Abstract

This article explores contemporary rehabilitation within New Zealand to maximise the control of fine finger function after stroke within the context of a case study of a 66 year old male with activity and participation limitations in the arm following a stroke. A brief review of mechanisms of motor control relating to the case study is undertaken including Corticomotoneurone and corticospinal tract, recovery of function and neuroplastic changes, sensory deficits, learned non-use, coactivation and motor unit recruitment, grip selection and increased tone. Following this there is a discussion of the evidence to support the assessment and treatment techniques chosen. The rationale and evidence for a change in practice will then be

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