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Improvement After Constraint-Induced Movement Therapy Is Independent of Infarct Location in Chronic Stroke Patients
Author(s) -
Lynne V. Gauthier,
Edward Taub,
Victor W. Mark,
Christi Perkins,
Gitendra Uswatte
Publication year - 2009
Publication title -
stroke
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.397
H-Index - 319
eISSN - 1524-4628
pISSN - 0039-2499
DOI - 10.1161/strokeaha.109.548347
Subject(s) - medicine , stroke (engine) , constraint induced movement therapy , corticospinal tract , physical medicine and rehabilitation , neuroplasticity , infarction , cardiology , magnetic resonance imaging , radiology , upper limb , myocardial infarction , diffusion mri , mechanical engineering , psychiatry , engineering
Disruption of the corticospinal tract at various locations in the brain has been shown to predict worse spontaneous motor recovery after stroke. However, the anatomic specificity of previous findings was limited by the categorical classification of infarct locations. Here we used computational methods to more precisely determine the specific anatomic locations associated with impaired motor ability. More important, however, our study also used these techniques to evaluate whether infarct location could influence motor outcomes after Constraint-Induced Movement therapy (CI therapy), a specific and controlled form of physical therapy.

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