroke Rehabil. 1997;3(4):88–89.
  • Ada L, Foongchomcheay A. Efficacy of electrical stimulation in preventing or reducing subluxation of the shoulder after stroke: a meta-analysis. Aust J Physiother. 2002;48(4):257–267.
  • Goulding R, Thompson D, Beech C. Caring for patients with hemiplegia in an arm following a stroke. Br J Nursing. 2004;13(9):534–539.
  • Turner-Stokes L, Jackson D. Shoulder pain after stroke: a review of the evidence base to inform the development of an integrated care pathway. Clin Rehabil. 2002;16(3):276–298.
  • Ernst E, White AR. Acupuncture as an adjuvant therapy in stroke rehabilitation? Wiener Medizinische Wochenschrift. 1996;146(21–22):556–558.
  • Zhang SH, Liu M, Asplund K, Li L. Acupuncture for acute stroke [review]. Cochrane Database Syst Rev. 2005;(2):CD00317.
  • Tang JL, Wu HM, Lin XP, Zhang YL, Lau J, Leung PC, Woo J, Li YP. Acupuncture for stroke rehabilitation [protocol]. Cochrane Database Syst Rev. 2003;(2):CD004131. DOI: 10.1002/14651858.
  • Park J, Hopwood V, White AR, Ernst E. Effectiveness of acupuncture for stroke: a systematic review. J Neurol. 2001;248(7):558–563.
  • Leandri M, Parodi CI, Corrieri N, Rigardo S. Comparison of TENS treatments in hemiplegic shoulder pain. Scand J Rehabil Med. 1990;22(2):69–71.
  • Sonde L, Kalimo H, Fernaeus SE, Viitanen M. Low TENS treatment on post-stroke paretic arm: a three-year follow-up. Clin Rehabil. 2000;14(1):14–19.
  • Agency for Health Care Policy and Research. Clinical Practice Guideline Number 16: Post-Stroke Rehabilitation. Rockville, MD: US Department of Health and Human Services; 1995. AhCPR Publication No. 95–0662.
  • Heart and Stroke Foundation of Ontario. Management of the Post Stroke Arm and Hand Treatment Recommendations of 2001 Consensus Panel. Hamilton, Ontario, Canada: Consensus Panel on the Management of the Hemiplegic Arm and Hand; 2002.
  • Royal College of Physicians. National Clinical Guidelines for Stroke. London, England: 2004. Available at: http://www.rcplondon.ac.uk
  • St. Joseph's Health Care London. Evidence-Based Review of Stroke Rehabilitation. London, Ontario, Canada: Ministry of Health and Long-Term Care and the Heart and Stroke Foundation of Ontario; 2004.
  • Scottish Intercollegiate Guidelines Network. Management of Patients with Stroke: Rehabilitation, Prevention and Management of Complications, and Discharge Planning-A National Clinical Guideline. Edinburgh, Scotland: SIGN, Royal College of Physicians; 2002.
  • Department of Veterans Affairs/Department of Defense. Clinical Practice Guideline for the Management of Stroke Rehabilitation in the Primary Care Setting. Washington, DC: Management of Stroke Rehabilitation Working Group; 2003.
  • SPREAD: Stroke Prevention and Educational Awareness Diffusion Collaboration. The Italian Guidelines for Stroke Prevention. Neurol Sci. 2000;21:5–12.
  • American Heart Association. Physical activity and exercise recommendations for stroke survivors. Stroke. 2004;35:1229–1239.
  • European Stroke Initiative. Recommendations for stroke management. Cerebrovasc Dis. 2003; 16:31 1–337.
  • Trombly C. Clinical practice guidelines for poststroke rehabilitation and occupational therapy practice. Am J Occup Ther. 1995;49:711–714.
  • The Philadelphia Panel. Evidence-based clinical practice guidelines on musculoskeletal rehabilitation interventions: overview and methodology. Phys Ther. 2001;81(10):1629–1 640.
  • The Ottawa Panel (Ottawa Methods Group: Brosseau L, Wells G, Tugwell P, Egan M, Dubouloz CJ, Casimiro L, Robn V, Pelland L, McGowan J, and Lamb M). Ottawa Panel evidence clinical practice guidelines for therapeutic exercises and manual therapy in the treatment of rheumatoid arthritis. Phys Ther. 2004;84:934–981.
  • The Ottawa Panel (Ottawa Methods Group: Brosseau L, Wells G, Tugwell P, Egan M, Dubouloz CJ, Casimiro L, Robinson V, Pelland L, McGowan J, and Lamb M). Ottawa Panel evidence clinical practice guidelines for electrotherapy and thermotherapy interventions in the treatment of rheumatoid arthritis. Phys Ther. 2004;84:1016–1043.
  • Clark HD, Wells GA, Huet C, et al. Assessing the quality of randomized trials: reliability of the Jadad scale. Control Clin Trials. 1999;20:448–452.
  • Cluzeau F, Littlejohns P. Appraising clinical practice guidelines in England and Wales: the development of a methodologic framework and its application to policy. Joint Comm J Qual Improv. 1999;25:51 4–521. Available at: http://sghms.ac.uk/phs/hceu/
  • Davis DA, Taylor-Vaisey A. Translating guidelines into practice. A systematic review of theoretic concepts, practical experience and research evidence in the adoption of clinical practice guidelines. Can Med Assoc J. 1997;157:408–416.
  • Browman GP, Levine MN, Mohide EA, et al. The practice guidelines development cycle: a conceptual tool for practice guidelines development and implementation. J Clin Oncol. 1995;13:502–512.
  • Levine MN, Browman G, Newman T, et al. The Ontario cancer treatment practice guidelines initiative. Oncology Suppl. 1996;10:19–22.
  • Rogers EM. Lessons for guidelines form the diffusion of innovations. Joint Comm J Qual Improv. 1995;21:324–328.
  • Woolf SH, Grol R, Hutchinson A, Eccles M, Grimshaw J. Potential benefits, limitations and harms of clinical guidelines. BMJ. 1999;318:527–530.

Method

  • The Philadelphia Panel (Ottawa Methods Group: Wells G, Tugwell P, Brosseau L, et al.). Philadelphia Panel evidence-based clinical practice guidelines on selected rehabilitation interventions: overview and methodology. Phys Ther. 2001 ;81:1 629–1640.
  • Canadian Stroke Network. Stroke Expert Conference To Develop Best Practice Recommendations for Upper and Lower Extremity Rehabilitation: Workbook. Toronto, Ontario, Canada: Score Stroke Expert Conference; January 2004:21–24.
  • Dickersin K, Scherer R, Lefebvre C. Identifying relevant studies for systematic reviews. BMG. 1994;30(6964):1286–1291.
  • Haynes R, Wilczynski N, McKibbon KA, Walker CJ. Developing optimal search strategies for detecting clinically sound studies in MEDLINE. J Am Med Inform Assoc. 1994;1:447–458.
  • Jadad AR, Moore RA, Carroll D, et al. Assessing the quality of reports of randomized trials: is blinding necessary? Control Clin Trials. 1996;17:1–12.
  • Harrison M. Physiotherapy in Stroke Management. Edinburgh: Churchill Livingstone; 1995:337.
  • World Health Organization. ICIDH-2: International Classification of Functioning and Disability. Geneva: World Health Organization; 2001.
  • Mulrow CD, Oxman A, eds. How to Conduct a Cochrane Systematic Review [San Antonio Cochrane Collaboration, version 3.0.2]. Oxford, United Kingdom: The Cochrane Library, The Cochrane Collaboration; 1997.
  • The Cochrane Reviewers' Handbook glossary. Available at: http://www.cochrane.dk/cochrane/hanbook/hbookCOCHRANE_REVIEWERS_HANBOOK_GLOS.htm. Accessed June 4, 2003.

Results

Therapeutic exercises

  • Aisen ML, Krebs HI, Hogan N, McDowell F, Volpe BT. The effect of robot-assisted therapy and rehabilitative training on motor recovery following stroke. Arch Neurol. 1997;54:443–446.
  • Carr M, Jones J. Physiological effects of exercise on stroke survivors. Top Stroke Rehabil. 2003;9(4):57–64.
  • Chu KS, Eng JJ, Dawson AS, Harris JE, Ozkaplan A, Gylfadottir S. Water-based exercise for cardiovascular fitness in people with chronic stroke: a randomized controlled trial. Arch Phys Med Rehabil. 2004;85:870–874.
  • Dickstein R, Hocherman S, Pillar T, Shaham R. Stroke rehabilitation: three exercise therapy approaches. Phys Ther. 1986;66:1233–1238.
  • Duncan P, Richards L, Wallace D, et al. A randomized, controlled pilot study of a home-based exercise program for individuals with mild and moderate stroke. Stroke. 1998;29:2055–2060.
  • Duncan P, Studenski S, Richards L, et al. Randomized clinical trial of therapeutic exercise in subacute stroke. Stroke. 2003;34:2173–2180.
  • Fasoli SE, Krebs HI, Stein J, Frontera WR, Hogan N. Effects of robotic therapy on motor impairment and recovery in chronic stroke. Arch Phys Med Rehabil. 2003;84:477–482.
  • Glasser L. Effects of isokinetic training on the rate of movement during ambulation in hemiparetic patients. Phys Ther. 1986;66(5):673–676.
  • Inaba M, Edberg E, Montgomery J, Gillis MK. Effectiveness of functional training active exercise, and resistive exercise for patients with hemiplegia. Phys Ther. 1973;53(1):28–35.
  • Katz-Leurer M, Carmeli E, Shochina M. The effect of early aerobic training on independence six months post stroke. Clin Rehabil. 2003;17:735–741.
  • Katz-Leurer M, Shochina M, Carmeli E, Friedlander Y. The influence of early aerobic training on the functional capacity in patients with cerebrovascular accident at the subacute stage. Arch Phys Med Rehabil.. 2003;84:1609–1614.
  • Kim CM, Eng JJ, MacIntyre DL, Dawson AS. Effects of isokinetic strength training on walking in persons with stroke. A double-blind controlled pilot study. j Stroke Cerebrovascular Dis. 2001;10(6): 265–273.
  • Kumar R, Metter J, Mehta AJ, Chew T. Shoulder pain in hemiplegia: the role of exercise. Am j Phys Med Rehabil. 1990;69(4):205–208.
  • Langhammer B, Stanghelle JK. Bobath or motor relearning programme? A comparison of two different approaches of physiotherapy in stroke rehabilitation: a randomized controlled study. Clin Rehabil. 2000;14:361–369.
  • Langhammer B, Stanghelle JK. Bobath or motor relearning programme? A follow-up one and four years post stroke. Clin Rehabil. 2003;17:731–734.
  • Liu KP, Chan C, Lee T, Hui-Chan C. Mental imagery for promoting relearning for people after stroke: a randomized controlled trial. Arch Phys Med Rehabil. 2004;85:1403–1408.
  • Logigian MK, Samuels MA, Falconer J, Zagar R. Clinical exercise trial for stroke patients. Arch Phys Med Rehabil. 1983;64:364–367.
  • Lum PS, Burgar CG, Shor PC, Majmundar M, Van der Loos M. Robot-assisted movement training compared with conventional therapy techniques for the rehabilitation of upper-limb motor function after stroke. Arch Phys Med Rehabil. 2002;83:952–959.
  • Marigold DS, Eng JJ, Dawson AS, Inglis JT, Harris JE, Gylfadottir S. Exercise leads to faster postural reflexes, improved balance and mobility, and reduced falls in older persons with chronic stroke. j Am Geriatr Soc. 2005;53(3):416–423
  • Moreland JD, Goldsmith CH, Huijbregts MP, et al. Progressive resistance strengthening exercises after stroke: a single-blind randomized controlled trial. Arch Physl Med Rehabil. 2003;84:1433–1440.
  • Mudie MH, Winzeler-Mercay U, Radwan S, Lee L. Training symmetry of weight distribution after stroke: a randomized controlled pilot study comparing task-related reach, Bobath and feedback training approaches. Clin Rehabil. 2002;16:582–592.
  • Paul S, Ramsey D. The effects of electronic music- making as a therapeutic activity for improving upper extremity active range of motion. Occup Ther Int. 1998;5(3):223–237.
  • Potempa K, Lopez M, Braun LT, Szidon JP, Fogg L, Tincknell T. Physiological outcomes of aerobic exercise training in hemiparetic stroke patients. Stroke. 1995;26:101–105.
  • Stein J, Krebs HI, Frontera WR, Fasoli SE, Hughes R, Hogan N. Comparison of two techniques of robot- aided upper limb exercise after stroke. Am j Phys Med Rehabil.. 2004;83(9):720–728.
  • Teixeira-Salmela LF, Olney SJ, Nadeau S, Brouwer B. Muscle strengthening and physical conditioning to reduce impairment and disability in chronic stroke survivors. Arch Phys Med Rehabil. 1999; 80:1211–1218.
  • Trombly CA, Thayer-Nason L, Bliss G, Girard CA, Lyrist LA, Brexa-Hooson A. The effectiveness of therapy in improving finger extension in stroke patients. Am j Occup Ther. 1986;40(9):612–617.
  • Volpe BT, Krebs HI, Hogan N, Edelsteinn L, Diels CM, Aisen ML. Robot training enhanced motor outcome in patients with stroke maintained over 3 years. Neurology. 1999;53:1874–1876.
  • Volpe BT, Krebs HI, Hogan N, Edelstein L, Diels C, Aisen M. A novel approach to stroke rehabilitation. Neurology. 2000;54:1938–1944.
  • Winstein CJ, Rose DK, Tan SM, Lewthwaite R, Chui HC, Azen SP. A randomized controlled comparison of upper-extremity rehabilitation strategies in acute stroke: a pilot study of immediate and longterm outcomes. Arch Phys Med Rehabil. 2004;85:620–628.
  • Altschuler EL, Wisdom SB, Stone L, Foster C, Galasko D, Llewellyn DME, Ramachandran VS. Rehabilitation of hemiparesis after stroke with a mirror. Lancet. 1999;353:2035–2036.
  • Eng JJ, Chu KS, Kim CM, Dawson AS, Carswell A, Hepburn KE. A community-based group exercise program for persons with chronic stroke. Med Sci Sports Exerc. 2003;35(8):1271–1278.
  • Harada N, Chiu V, Fowler E, Lee M, Reuben DB. Physical therapy to improve functioning of older people in residential care facilities. Phys Ther. 1995;75(9):830–838.
  • Hesse S, Jahnke MT, Schaffrin A, Lucke D, Reiter F, Konrad M. Immediate effects of therapeutic facilitation on the gait of hemiparetic patients as compared with walking with and without a cane. Neurophysiology. 1998;109:515–522.
  • Macko RF, DeSouza CA, Tretter LD, et al. Treadmill aerobic exercise training reduces the energy expenditure and cardiovascular demands on hemiparetic gait in chronic stroke patients: a preliminary report. Stroke. 1997;28:326–330.
  • Nugent JA, Schurr KA, Adams RD. A dose-response relationship between amount of weight-bearing exercise and walking outcome following cerebrovascular accident. Arch Phys Med Rehabil. 1994;75:399–402.
  • Smith GV, Macko RF, Silver KHC, Goldberg AP. Treadmill aerobic exercise improves quadriceps strength in patients with chronic hemiparesis following stroke: a preliminary report. j Neuro Rehabil. 1998;12:111–117.
  • Trombly CA, Quintana LA. The effects of exercise on finger extension of CVA patients. Am j Occup Ther. 1983;37(3):1952.
  • Ferraro M, Palazzolo JJ, Krol J, Krebs HI, Hogan N, Volpe BT. Robot-aided sensorimotor arm training improves outcome in patients with chronic stroke. Neurology. 2003;61(11):1604–1607.
  • Lum PS, Burgar cG, Shor PC. Evidence for improved muscle activation patterns after retraining of reaching movements with the MIME robotic system in subjects with post-stroke hemiparesis. IEEE Trans Neural Syst Rehabil Eng. 2004; 12(2): 186–194.
  • Fujitani J, Ishikawa T, Akai M, Kakurai S. Influence of daily activity on changes in physical fitness for people with post-stroke hemiplegia. Am j Phys Med Rehabil. 1999;78(6):540–544.
  • Marras WS, Mirka GA. Trunk strength during asymmetric trunk motion. Human Factors. 1989;31(6):667–677.
  • Newham DJ, Hsino SF. Knee muscle isometric strength, voluntary activation and antagonist cocontraction in the first six months after stroke. Disabil Rehabil. 2001;23(9):379–386.
  • Fasoli SE, Krebs, HI, Stein J, Frontera WR, Hughes R, Hogan N. Robotic therapy for chronic motor impairments after stroke: follow-up results. Arch Phys Med Rehabil. 2004;85:1106–1111.
  • Stern PH, McDowell F, Miller JM, Robinson M. Effects of facilitation exercise techniques in stroke rehabilitation. Arch Phys Med Rehabil. 1970;51(9): 526–531.
  • Krebs DE, Jette AM, Assmann SF. Moderate exercise improves gait stability in disabled elders. Arch Phys Med Rehabil. 1998;79:1489–1495.
  • Topp R, Mikesky A, Wigglesworth J, Holt W, Edwards JE. The effect of a 12-week dynamic resistance strength training program on gait velocity and balance of older adults. Gerontologist. 1993;33(4):501–509.
  • Barrett JA, Watkins C, Dickinson H, et al. The COSTAR wheelchair study: a two-centre pilot study of self-propulsion in a wheelchair in early stroke rehabilitation. Clin Rehabil. 2001;15:32–41.
  • Basmajian JV, Gowland CA, Brandstater ME, Trotter JE. Intergral behavioral and physical therapy in the rehabilitation of the post-stroke arm. Int j Rehabil Res. 1985;8(1):89–90.
  • Engardt M, Knutsson E, Jonsson M, Sternhag M. Dynamic muscle strength training in stroke patients: effects on knee extension torque, electromyographic activity, and motor function. Arch Phys Med Rehabil. 1995;75:419–425.
  • Fasoli SE, Drebs HI, Hogan N. Robotic technology and stroke rehabilitation: translating research into practice. Top Stroke Rehabil. 2004;11(4):11–19.
  • Kondo I, Hosokawa K, Soma M, Iwata M, Maltais D. Protocol to prevent shoulder-hand syndrome after stroke. Arch Phys Med Rehabil. 2001 ;82: 1619–1623.
  • Kopp B, Kunkel A, Muhlnickel W, Villringer K, Taub E, Flor H. Plasticity in the motor system related to therapy-induced improvement of movement after stroke. NeuroReport. 1999;10:807–810.
  • Hesse S, Schmidt H, Werner C, Bardeleben A. Upper and lower extremity robotic devices for rehabilitation and for studying motor control. Curr Opin Neurol. 2003;16(6):701–710.
  • Liston R, Mickelborough J, Harris B, Hann AW, Tallis RC. Conventional physiotherapy and treadmill re-training for higher-level gait disorders in cerebrovascular disease. Age Ageing. 2000;29: 311–318.
  • Lord JP, Hall K. Neuromuscular reeducation versus traditional programs for stroke rehabilitation. Arch Phys Med Rehabil. 1986;67:88–91.
  • Nilsson M, Nordholm LA. Physical therapy in stroke rehabilitation: bases for Swedish physiotherapists' choice of treatment. Physiother Theory Practice. 1992;8:49–55.
  • Pohl PS, Winstem CJ. Practice effects on the less- affected upper extremity after stroke. Arch Phys Med Rehabil. 1999;80:668–675.
  • Potempa K, Braun LT, Tinknell T, Popovich J. Benefits of aerobic exercise after stroke. Sports Med. 1996;21(5):337–346.
  • Sharp SA, Brouwer BJ. Isokinetic strength training of the hemiparetic knee: effects on function and spasticity. Arch Phys Med Rehabil. 1997;78:1231–1236.
  • Stein J. Motor recovery strategies after stroke. Top Stroke Rehabil. 2004;11(2):2–22.

