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From the Sunnybrook and Womens College Health Sciences Centre (Drs. Staines, McIlroy, Graham, and Black), Departments of Medicine (Neurology) (Drs. Staines, McIlroy, and Black) and Medical Biophysics (Dr. Graham), and Graduate Department of Rehabilitation Science (Drs. Staines and McIlroy), University of Toronto, Ontario, Canada.
Address correspondence and reprint requests to Dr. W.R. Staines, Cognitive Neurology, A421, Sunnybrook and Womens College Health Science Centre, 2075 Bayview Avenue, Toronto, Ontario, Canada M4N 3M5; e-mail: r.staines{at}utoronto.ca
Functional MRI was performed in two acute stroke patients and six control subjects performing unilateral and bilateral repetitive gripping tasks. Patients were tested at three time points during recovery. Initially, bilateral movement enhanced activation in the primary motor cortex (M1) of the affected hemisphere compared with unilateral paretic hand movement. With recovery, activation of M1 in the affected hemisphere did not differ between unilateral paretic hand and bilateral movement. These preliminary data may have potential implications for acute stroke motor rehabilitation.
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