The EXCITE Randomized Clinical Trial

نویسندگان

  • Steven L. Wolf
  • Carolee J. Winstein
چکیده

EACH YEAR, MORE THAN 730 000 Americans experience a new or recurrent stroke, with resulting direct and indirect health care costs totaling $35 billion and $21.8 billion, respectively. Up to 85% of the approximately 566 000 stroke survivors experience hemiparesis, resulting in impairment of an upper extremity immediately after stroke, and between 55% and 75% of survivors continue to experience upper extremity functional limitations, which are associated with diminished health-related quality of life, even 3 to 6 months later. Although traditional methods for rehabilitation among patients with limited upper extremity function after stroke, such as neurodevelopmental techniques, have not been shown to be efficacious in controlled studies, more recent approaches that involve repetitive training of the paretic upper extremity on task-oriented activities give evidence of efficacy among stroke sur-

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تاریخ انتشار 2006