James Sulzer, Roger Gassert
Stroke, caused by a cerebrovascular lesion, is one of the most debilitating diseases in the world. While physical and occupational therapy play an important role in the rehabilitation process, we are still unable to determine effective treatment strategies for the reduction of stroke-related impairments. It appears that reducing impairments after stroke may be mostly spontaneous and that therapy primarily supports compensation. Despite the source of the injury in the brain, treatment strategies are only at the limb level. The focus on the limbs while brain reorganization goes unmonitored could controversially result in compensatory neuroplasticity that limits recovery.