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of affected UE Liepert et al. (2022) Literature Review ? Measures: MAL, transcranial magic stimulation mapping of motor output, motor threshold, and amplitude weighted center of activation sites (CoG) ? Results – 1 day post Rx, % more activity in affected hemisphere was noted – Increased cortical representation area in affected hemisphere – Increase in ADLs persisting at 6 mo f/u Conclusions ? CIMT has been proven effective in subacute and chronic stroke for all but the 25% of pts with most severely impaired extremity fxn ? CIMT may reverse the “l(fā)earned nonuse” behavior by making pts more willing to use the affected extremity in functional ADLs ? CIMT seems to result in cortical reanization which represents the pts actual potential for recovery of fxn in the affected extremities Questions for Acute Care Practitioners to Ponder ? Can pensatory skills be taught without jeopardizing spontaneous recovery of the affected side? ? How can resources best be allotted to promote recovery of hemiplegic limbs? ? How can we best bridge the gap b/t therapeutic gains in the clinic and fxnl (I) in the real world? Questions?