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Semin Neurol 2014; 34(05): 485-495
DOI: 10.1055/s-0034-1396002
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Poststroke Upper Limb Recovery

Adelyn P. Tsu
1   Department of Neurology/Rehabilitation Service, San Francisco VA Medical Center, San Francisco, California
2   Department of Neurology, University of California, San Francisco, San Francisco, California
,
Gary M. Abrams
1   Department of Neurology/Rehabilitation Service, San Francisco VA Medical Center, San Francisco, California
2   Department of Neurology, University of California, San Francisco, San Francisco, California
,
Nancy N. Byl
3   Department of Physical Therapy and Rehabilitation Science, University of California, San Francisco, California
› Author Affiliations
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Publication History

Publication Date:
17 December 2014 (online)

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Abstract

Upper limb recovery after a stroke is suboptimal. Only a few individuals achieve full functional use of the hemiparetic arm. Complex primary and secondary impairments may affect recovery of upper limb function in stroke survivors. In addition, multiple personal, social, behavioral, economic, and environmental factors may interact to positively or negatively influence recovery during the different stages of rehabilitation. The current management of upper limb dysfunction poststroke has become more evidence based. In this article, we review the standard of care for upper limb poststroke rehabilitation, the evidence supporting the treatment modalities that currently exist and the exciting new developments in the therapeutic pipeline.

Keywords

stroke - upper limb rehabilitation - stroke management
 

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