Task-oriented training

  • Dean CM, Shepherd RB. Task-related training improves performance of seated reaching tasks after stroke. Stroke. 1997;28(4):722–728.
  • De Sèze M, Wuart L, Bon-Saint-Côme A, et al. Rehabilitation of postural disturbances of hemiplegic patients by using trunk control retraining during exploratory exercises. Arch Phys Med Rehabil. 2001;82:793–800.
  • Dickstein R, Heffes Y, Laufer Y, Abulaffio N. Repetitive practice of a single joint movement for enhancing elbow function in hemiparetic patients. Perceptual Motor Skills. 1997;85:771–785.
  • Edmans JA, Webster J, Lincoln NB. A comparison of two approaches in the treatment of perceptual problems after stroke. Clin Rehabil. 2000;14:230–243.
  • Gelber DA, Josefczyk PB, Herman D, Good DC, Verhulst SJ. Comparison of two therapy approaches in the rehabilitation of the pure motor hemiparetic stoke patient. j Neurol Rehabil. 1995;9(4):191–196.
  • Kwakkel G, Wagenaar RC, Twisk JW, Lankhorst GJ, Koetsier JC. ntensity of leg and arm training after primary middle-cerebral-artery stroke: a randomised trial. Lancet. 1999;354:191–196.
  • Kwakkel G, Kollen BJ, Wagenaar RC. Long term effects of intensity of upper and lower limb training after stroke: a randomised trial. j Neurol Neurosurg Psychiatry. 2002;72:473–479.
  • Logan PA, Gladman JRF, Drummond AER, Radford KA. A study of interventions and related outcomes in a randomized controlled trial of occupational therapy and leisure therapy for community stroke patients. Clin Rehabil. 2003;17:249–255.
  • Luft AR, McCombe-Waller S, Whitall J, et al. Repetitive bilateral arm training and motor cortex activation in chronic stroke. jAMA. 2004;292(15): 1853–1861.
  • Nelson DL, Konosky K, Fleharty K, et al. The effects of an occupationally embedded exercise on bilaterally assisted supination in persons with hemiplegia. Am j Occup Ther. 1996;52(8):639–646.
  • Parker CJ, Gladman JRF, Drummond AER, et al. A multicentre randomized controlled trial of leisure therapy and conventional occupational therapy after stroke. Clin Rehabil. 2001;15:42–52.
  • Pomeroy VM, Evans B, Falconer M, Jones D, Hill E, Giakas G. An exploration of the effects of weighted garments on balance and gait stroke of stroke patients with residual disability. Clin Rehabil. 2001;15:390–397.
  • Richards CL, Malouin F, Wood-Dauphinee S, Williams JI, Bouchard JP, Brunet D. Task-specific physical therapy for optimization of gait recovery in acute stroke patient. Arch Phys Med Rehabil. 1993;74:612–620.
  • Walker MF, Drummond AER, Lincoln NB. Evaluation of dressing practice for stroke patients after discharge from hospital: a crossover design study. Clin Rehabil. 1996;10:23–31.
  • Wiart L, Bon Sait Come A, Debelleix X, Petit H, Joseph Pa, Mazaux JM, Barat M. Unilateral neglect syndrome rehabilitation by trunk rotation and scanning training. Arch Phys Med Rehabil. 1997;78:424–429.
  • Bergego C, Azouvi P, Deloche G, Samuel C, Louis- Dreyfus A, Kaschel R, Willmes K. Rehabilitation of unilateral neglect: a controlled multiple-baseline- across-subjects trial using computerized training procedures. Neuropsychological Rehabil. 1997;7(4):279–283.
  • Byl N, Roderick J, Mohamed O, et al. Effectiveness of sensory and motor rehabilitation of the upper limb following the principles of neuroplasticity: patients stable poststroke. Neurorehabil Neural Repair. 2003:17(3):176–191.
  • Hsieh CL, Nelson DL, Smith DA, Peterson CQ. A comparison of performance in added-purpose occupations and rote exercise for dynamic standing balance in persons with hemiplegia. Am j Occup Ther. 1996;50(1):10–16.
  • Trombly CA, Wu CY. Effect of rehabilitation tasks on organization of movement after stroke. Am j Occup Ther. 1999;53(4):333–344.
  • Whitall J, Waller SM, Silver KHC, Macko RF. Repetitive bilateral arm training with rhythmic auditory cueing improves motor function in chronic hemiparetic stroke. Stroke. 2000;31:2390–2395.
  • Wu CY, Wong MK, Lin KC, Chen HC. Effects of task goal and personal preference on seated reaching kinematics after stroke. Stroke. 2001;32:70–76.
  • Buterfisch C, Hummelsheim H, Denzler P, Mauritz KH. Repetitive training of isolated movements improves the outcome of motor rehabilitation of the centrally paretic hand. j Neurol Sci. 1995;130:59–68.
  • Engardt M, Knutsson E. Dynamic thigh muscle strength after auditory feedback training of body weight distribution in stroke patients. Physiother Theory Practice. 1994;10:103–112.
  • Maulucci RA, Eckhouse RH. Retraining reaching in chronic stroke with real-time auditory feedback. Neurorehabilitation. 2001;16:171–182.
  • Pollock AS, Durward BR, Rowe PJ, Paul JP. The effect of independent practice of motor tasks by stroke patients: a pilot randomized controlled trial. Clin Rehabil. 2002:16:473–480.
  • Hong DA, Corcos DM, Gottlieb GL. Task dependent patterns of muscle activation at the shoulder and elbow for unconstrained arm movements. j Neurophysiol. 1994;71(3):1261–1265.
  • Michaelsen SM, Luta A, Roby-Brami A, Levin MF. Effect of trunk restraint on the recovery of reaching movements in hemiparetic patients. Stroke. 2001;32:1875–1883.
  • Paolucci S, Antonucci G, Guariglia C, Magnotti L, Pizzamiglio L, Zoccolotti P. Facilitatior effect of neglect rehabilitation on the recovery of left hemiplegic stroke patients: a cross-over study. j Neurol. 1996;243:308–314.
  • Paolucci S, Antonucci G, Grasso MG, Pizzamiglio L. The role of unilateral spatial neglect in rehabilitation of right brain-damaged ischemic stroke patients: a matched comparison. Arch Phys Med Rehabil. 2001;82:743–749.
  • Robertson IH, Gray JM, Pentland B, Waite LJ. Microcomputer-based rehabilitation for unilateral left visual neglect: a randomized controlled trial. Arch Phys Med Rehabil. 1990;71:663–668.
  • Asberg KH. Orthostatic tolerance training of stroke patients in general medical wards an experimental study. Scand j Rehabil Med. 1989;21:179–185.
  • Hanlon RE. Motor learning following unilateral stroke. Arch Phys Med Rehabil. 1996;77:811–815.
  • Wu SH, Huang HT, Lin CF, Chen MH. Effects of a program on symmetrical posture in patients with hemiplegia: a single-subject design. Am j Occup Ther. 1996;50(1):17–23.
  • Beer RF, Given JD, Dewald JPA. Task-dependent weakness at the elbow in patients with hemiparesis. Arch Phys Med Rehabil. 1990;80:766–772.
  • Dolecheck JR, Schkade JK. The extent dynamic standing endurance is effected when CVA subjects perform personally meaningful activities rather than nonmeaningful tasks. Occup Ther j Res. 1999;19(1):40–54.
  • Aruin AS, Hanke T, Chaudhuri G, Harvey R, Rao N. Compelled weight bearing in persons with hemiparesis following stroke: the effect of a lift insert and goal-directed balance exercise. j Rehabil Res Develop. 2000;37(1):65–72.
  • Smedley RR, Fiorino AJ, Soucar E, Reynolds D, Smedley WP, Aronica MJ. Slot machines: their use in rehabilitation after stroke. Arch Phys Med Rehabil. 1986;67:546–549.

