Entry Date:
January 26, 2006

The Effect of Proximal and Distal Training on Stroke Recovery

Principal Investigator David E Krebs


How can motor recovery following a stroke be maximized? Is “optimal therapy” bound to an all encompassing functional training or is a modular training approach, involving specificity and proper sequence of training to each limb segment, also effective?

This project has the following specific aims:

(1) Test whether specific wrist robotic training improves motor performance among inpatients and persons with chronic impairment after stroke.

(2) Test whether the order in which robot therapy is delivered influences outcomes among persons with chronic impairment after stroke (planar before wrist vs. wrist before planar).

(3) Test whether there is any generalization of recovery gains across different joints among persons with chronic impairment after stroke.

(4) Test whether there is any interference between training across different joints among persons with chronic impairment after stroke.

(5) Develop a competent Internal Model using ANN not just capable of learning a novel task, but also capable of retaining this learning while learning another new task.