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Abstract
<p class="first" id="d328794e101">Stroke remains a leading cause of adult disability
and the demand for stroke rehabilitation
services is growing. Substantial advances are yet to be made in stroke rehabilitation
practice to meet this demand and improve patient outcomes relative to current care.
Several large intervention trials targeting motor recovery report that participants'
motor performance improved, but to a similar extent for both the intervention and
control groups in most trials. These neutral results might reflect an absence of additional
benefit from the tested interventions or the many challenges of designing and doing
large stroke rehabilitation trials. Strategies for improving trial quality include
new approaches to the selection of patients, control interventions, and endpoint measures.
Although stroke rehabilitation research strives for better trials, interventions,
and outcomes, rehabilitation practices continue to help patients regain independence
after stroke.
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