Biofeedback

  • Armagan O, Tascioglu F, Oner C. Electromyographic biofeedback in the treatment of the hemiplegic hand: a placebo-controlled study. Am j Phys Med Rehabil. 2003;82(1 1):856–861.
  • Basmajian JV, Gowland C, Brandstater ME, Swanson L, Trotter J. EMG feedback treatment of upper limb in hemiplegic stroke patients: a pilot study. Arch Phys Med Rehabil. 1982;63:613–616.
  • Basmajian JV, Gowland CA, Finlayson AJ, et al. Stroke treatment: comparison of integrated behavioral-physical therapy vs traditional physical therapy programs. Arch Phys Med Rehabil. 1987;68:267–272.
  • Binder SA, Moll CB, Wolf SL. Evaluation of electromyographic biofeedback as an adjunct to therapeutic exercise in treating the lower extremities of hemiplegic patients. Phys Ther. 1981;61(6): 886–893.
  • Bourbonnais D, Bilodeau S, Lepage Y, Beaudoin N, Gravel D, Forget R. Effect of force-feedback treatments in patients with chronic motor deficits after a stroke. Am j Phys Med Rehabil. 2002;81(12):890–897.
  • Burnside IG, Tobias HS, Bursill D. Electromyographic feedback in the rehabilitation of stroke patients: a controlled trial. Arch Phys Med Rehabil. 1982;63:217–222.
  • Crow JL, Lincoln NB, Nouri RM, DeWeerdt W. The effectiveness of EMG biofeedback in the treatment of arm function after stroke. Int Disabil Studies. 1989;11(4):155–160.
  • Intiso D, Santilli V, Grasso MG, Rossi R, Caruso I. Rehabilitation of walking with electromyographic biofeedback in foot-drop after stroke. Stroke. 1994;25(6):1189–1 192.
  • Kraft GH, Fitts SS, Hammond MC. Techniques to improve function of the arm and hand in chronic hemiplegia. Arch Phys Med Rehabil. 1992;73:220–227.
  • Mandel AR, Nymark JR, Balmer SJ. Electromyographic versus rhytmic positional biofeedback in computerized gait retraining with stroke patients. Arch Phys Med Rehabil. 1990;71:649–654.
  • Montoya R, Dupui Ph., Pages B, Bessou P. Step- length biofeedback device for walk rehabilitation. Med Biol Eng Comput. 1994;32:416–420.
  • Tham K, Tegner R. Video feedback in the rehabilitation of patients with unilateral neglect. Arch Phys Med Rehabil. 1997;78:410–413.
  • Williams JM. Use of electromyographic biofeedback for pain reduction in the spastic hemiplegic shoulder: a pilot study. Physiother Canada. 1982; 34(6):327–333.
  • Wolf SL, Binder-Macleod SA. Electromyographic biofeedback applications to the hemiplegic patient: changes in lower extremity neuromuscular and functional status. Phys Ther. 1983;63(9): 1404–1413.
  • Wolf SL, Binder-Macleod SA. Electromyographic biofeedback applications to the hemiplegic patient: changes in upper extremity neuromuscular and functional status. Phys Ther. 1983;63(9): 1393–1403.
  • Wolf SL, Catlin PA, Blanton S, Edelman J, Lehrer N, Schroeder D. Overcoming limitations in elbow movement in the presence of antagonist hyperactivity. Phys Ther. 1994;74(9):826–835.
  • Cauraugh JH, Kim S. Two coupled motor recovery protocols are better than one: electromyogram- triggered neuromuscular stimulation and bilateral movements. Stroke. 2002;33:1589–1594.
  • Greenberg S, Fowler Jr RS. Kinesthetic biofeedback: a treatment modality for elbow range of motion in hemiplegia. Am j Occup Ther. 1980;34(11):738–743.
  • Inglis J, Donald MW, Monga TN, Sproule M, Young MJ. Electromyographic biofeedback and physical therapy of the hemiplegic upper limb. Arch Phys Med Rehabil. 1984;65:755–759.
  • Llorca R, Rodriguez LP, Ponce PJ. Biofeedback and its use in treatments for controlling spasticity. Europa Medicophysica. 1999;35(1):3–9.
  • Prevo AJH, Visser SL, Vogelaar TW. Effect of EMG feedback on paretic muscles and abnormal cocontraction in the hemiplegic arm, compared with conventional physical therapy. Scand J Rehabil. 1982;14:121–131.
  • Mulder T, Van der Meer J. EMG feedback and the restoration of motor control. Am J Phys Med. 1986;65(4):173–189.
  • Skellya M, Kenedi RM. EMG biofeedback therapy in the re-education of the hemiplegic shoulder in patients with sensory loss. Physiotherapy. 1982; 68(2):34–38.
  • Smith KN. Biofeedback in strokes. Austral J Physiother. 1979;25(4):155–160.
  • Wolf SL, Baker Mp, Kelly JL. EMG biofeedback in stroke: a 1-year follow-up on the effect of patients characteristics. Arch Phys Med Rehabil. 1980;61:351–355.
  • Hurd WW, Pegram V, Nepomuceno C. Comparison of actual and simulated EMG biofeedback in the treatment of hemiplegic patients. Am J Phys Med. 1980;59(2):73–82.
  • John J. Failure of electrical myofeedback to augment the effects of physiotherapy in stroke. Int J Rehabil Res. 1986;9(1):35–45.
  • Lee K-H, Hill E, Johnston R, Smiehorowski T. Myofeedback for muscle retraining in hemiplegic patients. Arch Phys Med Rehabil. 1976;57:588–591.
  • Mathieu PA, Sullivan SJ. Changes in the hemiparetic limb with training I. Torque output. Electromyogr Clin Neurophysiol. 1995;35:491–513.
  • Ring H, Tsur A, Vashdi Y. Long-term clinical and electromyographical (EMG) follow-up of hemiplegic's shoulder. Eur J Phys Med Rehabil. 1993;3(4):137–140.
  • Smith LE. Restoration of volitional limb movement of hemiplegics following patterned functional electrical stimulation. Percept Motor Skills. 1990;71:851–861.
  • Wannstedt GT, Herman RM. Use of augmented sensory feedback to achieve symmetrical standing. Phys Ther. 1978;58(5):553–559.
  • Balliet R, Levy B, Blood KMT. Upper extremity sensory feedback therapy in chronic cerebrovascular accident patients with impaired expressive aphasia and auditory comprehension. Arch Phys Med Rehabil. 1986;67:304–310.
  • Davis AE, Lee RG. EMG biofeedback in patients with motor disorders: an aid for co-ordinating activity in antagonistic muscle groups. Can J Neurol Sci. 1980;7(3):199–206.
  • Mroczek N, Halpern D, McHugh R. Electromyographic feedback and physical therapy for neuromuscular retraining in hemiplegia. Arch Phys Med Rehabil. 1978;59:258–267.
  • Cheng HS, Ju MS, Lin CK. Improving elbow torque output of stroke patients with assistive torque controlled by EMG signals. j Biomech Eng. 2003; 125:881–886.
  • Engardt M. Rising and sitting down in stroke patients. ScandJ Rehabil Med. 1994;(suppl. 31):3–57.
  • Horak FB, Esselman P, Anderson Me Lynch Mk. The effects of movement velocity, mass displaced, and task certainty on associated postural adjustments made by normal and hemiplegic individuals. J Neurol Neurosurg Psychiatry. 1984;47:1020–1028.
  • Bate PJ, Matyas TA. Negative transfer of training following brief practice of elbow tracking movements with electromyographic feedback from spastic antagonists. Arch Phys Med Rehabil. 1992;73:1050–1058.
  • Fowler V, Carr J. Auditory feedback: effects on vertical force production during standing up following stroke. Int J Rehabil Res. 1996;19:265–269.
  • Takebe K, Kukulka CG, Narayan MG, Basmajian JV. Biofeedback treatment of foot drop after stroke compared with standard rehabilitation technique (part 2 ): effects on nerve conduction velocity and spasticity. Arch Phys Med Rehabil. 1976;57:9–11.
  • Moreland JD, Thomson MA, Fuoco AR. Electromyographic biofeedback to improve lower extremity function after stroke: a meta-analysis. Arch Phys Med Rehabil. 1998;79:134–140.
  • Baikoushev ST, Rathkolb O, Baikousheva V. Spasticity: kinetic versus static synergias in the reeducation of hemiparetics by EMG biofeedback. Folia Medica (Plovdiv). 1985;27:5–17.
  • Basmajian JV, Kukulka Cg, Narayan MG, Takebe K. Biofeedback treatment of drop-foot after stroke compared with standard rehabilitation technique: effects on voluntary control and strength. Arch Phys Med Rehabil. 1975;56:231–236.
  • Amato A, Hermsmeyer CA, Kleinman KM. Use of electromyographic feedback to increase inhibitory control of spastic muscles. Phys Ther. 1973;53(10):1063–1066.
  • Brudny J, Korein J, Grynbaum BB, Belandres PV, Gianutsos JG. Helping hemiparetic to help themselves - sensory feedback therapy. J Am Med Assoc. 1979;241(8):814–818.
  • Ince Lp, Leon MS, Christidis D. EMG biofeedback with upper extremity musculature for relaxation training: a critical review of the literature. J Behav Ther Exp Psychiatry. 1985;16(2):133–137.
  • Lee SJ, Ahn YP. Clinical effect of electromyographic biofeedback treatment in hemiplegic patients. J Catholic Med Coll. 1985;38(1):387–394.
  • Marinacci AA, Hornade M. Electromyographic in neuromuscular re-education. Bull Los Angeles Neurol Soc. 1960;25(2):57–71.
  • Olney SJ, Nymark JR, Zee BC-Y. Computer-assisted feedback and gait re-education in stroke patients: a two-centre randomized control trial. Canadian J Rehabil.1993;7(1):31–33.
  • Rakos M, Freudenschub B, Girsch W, et al. Electromyogram-controlled functional electrical stimulation for treatment of the paralysed upper extremity. Artificial Organs. 1999;23(5):466–469.
  • Wolf SL, LeCraw DE, Barton LA. Comparison of motor copy and targeted biofeedback training techniques for restitution of upper extremity function among patient s with neurologic deficit. Phys Ther. 1989;69(9):719–735.

Gait training

  • Ada L, Dean C, Hall JM, Bampton J, Crompton S. A treadmill and overground walking program improves walking in persons residing in the community after stroke: a placebo-controlled, randomized trial. Arch Phys Med Rehabil. 2003:84: 1486–1491.
  • Barbeau H, Visintin M. Optimal outcomes obtained with body-weight support combined with treadmill training in stroke patients. Arch Phys Med Rehabil. 2003;84:1458–1465.
  • Bogataj U, Gros N, Klajic M, Acimovic R, Malezic M. The rehabilitation of gait in patients with hemiplegia: a comparison between conventional therapy and multichannel functional electrical stimulation therapy. Phys Ther. 1995;75:490–502.
  • Burridge JH, Taylor PN, Hagan sA, Wood DE, Swain ID. The effects of common peroneal stimulation on the effort and speed of walking: a randomized controlled trial with chronic hemiplegic patients. Clin Rehabil. 1997;11:201–210.
  • da Cunha Filho IT, Lim PAC, Quershy H, Henson H, Monga T, Protas EJ. A comparison of regular rehabilitation with supported treadmill ambulation for acute stroke patients. J Rehabil Res Develop. 2001;38(2):245–255.
  • da Cunha IT, Lim PA, Quershy H, Henson H, Monga T, Portas EJ. Gait outcomes after acute stroke rehabilitation with supported treadmill ambulation training: a randomized controlled pilot study. Arch Phys Med. 2002:83:1258–1265.
  • Kosak MC, Reding MJ. Comparison of partial body weight-supported treadmill gait training versus aggressive bracing assisted walking post stroke. Neurorehabil Neural Repair. 2000;14(1):13–19.
  • Laufer Y, Dickstein R, Chefez Y, Marcovitz E. The effects of treadmill training on the ambulation of stroke survivors in the early stages of rehabilitation: a randomized study. J Rehabil Res Develop. 2001;38(1):69–78.
  • Macdonell RAL, Triggs WJ, Leikauskas J, Bourque M, Robb K, Day BJ, Shahani BT. Functional electrical stimulation to the affected lower limb and recovery after cerebral infarction. J Stroke Cerebrovasc Dis. 1994;4(3):155–160.
  • Nilsson L, Carlsson J, Danielsson A, et al. Walking training of patients with hemiparesis at an early stage after stroke: a comparison of walking training on a treadmill with body weight support and walking training on the ground. Clin Rehabil. 2001;15:515–527.
  • Pohl M, Mehrholz J, Ritschel C, Rückriem S. Speed- dependant treadmill training in ambulatory hemiparetic stroke patients: a randomized controlled trial. Stroke. 2002;33:553–558.
  • Schauer M, Mauritz KH. Musical motor feedback (MMF) in walking hemiparetic stroke patients: randomized trials of gait improvement. Clin Rehabil. 2003;17:713–722.
  • Sullivan KJ, Knowlton BJ, Dobkin BH. Step training with body weight support: effect of treadmill speed and practice paradigms on post-stroke locomotor recovery. Arch Phys Med Rehabil. 2002;83:683–691.
  • Thaut MH, McIntosh GC, Rice RR. Rhythmic facilitation of gait training in hemiparetic stroke rehabilitation. J Neurol Sci. 1997;151:207–212.
  • Visintin M, Barbeau H, Korner-Bitensky N, Mayo NE. A new approach to retrain gait in stroke patients through body weight support and treadmill stimulation. Stroke. 1998;29:1122–1128.
  • Werner C, Bardeleben A, Mauritz K H, Kirker S, Hesse S. Treadmill training with partial body weight support and physiotherapy in stroke patients: a preliminary study. Eur J Neurol. 2002;9:639–644.
  • Yan T, Hui-Chang WY, Li SW. Functional electrical stimulation improves motor recovery of the lower extremity and walking ability of subjects with first acute stroke. Stroke. 2005:36:80–85
  • Barbeau H, Norman K, Fung J, Visintin M, Ladouceur M. Does neurorehabilitation play a role in the recovery of walking in neurological populations? Ann NY Acad Sci. 1998;860:377–392.
  • Basmjian JV, Kukulka BS, Narayan MG, Takebe K. Biofeedback treatment of foot-drop after stroke compared with standard rehabilitation technique: effects on voluntary control and strength. Arch Phys Med Rehabil. 1975;56:231–236.
  • Beckerman H, Becher J, Lankhorst GJ, Verbeek ALM. Walking ability of stroke patients: efficacy of tibial nerve blocking and a polyprophylene ankle- foot orthosis. Arch Phys Med Rehabil. 1996;6(5):141–144.
  • Ceceli E, Dursun E, Çakçi A. Comparison of joint- position biofeedback and conventional therapy methods in recurvatum after stroke—6 months' follow-up. Eur J Phys Med Rehabil. 1996;6(5):141–144.
  • Danielsson A, Sunnerhagen KS. Oxygen consumption during treadmill walking with and without body weight support in patients with hemiparesis after stroke and in healthy subjects. Arch Phys Med Rehabil. 2000;81:953–957.
  • Dean CM, Richards CL, Malouin F. Task-related circuit training improves performance of locomotor tasks in chronic stroke: a randomized, controlled trial. Arch Phys Med Rehabil. 2000;81:409–417.
  • Duncan PW. Stroke disability. Phys Ther. 1994;74(5):399–407.
  • Hesse S, Bertlelt C, Schaffrin A, Malezic M, Mauritz KH. Restoration of gait in nonambulatory hemiparetic patients by treadmill training with partial body-weight support. Arch Phys Med Rehabil. 1994;75:1087–1093.
  • Iwata M, Kondo I, Sato Y, Satoh K, Soma M. An ankle-foot orthosis with inhibitor bar: effect on hemiplegic gait. Arch Phys Med Rehabil. 2003;84: 924–927.
  • Mulder T, Hulstijn W, Van Der Meer J. EMG feedback and the restoration of motor control. Am J Phys Med. 1986;65(4):173–189.
  • Nakamura R, Hosokawa T, Yamada Y, Mojica JA. Application of computer-assisted gait training (CAGT) program for hemiparetic stroke patients: a preliminary report. Tohoku J Exp Med. 1988;156:101–107.
  • Shumway-Cook A, Anson D, Haller S. Postural sway biofeedback: its effect on reestablishing stance stability in hemiplegic patients. Arch Phys Med Rehabil. 1988;69:395–400.
  • Smith GV, Silver KH, Goldberg AP, Macko RF. "Task-oriented" exercise improves hamstring strength and spastic reflexes in chronic patients. Stroke. 1999;30:2112–2118.
  • Taylor PN, Burridge JH, Dunkerley AL, Wood DE, Norton JA, Singleton C, Swain ID. Clinical use of the Odstock dropped foot stimulator: its effect on the speed effort of walking. Arch Phys Med Rehabil. 1999;80:1577–1583.
  • Werner RA, Kessler S. Effectiveness of an intensive outpatient rehabilitation program for postacute stroke patients. Am J Phys Med Rehabil. 1996;75(2):114–120.
  • Werner C, von Frankenberg S, Treig T, Konrad M, Hesse S. Treadmill training with partial body weight support and an electromagnetic gait trainer for restoration of gait in subacute stroke patients. Stroke. 2002;33(12):2895–2901.
  • Wong AM, Su TY, Tang FT, Cheng PT, Liaw MY. Clinical trial of electrical acupuncture on hemiplegic stoke patients. Am J Phys Med Rehabil. 1999:117–122.
  • Wissel J, Ebersback G, Gutjahr L, Dahlke F. Treating chronic hemiparesis with modified biofeedback. Arch Phys Med Rehabil. 1989;70:612–617.
  • Yavuzer G, Ergin S. Effect of an arm sling on gait pattern in patients with hemiplegia. Arch Phys Med Rehabil. 2002;83:960–963.

