Intensity of practice after stroke: More is better

Gert Kwakkel*

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

The present debate paper addresses four relevant issues related to the impact of intensity of practice after stroke. First, the best way to define intensity of practice is discussed. Second, the paper describes the evidence that exists for a dose-response relationship in stroke rehabilitation. Third, the relevance of an appropriate patient selection for a meaningful intensive practice is explored. Finally, the feasibility of intensive practice by: (1) early started mobilization of stroke patients (2) ability to practice in groups, (3) using forced use paradigms such as constrained induced movement therapy for the upper limb, (4) using robotics and (electronic) devices that help patients to practice on their own and (5) preventing poor compliance in terms of practice in therapeutic sessions by identifying factors that predict poor adherence are discussed.

Original languageEnglish
Pages (from-to)295-298
Number of pages4
JournalSchweizer Archiv fur Neurologie und Psychiatrie
Volume160
Issue number7
Publication statusPublished - 1 Nov 2009

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