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Previous Volume 352:1677-1684 April 21, 2005 Number 16 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.

A 66-year-old man was suddenly unable to speak, follow directions, or move his right arm and leg. He received tissue plasminogen activator within 90 minutes. Four days later, his speech was limited to effortful answers of yes or no. He could not walk or use his right arm, and self-care tasks required maximal assistance. What advice would you offer him and his . . . [Full Text of this Article]

The Clinical Problem

Strategies and Evidence

Settings for Therapy

Targeted Therapy

            Aphasia

            Self-Care and Functional Use of the Arm

            Walking

            Exercise and Strengthening

Other Factors Affecting Rehabilitation

Areas of Uncertainty

Guidelines

Summary and Conclusions

Source Information

From the Department of Neurology, the Neurologic Rehabilitation and Research Program, Geffen School of Medicine, University of California at Los Angeles, Los Angeles.

Address reprint requests to Dr. Dobkin at the Department of Neurology, the Neurologic Rehabilitation and Research Program, Geffen School of Medicine, University of California at Los Angeles, 710 Westwood Plaza, Los Angeles, CA 90095, or at bdobkin@mednet.ucla.edu.

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