Balance training

  • Aruin AS, Hanke TA, Sharma A. Base of support feedback in gait rehabilitation. Int J Rehabil Res. 2003;26:309–312.
  • Chen IC, Cheng PT, Chen CL, Chen SC, Chung CY, Yeh TH. Effects of balance training on hemiplegic stroke patients. Chang Gung Med J. 2002;25(9):583–590.
  • Cheng PT, Wu SH, Liaw MY, Wong AMK, Tang FT. Symmetrical body-weight distribution training in stroke patients and its effects on fall prevention. Arch Phys Med Rehabil. 2001;82:1650–1654.
  • Engardt M. Long term effect of auditory feedback training on relearned symmetrical body weight distribution in stroke patients. Scand j Rehabil Med. 1994;26:65–69.
  • Geiger RA, Allen JB, O'Keefe J, Hicks R. Balance and mobility following stroke: effects of physical therapy interventions with and without biofeedback/forceplate training. Phys Ther. 2001;81(4):995–1005.
  • Grant T, Brouwer B, Culham E, Vandervoort A. Balance retraining following acute stroke: a comparison of two methods. Can j Rehabil. 1997;11(2):69–73.
  • Hocherman S, Dickstein R, Pillar T. Platform training and postural stability in hemiplegia. Arch Phys Med Rehabil 1984;65:588–592.
  • Sackley CM, Lincoln NB. Single blind randomized controlled trial of visual feedback after stroke: effects on stance symmetry and function. Disabil Rehabil. 1997;19(12):536–546.
  • Walker C, Brouwer BJ, Culham EG. Use of visual feedback in retraining balance following acute stroke. Phys Ther. 2000;80(9):886–895.
  • Winstein CJ, Gardner Er, McNeal DR, Barto PS, Nicholson De. Standing balance training: effect on balance and locomotion in hemiparetic adults. Arch Phys Med Rehabil. 1989;70:755–762.
  • Barreca S, Sigouin C.S., Lambert, C., Ansley, B. Effects of extra training on the ability of stroke survivors to perform an independent sit-to-stand: a randomized controlled trial. J Geriatr Phys Ther. 2004;27:59–64.
  • Bonan IV, Yelnik AP, Colle FM, et al. Reliance on visual information after stroke. Part II: effectiveness of a balance rehabilitation program with visual cue deprivation after stroke: a randomized controlled trial. Arch Phys Med Rehabil. 2004;85:274–278.
  • Engardt M, Ribbe T, Olsson E. Vertical ground reaction force feedback to enhance stroke patients' symmetrical body-weight distribution while rising/sitting down. Scand J Rehabil Med. 1993;25:41–48.

Sensory interventions

  • Fanthome Y, Lincoln NB, Drummond A, Walker MF. The treatment of visual neglect using feedback of eye movements: a pilot study. Disabil Rehabil. 1995;17(8):413–417.
  • Feys H, De Weerdt W, Verbeke G, et al. Early and repetitive stimulation of the arm can substantially improve the long-term outcome after stroke: a 5- year follow-up study of a randomized trial. Stroke. 2004;35:924–929.
  • Feys HM, De Weerdt WJ, Selz BE, et al. Effect of a therapeutic intervention for the hemiplegic upper limb in the acute phase after stroke. Stroke. 1998;29:785–792.
  • Fiebert IM, Brown E. Vestibular stimulation to improve ambulation after a cerebral vascular accident. Phys Ther. 1979;59(4):423–426.
  • Jongbloed L, Stacey S, Brighton C. Stroke rehabilitation: sensorimotor integrative treatment versus functional treatment. Am J Occup Ther. 1989;43:391–397.
  • Mazer BL, Sofer S, Korner-Bitensky N, Gelinas I, Hanley J, Wood-Dauphinee S. Effectiveness of a visual attention retraining program on the driving performance of clients with stroke. Arch Phys Med Rehabil. 2003;84:541–550.
  • Morioka S, Yagi F. Effects of perceptual learning exercises on standing balance using a hardness discrimination task in hemiplegic patients following stroke: a randomized controlled pilot study. Clin Rehabil. 2003;17:600–607.
  • Page SJ. Imagery improves upper extremity motor function in chronic stroke patients: a pilot study. Occup Ther j Res. 2000;20(3):200–215.
  • Yekutiel M, Guttman E. A controlled trial of the retraining of the sensory function of the hand in stroke patients. Neurol Neurosurg Psychiatry. 1993;56:241–244.
  • Conforto AB, Kaelin-Lang A, Cohen LG. Increase in hand muscle strength of stroke patients after somatosensory stimulation. Ann Neurol. 2002;51(1): 122–125.
  • Hommel M, Peres B, Pollak P, Memin B, Besson G, Gaio JM, Perret J. Effects of passive tactile and auditory stimuli on left visual neglect. Arch Neurol. 1990;47:573–576.
  • Garland SJ, Hayes KC. Effects of brushing on electromyographic activity and ankle dorsiflexion in hemiplegic subjects with foot drop. Physiother Canada. 1987;39(4):239–247.
  • Weinberg J, Piasetsky E, Diller L, Gordon W. Treating perceptual organization deficits in nonneglecting RBD stroke patients. j Clin Neuropsychol. 1982;4(1):59–75.
  • Carey LM, Matyas TA, Oke LE. Sensory loss in stroke patients: effective training of tactile and proprioceptive discrimination. Arch Phys Med Rehabil. 1993;74:602–611.
  • Hajek VE, Kates MH, Donnelly R, McGree S. The effect of visuo-spatial training in patients with right hemisphere stroke. Can j Rehabil. 1993;6:175–186.
  • Giaquinto S, Fraioli L. Enhancement of the somatosensory N140 component during attentional training after stroke. Clin Neurophysiol. 2003;114:329–335.
  • Lincoln NB, Whiting SE, Cockburn J, Bhavnani G. An evaluation of perceptual retraining. Int Rehabil Med. 1985;7:99–110.
  • Webster JS, Jones S, Blanton P, Gross R, Beissel GF, Wofford JD. Visual scanning training with stroke patients. Behav Ther. 1984;15:129–143.
  • Ageranioti SA, Hayes KC. Effects of vibration on hypertonia and hyperreflexia in the wrist joint of patients with spastic hemiparesis. Physiother Can. 1990;42(1):24–33.
  • Robertson IH, Nico D, Hood BM. Believing what you feel: using proprioceptive feedback to reduce unilateral neglect. Neuropsychology. 1997;11(1):53–58.
  • Taylor MM, Schaeffer JN, Blumenthal FS, Grisell JL. Perceptual training in patients with left hemiplegia. Arch Phys Med Rehabil. 1971;52(4):163–169.
  • Magnusson M, Johansson K, Johansson BB. Sensory stimulation promotes normalization of postural control after stroke. Stroke. 1994;25:1 176— 1180.

Constraint-induced movement therapy

  • Dromerick AW, Dorothy FE, Hahn M. Does the application of constraint-induced movement therapy during acute rehabilitation reduce arm impairment after ischemic stroke? Stroke. 2000;31:2984–2988.
  • Ploughman M, Corbett D. Can forced-use therapy be clinically applied after stroke? An exploratory randomized controlled trial. Arch Phys Med Rehabil. 2004;85:1417–1423.
  • Sterr A, Elbert T, Berthold I, Kölbert S, Rockstroh B, Taub E. Longer versus shorter daily constraint- induced movement therapy of chronic hemipare- sis: An exploratory study. Arch Phys Med Rehabil. 2002;83:1374–1377.
  • van der Lee JH, Wagenaar RC, Lankhorst GJ, Vogelaar TW, Devillé WL, Bouter Lm. Forced used of the upper extremity in chronic stroke patients. Stroke. 1999;30:2369–2375.
  • Wittenberg Gf, Chen R, Ishii K, Bushara KO, Taub E, Gerber LH, Hallett M, Cohen LG. Constraint- induced therapy in stroke: magnetic-stimulation motor maps and cerebral activation. Neurorehabil Neural Repair. 2003;17(1):48–57.
  • Kunkel A, Bauder H, Sommer M, Dettmers C, Taub E. Constraint-induced movement therapy for motor recovery in chronic stroke patients. Arch Phys Med Rehabil. 1999;80:624–628.
  • Liepert L, Miltner WHR, Bauder H, Sommer M, Dettmers C, Taub E, Weiller C. Motor cortex plasticity during constraint-induced movement therapy in stroke patients. Neurosci Lett. 1998;250:5–8.
  • Miltner WHR, Bauder H, Sommer M, Dettmers C, Taub E. Effects of constraint-induced movement therapy on patients with chronic motor deficits after stroke. Stroke. 1999;30:586–592.
  • Page SJ, Sisto SA, Levine P, McGrath RE. Efficacy of modified constraint-induced movement therapy in chronic stroke: a single-blinded randomized controlled trial. Arch Phys Med Rehabil. 2004;85:14–18.
  • Taub E, Miller NE, Novack TA, et al. Technique to improve chronic motor deficit after stroke. Arch Phys Med Rehabil. 1993;74:347–354.
  • Winstein CJ, Miller JP, Blanton S, et al. Methods for a multisite randomized trial to investigate the effect of constraint-induced movement therapy in improving upper extremity function among adults recovering from cerebrovascular stroke. Neurorehabil Neural Repair. 2003;17:137–152.
  • Ostendorf CG, Wolf SL. Effect of forced use of the upper extremity of a hemiplegic patient on changes in function. Phys Ther. 1981;67(7):1022–1028.
  • Ottenbacher KJ, Jannerl S. The results of clinical trials in stroke rehabilitation research. Arch Neurol. 1993;50:37–44.
  • Rose DK, Winstein CJ, Bimanual training after stroke: are two hands better than one? Top Stroke Rehabil. 2004;11(4):20–30.
  • Tremblay F, Tremblay LE. Constraint-induced movement therapy: evidence for its applicability in the context of a home rehabilitation intervention for subacute stroke. Physiother Can. 2002:116–121,131.
  • Wolf SL, Lecraw DE, Barton LA, Jann BB. Force use of hemiplegic upper extremities to reverse the effect of learned nonuse among chronic stroke and head-injured patients. Exp Neurol. 1989;104:125–132.

