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In the United Kingdom, about 25% of patients with stroke are not admitted to hospital. Unfortunately many of these patients remain in the community with little or no coordinated rehabilitation. We have recently published the results of a single blind randomised controlled trial of occupational therapy for patients with stroke remaining in the community.1 We showed significant benefits across a range of outcomes at 6 months after stroke; extended activities of daily living (EADL), personal ADL, gross motor function, handicap, and carer strain. Correspondence2 suggested that these results were consistent with other similar smaller trials. In this report we present results at 1 year after stroke.
We identified patients from a community stroke register who had had a recent stroke (<1 month) and had not been admitted to hospital.1 The stroke register covered a geographical …