Improvement in arm and hand function after a stroke with task-oriented training

BMJ Case Rep. 2017 Mar 17:2017:bcr2017219250. doi: 10.1136/bcr-2017-219250.


A man aged 77 years sustained a left-hemisphere stroke with right hemiparesis. After spending 10 days in the hospital, he was referred to an area rehabilitation centre. There he carried out daily physical, occupational and speech therapy, with an emphasis on task-oriented treatment. The patient's upper-extremity motor performance was evaluated at admission to the rehabilitation centre and before leaving the hospital by 3 different measurement tools: the upper-extremity motor part of the Fugl-Meyer assessment scale, electromyography in hand-reach and grasp and object manipulation and handwriting tasks. Significant improvement in hand function was observed in proximal as well as in distal skills. Significant improvement in handwriting skills and decreased impairment level of the upper extremity had considerable effects on the quality of life of the patient. The case report emphasises the importance of intensive task-oriented training during the first 3 months after stroke to support the natural recovery of the lesioned area.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Arm* / physiopathology
  • Exercise Therapy / methods*
  • Hand Strength
  • Hand* / physiopathology
  • Humans
  • Male
  • Paresis / etiology
  • Paresis / rehabilitation*
  • Paresis / therapy
  • Recovery of Function
  • Stroke / complications
  • Stroke / therapy
  • Stroke Rehabilitation*