Shoulder subluxation

  • Dean CM, Mackey FH, Katrak P. Examination of shoulder positioning after stroke: a randomized controlled pilot trial. Aust J Physiother. 2000;46(1): 35–40.
  • Faghri PD, Rodgers MM, Glaser RM, Bors JG, Ho C, Akuthola P. The effects of functional electrical stimulation on shoulder subluxation, arm function recovery, and shoulder pain in hemiplegic stroke patients. Arch Phys Med Rehabil. 1994;75:73–79.
  • Hanger HC, Whitewood P, Brown G, Ball MC, Harper J, Cox R, Sainsbury R. A randomized controlled trial of strapping to prevent stroke shoulder pain. Clin Rehabil. 2000;14(4):370–380.
  • Linn SL, Granat MH, Lees KR. Prevention of shoulder subluxation after stroke with electrical stimulation. Stroke. 1999;30(5):963–968.
  • Wang RY, Chan rC, Tsai MW. Functional electrical stimulation on chronic and acute hemiplegic shoulder subluxation. Am J Phys Med Rehabil. 2000;79(4):385–390.
  • Chantraine A, Baribeault A, Uebelhart D, Gremion G. Shoulder pain and dysfunction in hemiplegia: effects of functional electrical stimulation. Arch Phys Med Rehabil. 1999;80(3):328–331.
  • Kobayashi H, Onishi H, Ihashi K, Yagi R, Handa Y. Reduction in subluxation and improved muscle function of the hemiplegic shoulder joint after therapeutic electrical stimulation. J Electromyogr Kinesiol. 1999;9(5):327–336.
  • Williams R, Toffs L, Minuk T, Evaluation of two support methods for the subluxated shoulder of hemiplegic patients. Phys Ther. 1988;68(8):1209–1214.
  • Brooke MM, de Lateur BJ, Diana-Rigby GC, Questad KA. Shoulder subluxation in hemiplegia: effects of three different supports. Arch Phys Med Rehabil. 1991;72(8):582–586.
  • Hurd MM, Farrell KH, Waylonis GW. Shoulder sling for hemiplegia: friend or foe? Arch Phys Med Rehabil. 1974;55: 519–522.
  • Yu DT, Chae J, Walker ME, Hart RL, Petroski GF. Comparing stimulation-induced pain during percutaneous (intramuscular) and transcutaneous neuromuscular electric stimulation for treating shoulder subluxation in hemiplegia. Arch Phys Med Rehabil. 2001;82:756–760.
  • Zorowitz RD, Idank D, Ikai T, Hughes MB, Johnston MV. Shoulder subluxation after stroke: a comparison of four supports. Arch Phys Med Rehabil. 1995;76:763–771.
  • Bohannon RW, Andrews AW. Shoulder subluxation and pain in stroke patients. Am j Occup Ther. 1990;44(6):507–509.
  • Fitzgerald-Finch OP, Gibson II. Subluxation of the shoulder in hemiplegia. Age Ageing. 1975;4:16–18.
  • Hakuno A, Sashika H, Ohkawa T, Itoh R. Arthrographic findings in hemiplegic shoulders. Arch Phys Med Rehabil. 1984;65(11):706–711.
  • Jensen EM. The hemiplegic shoulder. Scand J Rehabil Med. 1980;(suppl 7):113–119.
  • Porter SF, Hershey SL. Supporting the subluxated shoulder joint with a pajama-bottom sling. Nursing. 1979;9(4):56–57.
  • Jackson D, Turner-Stokes L, Khatoon A, Stern H, Knight L, O'Connell A. Development of an integrated care pathway for the management of hemiplegic shoulder pain. Disabil Rehabil. 2002;24(7):390–398.
  • Hanger HC, Whitewood P, Brown G, Ball MC, Harper J, Marson R. Strapping the stroke shoulder. J Clin Neurosci. 1999;6(3):286.
  • Braun RM, West F, Mooney V, Nickel VL, Roper B, Caldwell C. Surgical treatment of the painful shoulder contracture in the stroke patient. J Bone Joint Surg Am. 1971;53(7):1307–1312.
  • Healey WE, Falconer JA. Aggressive gait training in inpatient geriatric rehabilitation: a pilot study. Issues On Aging. 1996;19(2):3–9.

Electrical stimulation

  • Baker LL, Parker K. Neuromuscular electrical stimulation of the muscles surrounding the shoulder. Phys Ther. 1986;66(12):1930–1937.
  • Bowman BR, Baker LL, Waters RL. Positional feedback and electrical stimulation: an automated treatment for the hemiplegic wrist. Arch Phys Med Rehabil. 1979;60:497–501.
  • Cauraugh JH, Kim SB. Stroke motor recovery: active neuromuscular stimulation and repetitive practice schedules. J Neurol Neurosurg Psychiatry. 2003;74:1562–1566.
  • De Kroon JR, Ijzerman MJ, Lankhorst GJ, Zilvold G. Electrical stimulation of the upper limb in stroke: stimulation of the extensors of the hand vs. alternate stimulation of flexors and extensors. Am J Phys Med Rehabil. 2004;83(8):592–600.
  • Faghri PD, Rodgers MM. The effects of functional neuromuscular stimulation-augmented physical therapy program in the functional recovery of hemiplegic arm in stroke patients. Clin Kinesiol J Am Kinesiother Assoc. 1997;51(1):9–15.
  • Heckmann J, Mokrusch T, Kröckel A, Warnke S, von Stockert T, Neundörfer B. EMG-triggered electrical muscle stimulation in the treatment of central hemiparesis after a stroke. Eur J Phys Med Rehabil. 1997;7(5):138–141.
  • Kimberley TJ, Lewis SM, Auerbach EJ, Dorsey LL, Lojovich JM, Carey JR. Electrical stimulation driving functional improvements and cortical changes in subjects with stroke. Exp Brain Res. 2004;154:450–460.
  • Popovic MB, Popovic DB, Sinkjaer T, Stefanovic A, Schwirtlich L. Clinical evaluation of functional electrical therapy in acute hemiplegic subjects. J Rehabil Res Dev. 2003;40(5):443–454.
  • Powell J, Pandyan DA, Granat M. Cameron M, Scott DJ. Electrical stimulation of wrist extensors in poststroke hemiplegia. Stroke. 1999;30(7):1384–1389.
  • Winchester P, Montgomery J, Bowman B, Hislop H. Effects of feedback stimulation training and cyclical electrical stimulation on knee extension in hemiparetic patients. Phys Ther. 1983;63(7): 1096–1103.
  • Baker LL, Yeh C, Wilson D, Waters RL. Electrical stimulation of wrist and fingers for hemiplegic patients. Phys Ther. 1979;59(12):1495–1499.
  • Faghri PD. The effects of neuromuscular stimulation-induced muscle contraction versus elevation on hand edema in CVA patients. J Hand Ther. 1997;10:29–34.
  • Fields WR. Electromyographically triggered electric muscle stimulation for chronic hemiplegia. Arch Phys Med Rehabil. 1987;68:407–414.
  • Hendricks HT, Ijzerman MJ, de Kroon JR, Zilvold G. Functional electrical stimulation by means of the "ness handmaster orthosis'' in chronic stroke patients: an exploratory study. Clin Rehabil. 2001;15:217–220.
  • Hummelsheim H, Maier-Loth ML, Eickhof C. The functional value of electrical muscle stimulation for the rehabilitation of the hand in stroke patients. Scand J Rehabil Med. 1997;29:3–10.
  • Packman-Braun R. Relationship between functional electrical stimulation duty cycle and fatigue in wrist extensor muscles of patients with hemi- paresis. Phys Ther. 1988;68(1):51–56.
  • Pandyan AD, Grant MH, Stott DJ. Effects of electrical stimulation on flexion contractures in the hemiplegic wrist. Clin Rehabil. 1997;11:123–130.
  • Potisk KP. Gregoric M, Vodovnik L, Ind D. Effects of transcutaneous electrical nerve stimulation (TENS) on spasticity in patients with hemiplegia. Scand J Rehabil Med. 1995;27(3):169–174.
  • Renzenbrink GJ, Ijzerman M. Percutaneous neuromuscular electrical stimulation (P-NMES) for treating shoulder pain in chronic hemiplegia. Effects on shoulder pain and quality of life. Clin Rehabil. 2004;18:359–365.
  • Wang RY, Chan RC, Tsai MW. Effects of thoracolumbar electric sensory stimulation on knee extensor spasticity of persons who survived cerebrovascular accident (CVA). J Rehabil Res Dev. 2000;37(1):73–79.
  • Cauraugh J, Light K, Sangbum K, Thigpen M, Behrman A. Chronic motor dysfunction after stroke. Stroke. 2000;31:1360–1364.
  • Chae J, Hart R. Comparison of discomfort associated with surface and percutaneous intramuscular electrical stimulation for persons with chronic hemiplegia. Am J Phys Med Rehabil. 1998;77(6): 516–522.
  • Daly JJ, Ruff RL. Electrically induced recovery of gait components for older patients with chronic stroke. Am J Phys Med Rehabil. 2000;79:349–360.
  • Dimitrijevic MM, Soroker N. Mesh-glove. 2. modulation of residual upper limb motor control after stroke with whole hand electric stimulation. Scan J Rehabil Med. 1994;26:187–190.
  • Hines AE, Crago PE, Billian C. Functional electrical stimulation for the reduction of spasticity in the hemiplegic hand. ISA. 1993;0067–8856:259–266.
  • Popovic MB, Popovic DB, Sinkjaer T, Stefanovic A, Schwirtlich L. Restitution of reaching and grasping promoted by functional electrical therapy. Artificial Organs. 2002;26(3):271–275.
  • Teng EL, McNeal DR, Kralj A, Waters RL. Electrical stimulation and feedback training: effects on the voluntary control of paretic muscles. Arch Phys Med Rehabil. 1976;57:228.
  • Yu DT, Chae J, Walker ME, Fang ZP. Percutaneous intramuscular neuromuscular electric stimulation for the treatment of shoulder subluxation and pain in patients with chronic hemiplegia: a pilot study. Arch Phys Med Rehabil. 2001;82:20–25.
  • Chae J, Bethoux F, Dobos L, Davis T, Friedl A. Neuromuscular stimulation for upper extremity motor and functional recovery in acute hemiplegia. Stroke. 1998;29:975–979.
  • Freed ML, Freed L, Chatburn RL, Christian M. Electrical stimulation for swallowing disorders caused by stroke. Respiratory Care. 2001;46(5): 466–474.
  • Lagassé PP, Roy MA. Functional electrical stimulation and the reduction of co-contraction in spastic biceps brachii. Clin Rehabil. 1989;3:111–116.
  • Linn SL, Granat MH, Lees KR. Electrical stimulation prevents subluxation and associated pain when applied soon after stroke. Aust J Physiother. 2000;46:240–241.
  • Petersen T, Klemar B. Electrical stimulation as a treatment of lower limb spasticity. J Neuro Rehabil. 1988;2(3):103–108.
  • Waters RL, McNeal DR, Faloon W, Clifford B. Functional electrical stimulation of the peroneal nerve for hemiplegia. J Bone Joint Surg. 1985;67–A(5):792–793.

TENS

  • Levin MF, Hui-Chan CWV. Relief of hemiparetic spasticity by TENS is associated with improvement in reflex and voluntary motor functions. Electroencephalogr ClinNeurophysiol. 1992;85(2):131–142.
  • Sonde L, Gip C, Fernaeus SE, Nilsson CG, Viitanen M. Stimulation with low frequency (1.7 HZ) trans- cutaneous electric nerve stimulation (low-TENS) increases motor function of the post-stroke paretic arm. Scand J Rehabil Med. 1998;30(2):95–99.
  • Tekeoolu Y, Adak B, Goksoy T. Effects of transcuta- neous electrical nerve stimulation (TENS) on Barthel Activities of Daily Living (ADL) Index score following stroke. Clin Rehabil. 1998; 12(4):277–280.
  • Peurala SH, Pitkanen K, Sivenius J, Tarkka IM. Cutaneous electrical stimulation may enhance sensorimotor recovery in chronic stroke. Clin Rehabil. 2002;16(7):709–716.
  • Hui-Chan CWY, Levin MF. Stretch reflex latencies in spastic hemiparetic subjects are prolonged after transcutaneous electrical nerve stimulation. Le Journal Canadien des Sciences Neurologiques. 1993;20:97–106.
  • Lafosse C, Kerckhofs E, Troch M, Vandenbussche. Upper limb exteroceptive somatosensory and proprioceptive sensory afferent modulation of hemispatial neglect. J Clin Exp Neuropsychol. 2003;25(3):308–323
  • Johansson BB, Haker E, von Arbin M, et al. Acupuncture and transcutaneous nerve stimulation in stroke rehabilitation. Stroke. 2001;32(3):707–713.
  • Sonde L, Bronge L, Kalimo H, Viitanen M. Can the site of brain lesion predict improved motor function after low-TENS treatment on the post-stroke paretic arm. Clin Rehabil. 2000;15(5):545–551.
  • Perennou DA, Leblond C, Amblard B, Micallef JP, Herisson C, Pelissier Y. Transcutaneous electric nerve stimulation reduces neglect related postural instability after stroke. Arch Phys Med Rehabil. 2001;82:440–448.

