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J Neurol Neurosurg Psychiatry 2003;74:1465 doi:10.1136/jnnp.74.11.1465
  • Neuroplasticity and rehabilitation
  • Editorial commentary

Stroke: neuroplasticity and recent approaches to rehabilitation

  1. R M Bracewell
  1. Centre for Cognitive Neuroscience, School of Psychology, University of Wales, Bangor LL57 2AS and Walton Centre for Neurology and Neurosurgery, Liverpool L9 7LJ, UK
  1. Correspondence to:
 R M Bracewell;
 m.bracewellbangor.ac.uk
  • Received 7 May 2003
  • Accepted 1 July 2003

It is good to see that stroke, and in particular stroke rehabilitation, is losing its Cinderella status in the world of neurology. In this issue, Cauraugh and Kim (p 000) present the results of some recent work on the rehabilitation of arm function in chronic stroke patients.1 This work touches on several areas of interest to both clinicians and basic scientists.

Their work was in part motivated by suggestions in the motor learning literature that the repetitive practice of the same action (“blocked” practice) may be inferior to practising different actions (“random” practice). If this were so, then it would have important implications for everyday …

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