Ultrasound

  • Inaba MK, Piorkowski M. Ultrasound in treatment of painful shoulders in patients with hemiplegia. Phys Ther. 1972;52(7):737–741.
  • Bansil CK, Joshi JB. Effectiveness of shortwave diathermy and ultrasound in treatment of osteoarthritis of the knee joint. Med J Zambia. 1975;9(5):138–139.
  • Falconer J, Hayes KW, Chang RW. Effect of ultrasound on mobility in osteoarthritis of the knee. Arthritis Care Res. 1992;5(1):29–35.
  • Lehmann JF, Erickson Dj, Martin GM, Krusen FH. Comparison of ultrasonic and microwave diathermy in the physical treatment of periarthritis of the shoulder. Arch Phys Med Rehabil. 1954;35(10):627–634

Acupuncture

  • Fink M, Rollnik JD, Bijak M, et al. Needle acupuncture in chronic poststroke leg spasticity. Arch Phys Med Rehabil. 2004;85:667–672.
  • Gosman-Hedstrom G, Claesson L, Klingenstierna U, et al. Effects of acupuncture treatment on daily life activities and quality of life. Stroke. 1998; 29:2100–2108.
  • Johansson K, Lindgren I, Widner H, Wiklund I, Johansson BB. Can sensory stimulation improve the functional outcome in stroke patients? Neurology. 1993;43:2189–2192.
  • Kjendahl A, Sällström S, Osten Egil P, Stanghelle Kvalvik J, Borchgrevink CF. A one year follow-up study on the effects of acupuncture in the treatment of stroke patients in the subacute stage: a randomized, controlled study. Clin Rehabil. 1997;11:192–200.
  • Moon SK, Whang YK, Park SU, Ko CN, Kim YS, Bae HS, cho KH. Antispastic effect of electroacupuncture and moxibustion in stroke patients. Am J Chin Med. 2003;31(3):467–474.
  • Naeser M, Alexander MP, Stiassny-Eder D, Galler V, Hobbs J, Bachman D. Real versus sham acupuncture treatment of paralysis in acute stroke patients: a CT scan lesion site study. J Neuro Rehabil. 1992;6:163–173.
  • Wong Alice MK, Su T-Y, Tang F-T, Liaw M-Y. Clinical trial of electrical acupuncture on hemiplegic stroke patients. Am J Phys Med Rehabil. 1999;78:117–122.
  • Chen CH, Chen TW, Weng MC, Wang WT, Wang YL, Huang MH. The effect of electroacupuncture on shoulder subluxation for stroke patients. Kaohsiung J Med Sci. 2000;16(10):525–532.
  • Hopwood V, Lewith G. The effect of acupuncture on the motor recovery of the upper limb after stroke. Physiotherapy. 1997;83(12):614–619.
  • Jianfei C, Meifang Y, Jia W. Hemorrheological study on the effect of acupuncture in treating cerebral infarction. J Trad Chin Med. 1988;8(3): 167–172.
  • Johansson BB, Haker E, von Arbin M, et al. Acupuncture and transcutaneous nerve stimulation in stroke rehabilitation. A randomized, controlled trial. Stroke. 2001;32:707–713.
  • Johansson K, Lindgren I, Widner H, Wiklund I, Johansson BB. Can sensory stimulation improve the functional outcome in stroke patients? Neurology. 1993;43:2189–2192.
  • Liyi Q, Zhonghui Z, Yuping L, Bangquan L, Guilan Z, Shixi H, San W. Acupuncture treatment of cerebrovascular occlusion and changes in hemorrheological indices during treatment; a clinical analysis of 100 cases. J Trad Chin Med. 1986;6(2):105–110.
  • Magnusson M, Johansson K, Johansson BB. Sensory stimulation promotes normalization of postural control after stroke. Stroke. 2002;25:186–194.
  • Park J, Hopwood V, White AR, Ernst E. Effectiveness of acupuncture for stroke: a systematic review. J Neurol. 2001;248:558–563.
  • Sällström S, Kjendahl A, Osten PE, Stanghelle JK. Acupuncture in the treatment of stroke patients in the subacute stage. Chin J Rehabil Theory Pract. 1995;1:5–9.
  • Sallstrom S, Kjendahl A, Osten PE, Stanghelle JH, Borchgrevink CF. Acupuncture in the treatment of stroke patients in the subacute stage: a randomized, controlled study. Complement Ther Med. 1996; 4:193–197.
  • Smith GV, Forrester LW, Silver KHC, Macko RF. Effects of treadmill training on translational balance perturbation responses in chronic hemiparetic stroke patients. J Stroke Cerebrovasc Dis. 2000;9(5):238–245
  • Sze K-H F, Wong E, Xiang Y, Woo J. Does acupuncture have additional value to standard poststroke motor rehabilitation? Stroke. 2002;33: 186–194.

Intensity and organization of rehabilitation

  • Ahrens J. Italian study concludes home hospitalization benefits stroke patients. Caring. 2004;23(8):40–42.
  • Andersen HE, Schultz-Larsen K, Kreiner S, Forchhammer BH, Eriksen K, Brown A. Can readmission after stroke be prevented? Results of a randomized clinical study: a postdischarge follow- up service for stroke survivors. Stroke. 2000;31:1038–1045.
  • Andersen HE, Eriksen K, Brown A, Schultz-Larsen K, Forchhammer BH. Follow-up services for stroke surviviors after hospital discharge- a randomized control study. Clin Rehabil. 2002;16:593–600.
  • Andersson A, Levin LA, Oberg B, Mansson L. Health care and social welfare costs in home- based and hospital-based rehabilitation after stroke. Scand J Caring Sci. 2002;16:386–392.
  • Askim T, Rohweder G, Lydersen S, Indreavik B. Evaluation of an extended stroke unit service with early supported discharge for patients living in a rural community. A randomized controlled trial. Clin Rehabil. 2004;8:238–248.
  • Bautz-Holter E, Sveen U, Rygh J, Rodgers H, Bruun Wyller T. Early supported discharge of patients with acute stroke: a randomized controlled trial. Disabil Rehabil. 2002;24(7):348–355.
  • Baskett JJ, Broad JB, Reekie G, Hocking C, Green G. Shared responsibility for ongoing rehabilitation: a new approach to home-based therapy after stroke. Clin Rehabil. 1999;13:23–33.
  • Claesson L, Gosman-Hedström G, Johannesson M, Fagerberg B, Blomstrand C. Resource utilization and costs of stroke unit care intergrated in a care continuum: a 1-year controlled, prospective, randomized study in elderly patients. Stroke. 2000;31:2569–2577.
  • Corr S, Bayer A. Occupational therapy for stroke patients after hospital discharge - a randomized controlled trial. Clin Rehabil. 1995;9:291–296.
  • Drummond AER, Miller N, Colquohoun M, Logan PC. The effect of a stroke unit on activities of daily living. Clin Rehabil. 1996;10:12–22.
  • Drummond AER, Walker MF. A randomized controlled trial of leisure rehabilitation after stroke. Clin Rehabil. 1995;9:283–290.
  • Drummond A, Walker M. Generalisation of the effects of leisure rehabilitation for stroke patients. Br J Occup Ther. 1996;59(7):330–334.
  • Evans A, Harraf F, Donaldson N, Kalra L. Randomized controlled study of stroke unit care versus stroke team care in different stroke subtypes. Stroke. 2002;33:449–455.
  • Falconer JA, Roth EJ, Sutin JA, Strasser DC, Chang RW. The critical path method in stroke rehabilitation: lessons from an experiment in cost containment and outcome improvement. QRB. 1993:8–16.
  • Fang Y, Chen X, Li H, Lin J, Huang R, Zeng J. A study on additional early physiotherapy after stroke and factors affecting functional recovery. Clin Rehabil. 2003;17:608–617.
  • Feigenson JS, Gitlow HS, Greenberg SD. The disability oriented rehabilitation unit - A major factor influencing stroke outcome. Stroke. 1979;10(1):5–7.
  • Feldman DJ, Lee PR, Unterecker J, Lloyd K, Rusk HA, Toole A. A comparison of functionally oriented medical care and formal rehabilitation in the management of patients with hemiplegia due to cerebrovascular disease. j Chronic Dis. 1961;15:297–310.
  • Fjaertoft H, Indredavik B, Lydersen S. Stroke unit care combined with early supported discharge: long-term follow-up of a randomized controlled trial. Stroke. 2003:34:2687–2692.
  • Gibson JW, Schkade JK. Occupational adaptation intervention with patients with cerebrovascular accident: a clinical study. Am J Occup Ther. 1997;51(7):523–529.
  • Gilbertson L, Langhorne P, Walker A, Allen A, Murray GD. Domiciliary occupational therapy for patients with stroke discharged from hospital: a randomized controlled trial. Br Med J. 2000;320:603–606.
  • Gürsel Y, Dinçer G, Dalyan M, Arasil T. Rehabilitation outcome in stroke patients in Turkey— an observational study of treated and untreated patients. Eur J Phys Med Rehabil. 1998;8(3):87–90.
  • Hamrin E. One year after stroke: a follow-up of an experimental study. Scand J Rehabil Med. 1982;14:111–116.
  • Hayes SH, Carroll SR. Early intervention care in the acute stroke patient. Arch Phys Med Rehabil. 1986;67:319–321.
  • Holmqvist WL, von Koch L, Kostulas V, et al. A randomized controlled trial of rehabilitation at home after stroke in southwest Stokholm. Stroke. 1998;29:591–597.
  • Indredavik B, Fjaertoft H, Ekeberg G, Loge AD, Morch B. Benefit of an extended stroke unit service with early supported discharge: a randomized, controlled trial. Stroke. 2000:31 (12):2989–2994.
  • Jongbloed L, Morgan D. An investigation of involvement in leisure activities after a stroke. Am J Occup Ther. 1991;45(5):420–427.
  • Kalra L, Eade J. Role of stroke rehabilitation units in managing severe disability after stroke. Stroke. 1995;26(11):2031–2034.
  • Kalra L, Evans A, Perez I, Knapp M, Donaldson N, Swift CG. Alternative strategies for stroke care: a prospective randomized controlled trial. Lancet. 2000;356:894–899.
  • Krespi Y, Gurol ME, Coban O, Tuncay R, Bahar S. Stroke unit versus neurology ward: a before and after study. J Neurol. 2003;250:1363–1369.
  • Lin JH, Hshieh CL, Kai Lo S, Chai HM, Liao LR. Preliminary study of the effect of low-intensity home-based physical therapy in chronic stroke patients. Kaohsiung J Med Sci. 2004;20(1):18–22.
  • Lincoln NB, Willis BA, Philips SA, Judy LC, Berman P. Comparison of rehabilitation practice on hospital wards for stroke patients. Stroke. 1996;27:18–23.
  • Lincoln NB, Parry RH, Vass CD. Randomized, controlled trial to evaluate increased intensity of physiotherapy treatment of arm function after stroke. Stroke. 1999;30:573–579.
  • Logan PA, Ahern J, Gladman JRF, Lincoln NB. A randomized controlled trial of enhanced social service occupational therapy for stroke patients. Clin Rehabil. 1997;11:107–113.
  • Mayo NE, Wood-Dauphinee S, Cote R, Gayton D, Carlton J, Buttery J, Tamblyn R. There's no place like home: an evaluation of early supported discharge for stroke. Stroke. 2000;31:1016–1023.
  • Nir Z, Zolotogorsky Z, Sugarman H. Structured nursing intervention versus routine rehabilitation after stroke. Am J Phys Med Rehabil. 2004;83(7):522–529.
  • Parry RH, Lincoln NB, Vass CD. Effect of severity of arm impairment on response to additional physiotherapy early after stroke. Clin Rehabil. 1999;13:187–198.
  • Partridge C, Mackenzie M, Edwards S, Reid A, Jayawardena S, Guck N, Potter J. Is dosage of physiotherapy a critical factor in deciding of recovery from stroke: a pragmatic randomized controlled trial. Physiother Res Int. 2000;5(4):230–240.
  • Rodgers H, Mackintosh J, Price C, Wood R, McNamee P, Fearon T, Marritt A, Curless R. Does an early increased-intensity interdisciplinary upper limb therapy programme following acute stroke improve outcome? Clin Rehabil. 2003;17:579–589.
  • Rodgers H, Soutter J, Kaiser W, Pearson P, Dobson R, Skilbeck C, Bond J. Early supported hospital discharge following acute stroke: pilot study results. Clin Rehabil. 1997;11:280–287.
  • Rudd AG, Wolfe CDA, Tilling K, Beech R. Randomized controlled trial to evaluate early discharge scheme for patients with stroke. Br Med J. 1997;315:1039–1044.
  • Ruff RM, Yarnell S, Marinos JM. Are stroke patients discharges sooner if in-patient rehabilitation services are provided seven vs six days per week? Am J Med Rehabil. 1999;78(2):143–146.
  • Sivenius J, Pyörälä K, Heinonen OP, Salonen JT, Riekkinen P. The significance of intensity of rehabilitation of stroke - a controlled trial. Stroke. 1985;16(6):928–931.
  • Smith DS, Goldenberg E, Ashburn A, et al. Remedial therapy after stroke: a randomized controlled trial. Br Med J. 1981;282:517–520.
  • Smith ME, Garraway WM, Smith DL, Akhtar AJ. Therapy impact on functional outcome in a controlled trial of stroke rehabilitation. Arch Phys Med Rehabil. 1982;63:21–24.
  • Sonada S, Saitoh E, Nagai S, Kawakita M, Kanada Y. Full-time integrated treatment program, a new system for stroke rehabilitation in Japan: comparison with conventional rehabilitation. Am j Phys Med Rehabil. 2004;83:88–83.
  • Sulch D, Melbourn A, Perez I, Kalra L. Integrated care pathways and quality of life on a stroke rehabilitation unit. Stroke. 2002;33:1600–1604.
  • Sunderland A, Tinson DJ, Bradley EL, Fletcher D, Hewer RL, Wade DT. Enhanced physical therapy improves recocery of arm function after stroke. A randomized trial. J Neurol Neurosurg Psychiatry. 1992;55:530–535.
  • Teng J, Mayo NE, Latimer E, Hanley J, Wood- Dauphinee S, Côté R, Scott S. Costs and caregiver consequences of early supported discharge for stroke patients. Stroke. 2003;34:528–536.
  • Turton A, Fraser C. The use of home therapy programs for improving recovery of the upper limb following stroke. Br J Occup Ther. 1990;53(11): 458–463.
  • Walker MF, Gladman JRF, Lincoln NB, Siemonsma P, Whiteley T. Occupational therapy for stroke patients not admitted to hospital: a randomized controlled trial. Lancet. 1999;354:278–280.
  • Wall JC, Turnbull GI. Evaluation of out-patient physiotherapy and a home exercise program in the management of gait asymmetry in residual stroke. J Neurol Rehabil. 1987;1(3):115–123.
  • Wikander B, Ekelund P, Milsom I. An evaluation of multidisciplinary intervention governed by functional independence measure (FIM) in incontinent stroke patients. Scand J Rehabil Med. 1998;30:15–21.
  • Young J, Forster A. Day hospital and home physiotherapy for stroke patients: a comparative cost- effectiveness study. J Royal Coll Physicians Lond. 1993;27(3):252–258.
  • Aitken PD, Rodgers H, French JM, Bates D, James OFW. General medical or geriatric unit care for stroke? A controlled trial. Age Ageing. 1993;22(2):4–5.
  • Goldberg G, Segal ME, Berk SN, Schall RR, Gershkoff AM. Stroke transition after inpatient rehabilitation. Top Stroke Rehabil. 1997;4(1):64–79.
  • Gompertz P, Pound P, Briffa J, Ebrahim S. How useful are non-random comparisons of outcomes and quality of care in purchasing hospital stroke services. Age Ageing. 1995;24:137–141.
  • Gordon N, Gulanick M, Costa F, et al. Physical activity and exercise recommendations for stroke survivors. Stroke. 2004;35:1229–1239
  • Hamrin EKF, Lindmark B. The effect of systemic care planning after stroke in general hospital medical wards. J Adv Nursing. 1990;15:1146–1153.
  • Indredavik B, Bakke F, Slordahl SA. Stroke unit treatment 10-years follow-up. Stroke. 1999;30:1524–1527.
  • Lincoln NB, Walker MF, Dixon A, Knights P. Evaluation of a multiprofessional community stroke team: a randomized controlled trial. Clin Rehabil. 2004;18:40–47.
  • McCann BC, Culbertson RA. Comparison of two system for stroke rehabilitation in a general hospital. J Am Geriatr Soc. 1976;24(5):211–216.
  • McNamee P, Christensen J, Soutter J, Rodgers H, Craig N, Pearson P, Bond J. Cost analysis of early supported hospital discharge for stroke. Age Ageing. 1998;27:345–351.
  • Reding MJ, McDowell FH. Focused stroke rehabilitation programs improve outcome. Arch Neurol. 1989;46:700–701.
  • Ricauda NA, Bo M, Molaschi M, Massaia M, Salerno D, Amati D, Tibaldi V, Fabris F. Home hospitalization service for acute uncomplicated first ischemic stroke in eldery patients: a randomized trial. J Am Geriatr Soc. 2004:52:278–283.
  • Ronning OM, Guldvog B. Stroke unit versus general medicine wards, II: Neurological deficits and activities of daily living; a quasi-randomized controlled trial. Stroke. 1998;29:586–590.
  • Sulch D, Perez I, Melbourn A, Kalra L. Randomized controlled trial of intergrated (managed) care pathway for stroke rehabilitation. Stroke. 2000;31:1929–1934.
  • Sulch D, Evans E, Melbourn A, Kalra L. Does an integrated care pathway improve processes of care in stroke rehabilitation? A randomized controlled trial. Age Ageing. 2002;31:175–179.
  • Summers D, Soper PA. Implementation and evaluation of stroke clinical pathways and the impact on cost of stroke care. J Cardiovasc Nursing. 1998;13:69–87.
  • Wolcott LE, Wheeler PC, Ballard P, Crumb CK, Miles G, Mueller A. Home-care vs. institutional rehabilitation of stroke: a comparative study. Rehabil Stroke. 1966;63(9):722–724.
  • Corr S, Phillips CJ, Walker M. Evaluation of a pilot service designed to provide support following stroke: a randomized cross-over design study. Clin Rehabil. 2004;18:69–75.
  • Garrawayw M, Akhtar AJ, Prescott RJ, Hockey L. Management of acute stroke in the elderly: preliminary results of a controlled trial. Br Med J. 1980;281:827–829.
  • Gladman JRF, Lincoln NB. Follow-up of a controlled trial of domiciliary stroke rehabilitation (DOMINO study). Age Ageing. 1994;23:9–13.
  • Granger CV, Greer DS, Liset E, Coulombe J, O'Brien E. Measurement of outcomes of care for stroke patients. Stroke. 1975;6:34–41.
  • Hamrin E. Early activation in stroke: does it make a difference? Scan J Rehabil Med. 1982;14:101–109.
  • Indredavik B, Slordahl SA, Bakke F, Rokseth R, Hahein LL. Stroke unit treatment. Stroke. 1997;28:1861–1866.
  • Indredavik B, Bakke F, Slordahl SA, Rokset R, Haheim LL. Stroke unit treatment improves longterm quality of life; a randomized controlled trial. Stroke. 1998;29:895–899.
  • Lindmark B, Hamrin E. Instrumental activities of daily living in two patient populations, three months and one year after a stroke. Scand J Caring Sci. 1989;3(4):161–168.
  • Parry RH, Lincoln NB, Appleyard MA. Physiotherapy for the arm and hand after stroke. Physiotherapy. 1999;85(8):417–425.
  • Ricauda NA, Fiorio Pla L, Marinello R, Molaschi M, Fabris F. Feasibility of an acute stroke home care service for elderly patients. Arch Gerontol Geriatry. 1998;6:17–22.
  • Ronning OM, Guldvog B. Outcome of subacute stroke rehabilitation: a randomized controlled trial. Stroke. 1998;29:779–784.
  • Stevens RS, Ambler NR, Warren MD. A randomized controlled trial of a stroke rehabilitation ward. Age Ageing. 1984;13:65–75.
  • Sunderland A, Fletcher D, Bradley L, Tinson D, Hewer RL, Wade DT. Enhanced physical therapy for arm function after stroke: a one year follow up study. j Neurol Neurosurg Psychiatry. 1994;57: 856–858.
  • Wade DT, Langton-Hewer R, Skilbeck CE, Bainton D, Burns-Cox C. Controlled trial of a home-care service for acute stroke patients. Lancet. 1985;1(8424):323–326.
  • Wolfe CD, Tilling K, Rudd AG. The effectiveness of community-based rehabilitation for stroke patients who remain at home: a pilot randomized trial. Clin Rehabil. 2000;14:563–569.
  • Eagle DJ, Guyatt GH, Patterson C, Turpie I, Sackett B, Singer J. Effectiveness of a geriatric day hospital. Can Med Assoc J. 1991;144(6):699–704.
  • Evans RL, Hendricks RD. Comparison of subacute rehabilitative care with outpatient primary medical care. Disabil Rehabil. 2001;23(12):531–538.
  • Hui E, Lum CM, Woo J, Or KH, Kay RLC. Outcome of elderly stroke patients, day hospital versus conventional medical management. Stroke. 1995;26:1616–1619.
  • Kalra L, Dale P, Crome P. Improving stroke rehabilitation: a controlled study. Stroke. 1993;24: 1462–1467.
  • Moseley BC. Rehabilitation effectiveness among long term nursing home stroke residents. Phys Occup Ther Geriatr. 1996;14(4):27–41.
  • Strand T, Asplund K, Eriksson S, Hägg E, Lithner F, Wester PO. A non-intensive stroke unit reduces functional disability and the need for long-term hospitalization. Stroke. 1985;16(1):29–34.
  • Tucker MA, Davison JG, Ogle SJ. Day hospital rehabilitation—effectiveness and cost in the elderly: a randomised controlled trial. Br Med J. 1984;289:1209–1212.
  • Von Arbin M, Britton M, de Faire U, Helmers C, Miah K, Murray U. A study of stroke patinets treated in a non-intensive stroke unit or in general wards. Acta Medica Scandinavica. 1980;208:81–85.
  • Wade DT, Collen FM, Robb GF, Warlow CP. Physiotherapy intervention late after stroke and mobility. Br Med J. 1992;304:609–613.
  • Anderson C, Mhurchu CN, Rubenach S, Clank M, Spencer C, Winsor A. Home or hospital for stroke rehabilitation? Results of a randomized controlled trial: II: cost minimization analysis at 6 months. Stroke. 2000;31(5):1032–1037.
  • Glader EL, Stegmayr B, Johansson L, Hulter-Asberg K, Wester PO. Differences in long-term outcome between patients treated in stroke units and in general wards. Stroke. 2001;32:2124–2130.
  • Holmqvist LW, von Koch L, Kostulas V, Holm M, Widsell G, Tegler H, Johansson K, Almazan J, de Pdro-Cuesta J. A randomized controlled trial of rehabilitation at home after stroke in southwest Stockholm. Stroke. 1998;29:591–597.
  • Jorgensen HS, Nakayama H, Raaschou HO, Larsen K, Hubbe P, Olsen TS. The effect of a stroke unit: reduction in mortality, discharge rate to nursing home, length of hospital stay, and cost: a community-based study. Stroke. 1995;26:1178–1182.
  • Özdemir F, Birtane M, Tabatabaei R, Kokino S, Ekuklu G. Comparing stroke rehabilitation outcomes between acute inpatient and non intense home settings. Arch Phys Med Rehabil. 2001;82:1375–1379.
  • Roderick P, Low J, Day R, Peasgood T, Mullee MA, Turnbull JC, Villar T, Raftery. Stroke rehabilitation after hospital discharge: a randomized trial comparing domiciliary and day-hospital care. Age Ageing. 2001;30:303–310.
  • Von Koch L, Widen Holmqvist L, Kostulas V, Almazan J, de Pedro-Cuesta J. A randomized controlled trial of rehabilitation at home after stroke in southwest Stockholm: outcome at six months. Scand J Rehabil Med. 2000;32:80–86.
  • Wood-Dauphinee S, Shapiro S, Bass E, Fletcher C, Georges P, Hensby V, Mendelsohn B. A randomized trial of team care following stroke. Stroke. 1984;15(5):864–872.
  • Young JB, Forster A. The Bradford community stroke trial: eight week results. Clin Rehabil. 1991;5:283–292.
  • Antonucci G, Guariglia C, Judica A, Magnotti L, Paolucci S, Pizzamiglio L, Zoccolotti P. Effectiveness of neglect rehabilitation in a randomized group study. J Clin Exp Neuropsychol. 1995;17(3): 383–389.
  • Brocklehurst JC, Andrews K, Richards B, Laycock PJ. How much physical therapy for patients with stroke. Br Med J. 1978;1:1307–1310.
  • Bryant NH, Candland L, Loewenstein R. Comparison of care and cost outcomes for stroke patients with and without home care. Stroke. 1974;5:54–59.
  • Burch S, Longbottom J, McKay M, Borland C. A randomized controlled trial of day hospital and day center therapy. Clin Rehabil. 1999; 13:1 05–112.
  • De Weerdt W, Nuyens G, Feys H, et al. Group physiotherapy improves time use by patients with stroke in rehabilitation. Austr J Physiother. 2001;47:53–61.
  • Donald IP, Baldwin RN, Bannerjee M. Gloucester hospital-at-home: a randomized controlled trial. Age Ageing. 1995;24:434–439.
  • Fagerberg B, Claesson L, Gosman-Hedström G, Blomstrand C. Effect of acute stroke unit care integrated with care continuum versus conventional treatment: a randomized 1-year study of elderly patients. Stroke. 2000;31:2578–2584.
  • Friedman PJ. Stroke outcome in elderly people living alone. Disabil Rehabil. 1995;17(2):90–93.
  • Gladman JRF. A randomized controlled trial of domiciliary stroke rehabilitation: results at six and 12 months. Clin Rehabil. 1992;6:13–14.
  • Gladman JRF, Lincoln NB, Barer DH. A randomized controlled trial of the domiciliary and hospital- based rehabilitation for stroke patients after discharge from hospital. j Neurol Neurosurg Psychiatry. 1993;56:960–966.
  • Gladman J, Whynes D, Lincoln N. Cost comparison of domiciliary and hospital-based stroke rehabilitation. Age Ageing. 1994;23:241–245.
  • Gladman J, Forster A, Young J. Hospital-and- home-based rehabilitation after discharge from hospital for stroke patients: analysis of two trials. Age Ageing. 1995;24(1):49–53.
  • Gosman- Hedström G, Claesson L, Blomstrand C. Assistive devices in elderly people after stroke: a longitudinal, randomized study—The Göteborg 70+ Stroke Study. Scand J Occupl Ther. 2002;9:109–118.
  • Gosman- Hedström G, Claesson L, Blomstrand C, Fagerberg B, Lundgren-Lindquist B. Use and cost of assistive technology the first year after stroke. Int J Technol Assess Health Care. 2002;18(3):520–527.
  • Hackett M, Anderson C, Vandal A, Rubenach S, et al. One year follow-up of a randomized controlled trial of accelerated hospital discharge and home- based stroke rehabilitation. Stroke. 2000;31:2817–2818.
  • Hamilton-Bruce MA, Black AB, Rowe CR, Lee R, Florance JM, Chivell J, Thomas EM, Massy-Westropp MG, Tomlinson L. Home stroke - early discharge for stroke patients. J Clin Neurosci. 1999;6(3):284–285.
  • Holmqvist LW, Pedro-Cuesta J, Holm M, Kostulas V. Intervention design for rehabilitation at home after stroke: a pilot feasibility study. Scand J Rehabil Med. 1995;27(1):43–50.
  • Indredavik B, Bakke F, Solberg R, Rokseth R, Haaheim LL, Holme I. Benefit of a stroke unit: a randomized controlled trial. Stroke. 1991 ;22: 1026-1031.
  • Indredavik B, Slordahl SA, Bakke F, Rokseth R, Haaheim LL Stroke unit care improves long-term survival and function. Cardiol Rev. 1999;16(1):24–27.
  • Indredavik B, Bakke F, Slordahl SA, Rokseth R, Haheim LL. Treatment in a combined acute and rehabilitation stroke unit: which aspects are most important? Stroke. 1999;30: 917–923.
  • Jorgensen HS, Kammersgaard LP, Nakayama H, Raaschou HO, Larsen K, Hubbe P, Olsen TS. Treatment and rehabilitation on a stroke unit improves 5-year survival. Stroke. 1999;30(5):930–933.
  • Jorgensen Hs, Kammersgaard LP, Houth J, Nakayam H, Raaschou HO, Larsen K, Hubbe P, Olsen TS. Who benefits from treatment and rehabilitation in a stroke unit? Stroke. 2000;31(2):434–439.
  • Juby LC, Lincoln NB, Berman P, Drummond A, Miller N, Colquhoum M, Clarke P. The effect of a stroke rehabilitation unit on functional outcome and psychological outcome: a randomized controlled trial. Cerebrovas Dis. 1996;6(2):106–110.
  • Kalra L. The influence of stroke unit rehabilitation on functional recovery from stroke. Stroke. 1994;25:821–825.
  • Kalra L, Dale P, Crome P. Stroke rehabilitation units - do elderly stroke patients benefit? Cerebrovasc Dis. 1994;4:146–151.
  • Keith RA, Wilson DB, Gutierrez P. Acute and subacute rehabilitation for stroke: a comparison. Arch Phys Med Rehabil. 1995;76:495–500.
  • Landi F, Gambassi G, Cocchi A, Bernabei R. Therapy for stroke patients living at home; outpatient therapy trialists. Lancet. 1999;354:1731.
  • Langhorne P, Williams BO, Gilchrist W, Howie K. Do stroke units save lives? Lancet. 1993;342:395–398.
  • Lincoln NB, Drummond AER, Berman P. Perceptual impairment and its impact on rehabilitation outcome. Disabil Rehabil. 1997;19(6):231–234.
  • Lincoln NB, Husbands S, Trescoli C, Drummond AER, Gladman JRF, Bertman P. Five year follow up a randomized controlled trial of a stroke rehabilitation unit. Br Med J. 2000;320:549.
  • Löfgren B, Nyberg L, Mattsson M, Gustafson Y. Three years after in-patient stroke rehabilitation: a follow-up study. Cerebrovasc Dis. 1999;9(3):163–170.
  • MacKay-Lyons MJ, Makrides L. Cardiovascular stress during a contemporary stroke rehabilitation program: Is the intensity adequate to induce a training effect? Arch Phys Med Rehabil. 2002;83: 1378–1383.
  • Mackey F, Ada L, Heard R, Adams R. Stroke rehabilitation: Are highly structured units more conducive to physical activity than less structured units? Arch Phys Med Rehabil. 1996;77:1066-1070.
  • Mant J, Carter J, Wade DT, Winner S. Family support for stroke: a randomized controlled trial. Lancet. 2000;356:808–813.
  • Millikan CH. Stroke intensive care units: objectives and results. Stroke. 1979;10(3):235–237.
  • Morten Ronning O, Guldvog B. Stroke units versus general medical wards, I: Twelve- and eighteen- month survival: a randomized controlled trial. Stroke. 1998;29:58–62.
  • Ni CM, Fu J, Liu CY. Influence of early rehabilitation on walking function of the patients with acute stroke. Chin J Rehabil. 1997;12:164–165.
  • Oseley CB. Rehabilitation effectiveness among long term nursing home stroke residents. Phys Occup Ther Geriatr. 1996;14(4):27–40.
  • Paolucci S, Antonucci G, Grasso MG, Morelli D, Troisi E, Coiro P, Bragoni M. Early versus delayed inpatient stroke rehabilitation: a matched comparison conducted in Italy. Arch Phys Med Rehabil. 2000;81:695–700.
  • Patel M, Potter J, Perez I, Kalra L. The process of rehabilitation and discharge planning in stroke: a controlled comparison between stroke units. Stroke. 1998;29:2484–2487.
  • Pitner SE, Mance CJ. An evaluation of stroke intensive care: results in a municipal hospital. Stroke. 1973;4:737–741.
  • Rubenach S, Anderson CS, Clark MS, Russell M, Spencer C, Winsor A. Early supportive discharge and rehabilitation trial (ESPRIT) in stroke. j Clin Neurosci. 1999;6(3):277–287.
  • Stavem K, Ronning OM. Survival of unselected stroke patients in a stroke unit compared with conventional care. QjM. 2002;95:143–152.
  • Von Koch L, de Pedro-Cuesta J, Kostulas V, Almazan J, Widen Holmqvist L. Randomized controlled trial of rehabilitation at home after stroke: one-year follow-up of patient outcome, resource use and cost. Cerbrovasc Dis. 2001;12:131–138.
  • Webb DJ, Fayad PB, Wilbur C, Thomas A, Brass LM. Effects of a specialized team on stroke care: the first two years of the Yale Stroke Program. Stroke. 1995;26:1353–1357.
  • Young JB, Forster A. The Bradford community stroke trial: results at six months. Br Med J. 1992;304:1085–1089.

Discussion

  • Deyo RA, Walsh NE, Schoenfeld LS, Ramamurthy S. Can trials of physical treatments be blinded: the example of transcutaneous electrical nerve stimulation for chronic pain. Am J Phys Med Rehabil. 1990;69:6–10.
  • Meek C, Pollock A, Potter J, Langhorne P. A systematic review of exercise trials post stroke. Clin Rehabil. 2003;17:6–13.
  • van der Lee JH. Constraint-induced therapy for stroke: more of the same or something completely different? Curr Opin Neurol. 2001;14(6):741–744.
  • Morris SL, Dodd KJ, Morris ME. Outcomes of progressive resistance strength training following stroke: a systematic review. Clin Rehabil. 2004;18(1):27–39.
  • Clark S, Tremblay F, Ste-Marie D. Differential modulation of corticospinal excitability during observation, mental imagery and imitation of hand actions. Neuropsychologia. 2004;42(1):105–112.
  • Tremblay F, Tremblay LE, Colcer DE. Modulation of corticospinal excitability during imagined knee movements. J Rehabil Med. 2001;33(5):230–234.
  • Malouin F, Belleville J, Richards CL, Desrosiers J, Doyon J. Working memory and mental practice outcomes after stroke. Arch Phys Med Rehabil. 2004; 85:177–183.
  • Jackson PL, Lafleur MF, Malouin F, Richards C, Doyon J. Potential role of mental practice using motor imagery in neurological rehabilitation. Arch Phys Med Rehabil. 204482:1133–1 141.
  • Pomeroy VM, Clark Ca, Millar SG, Baron JC, Markus HS, Tallis RC. The potential for utilizing the "mirror neurone system" to enhance recovery of the severely affected upper limb early after stroke: a review and hypothesis. Neurorehabil Neural Repair. 2005;19(1):4–14.
  • Pomeroy V, Tallis R. Neurological rehabilitation: a science struggling to come of age. Physiother Res Int. 2002;7(2):76–89.
  • LeMura LM, von Duvillard SP. Clinical Exercise Physiology. Philadelphia: Lippincott Williams & Wilkins; 2004.
  • Barnes WS. The relationship of motor-unit activation to isokinetic muscular contraction at different contractile velocities. Phys Ther. 1980;60(9): 1152–1158.
  • Macko RF, Ivey FM, Forrester LW. Task-oriented aerobic exercise in chronic hemiparetic stroke: training protocols and treatment effects. Top Stroke Rehabil. 2005;12(1):45–57.
  • Bach-y-Rita P. Rehabilitation versus passive recovery of motor control following general nervous system lesions. In: Desmedt JE, ed. Motor Control Mechanisms in Health and Disease. New York, NY: Raven Press; 1983:1085–1092.
  • Taub E, Uswatte G, Pidikiti R. Constraint-induced movement therapy: a new family of techniques with broad application to physical rehabilitation: a clinical review. J Rehabil Res Dev. 1999;36(3):237–251.
  • Teasell R. Stroke recovery and rehabilitation. Stroke. 2003;34(2):365–366.
  • Green J, Forster A, Bogle S, Young J. Physiotherapy for patients with mobility problems more than 1 year after stroke: a randomised controlled trial. Lancet. 2002;359:199–203.
  • Mulder T, Hochstenbach J. Adaptability and flexibility of the human motor system: implications for neurological rehabilitation. Neural Plasticity. 2001;8(1-2):131–140.
  • Sallis J, Owen N. Ecological models. In: Glanz K, Lewis F, Rimer B, eds. Health Behaviour and Health Education: Theory, Research, and Practice. San Fransisco, CA: Jossey-Bass; 1997:403–424.
  • Mauritz KH. Gait training in hemiplegia. Eur J Neurol. 2002;9\(suppl. 1):23–29.
  • Barbeau H, Fung J. The role of rehabilitation in the recovery of walking in the neurological population. Curr Opin Neurol. 2001;14(6):735–740.
  • Thirumala P, Hier DB, Patel P. Motor recovery after stroke: lessons from functional brain imaging. Neurol Res. 2002;24:453–458.
  • Mayo, N. E., N. Korner-Bitensky, et al. Relationship between response time and falls among stroke patients undergoing physical rehabilitation. Int J Rehabil Res. 1990;13(1):47–55.
  • Jorgensen L, Engstad T., Jacobsen BK. Higher incidence of falls in long-term stroke survivors than population controls: depressive symptoms predict falls after stroke. Stroke. 2002;33:542–547.
  • Mackintosh SF, Goldie P, Hill K. Falls incidence and factors associated with falling in older, community-dwelling, chronic stroke survivors (> 1 year after stroke) and matched controls. Aging Clin Exp Res. 2005;17:74–81.
  • Harris JE, Eng JJ, Marigold DS, Tokuno CD, Louis CL. Relationship of balance and mobility to fall incidence in people with chronic stroke. Phys Ther. 2005;85(2):150–158.
  • Perell KL. Nelson A. Goldman RL. Luther SL. Prieto- Lewis N. Rubenstein LZ. Fall risk assessment mea- sures: an analytic review. j Gerontol Series A-Biol Sci Med Sci. 2001;56(12):M761–766.
  • Perennou D, El Fatimi A, Masmoudi M, Benaim C, Loigerot M, Didier JP, Pelissier J. Incidence, circumstances and consequences of falls in patients undergoing rehabilitation after a first stroke. Annales de Readaptation et de Medecine Physique. 2005;48(3):138–145.
  • Ada L, Foongchomcheay A, Canning C. Supportive devices for preventing and treating subluxation of the shoulder after stroke [review]. Cochrane Database Syst Rev. 2005;(1):CD003863.
  • Griffin R, Reddin G. Shoulder pain in patients with hemiplegia: a literature review. Phys Ther. 1981;61:1041–1045.
  • Binder-Macleod SA, Lee SCK. Assessment of the efficacy of functional electrical stimulation in patients with hemiplegia. Top Stroke Rehabil. 1997;3(4):88–98.
  • McComas AJ, Sica REP, Upton ARM, Aguilera N. Functional changes in motoneurones of hemiparetic patients. J Neurol Neurosurg Psychiatry. 1973;36:183–193.
  • Bélanger A. Evidence-Based Guide to Therapeutic Physical Agents. Philadelphia, PA: Lippincott Williams & Wilkins; 2002.
  • Morin M, Brosseau L. A theoretical framework on low level laser therapy (classes I, II, III) application for the treatment of OA and RA [abstract]. In: Proceedings of the Canadian Physiotherapy Association Annual Congress, May 31, 1996. Victoria, BC: Canadian Physiotherapy Association; 1996.
  • Coderre TJ, Katz J, Vaccarino AL, Melzack R. Contribution of central neuroplasticity to pathological pain: review of clinical and experimental evidence. Pain. 1993;52:259–285.
  • Han JS, Chen XH, Sun SL, et al. Effect of low- and high-frequency TENS on Met-enkephalin-Arg-Phe and dynorphin A immunoreactivity in human lumbar CSF. Pain. 1991;47(3):295–298.
  • Ridding MC, Brouwer B, Milnes TS, et al. Changes in muscle responses to stimulation of motor cortex induced by peripheral nerve stimulation in human subjects. Exp Brain Res. 2000;131:135–143.
  • Willer JC. Relieving effect of TENS on painful muscle contraction produced by an impairment of reciprocal innervation: an electrophysiological analysis. Pain. 1988;32(3):271–274.
  • Abelson K, Langley GB, Sheppeard H, et al. Trascutaneous electrical nerve stimulation in rheumatoid arthritis. N Z Med J. 1983;96:156–158.
  • Brosseau L, Yonge K, Marchand S, Robinson V, Wells G, Tugwell P. Efficacy of transcutaneous electrical nerve stimulation (TENS) for rheumatoid arthritis: a systematic review. Phys Ther Rev. 2002;7:199–208.
  • Brosseau L, Yonge K, Marchand S, Robinson V, Osiri M, Wells G, Tugwell P. Efficacy of transcuta- neous electrical nerve stimulation for osteoarthritis of the lower extremities: a meta-analysis. Phys Ther Rev. 2004;9:213–233.
  • Levin MF, Hui-Chan CWY. Conventional and acupuncture-like transcutaneous electrical nerve stimulation excites similar afferent fibers. Arch Phys Med Rehabil. 1993;74:54–60.
  • Cheng R, Pomeranz B. Electroacupuncture analgesia could be mediated by at least two pain-relieving mechanisms: endorphin and non-endorphin systems. 1980;1957–1962.
  • Sjolund BH. Peripheral nerve stimulation suppression of C-fiber-evoked flexion reflex in rats. Part 1: parameters of continuous stimulation. J Neurosurg. 1985;63(4):612–616.
  • Gopalkrishnan P, Sluka KA. Effect of varying frequency, intensity, and pulse duration of transcuta- neous electrical nerve stimulation on primary hyperalgesia in inflamed rats. Arch Phys Med Rehabil. 2000;81(7):984–990.
  • Sluka KA, Deacon M, Stibal A, Strissel S, Terpstra A. Spinal blockade of opioid receptors prevents the analgesia produced by TENS in arthritic rats. J Pharmacol Exp Ther. 1999;289(2):840–846.
  • Sluka KA, Judge MA, McColley MM, Reveiz PM, Taylor BM. Low frequency TENS is less effective than high frequency TENS at reducing inflammation-induced hyperalgesia in morphine-tolerant rats. Eur J Pain. 2000;4(2):185–193.
  • Lundeberg T. Long-term results of vibratory stimulation as pain relieving for chronic pain. Pain. 1984;20:13–23.
  • Guieu R, Tardy-Gervet MF, Roll JP. Analgesic effects of vibration and transcutaneous electrical nerve stimulation applied separately and simultaneously to patients with chronic pain. Can J Neurol Sci. 1991;18:113–119.
  • Tardy-Gervet MF, Guieu R, Ribot-Ciscar E, Roll JP. Les vibrations mécaniques transcutanées: effets antalgiques et mécanismes antinociceptifs. Rev Neurol. (Paris). 1993;149:177–185.
  • Hartley A. Therapeutic Ultrasound. 2nd ed. Etobicoke, Ontario: Anne Hartley Agency; 1993.
  • Ministre des Approvisionnements et Services Canada. Principes d'utilisation des ultrasons. 1re partie: applications médicales et paramédicales. Ottawa: Centre d'édition du gouvernement du Canada; 1989.
  • Casimiro L, Brosseau L, Robinson V, Milne S, Judd M, Wells G, Tugwell P. Therapeutic ultrasound for the treatment of rheumatoid arthritis. Cochrane Database Syst Rev. 2002;(3):CD003787. DOI: 10.1002/14651858.
  • Koetsier JC. Effects of intensity of rehabilitation after stroke: a research synthesis. Stroke. 1997;28(8):1550–1556.

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