{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:35:01Z","timestamp":1787016901581,"version":"build-2736575974"},"reference-count":42,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2017,3,4]]},"abstract":"<jats:p>A man aged 77 years sustained a left-hemisphere stroke with right hemiparesis. After spending 10\u2005days 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\u2005months after stroke to support the natural recovery of the lesioned area.<\/jats:p>","DOI":"10.1136\/bcr-2017-219250","type":"journal-article","created":{"date-parts":[[2017,3,17]],"date-time":"2017-03-17T11:45:18Z","timestamp":1489751118000},"page":"bcr2017219250","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":23,"title":["Improvement in arm and hand function after a stroke with task-oriented training"],"prefix":"10.1136","volume":"2017","author":[{"given":"Sharon","family":"Israely","sequence":"first","affiliation":[{"name":"Department of Physical Therapy, University of Haifa, Haifa, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9975-7331","authenticated-orcid":false,"given":"Gerry","family":"Leisman","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, University of Haifa, Haifa, Israel"},{"name":"Department of Neuroscience, The National Institute for Brain and Rehabilitation Sciences, Nazareth, Israel"},{"name":"Department of Clinical Neurophysiology, Universidad de Ciencias Medicas de La Habana, La Habana, Cuba"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eli","family":"Carmeli","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, University of Haifa, Haifa, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2017,3,17]]},"reference":[{"key":"2025082702214039000_2017.mar17_1.bcr2017219250.1","first-page":"e61","article-title":"Heart disease and stroke statistics\u20142008 update: a report from the American heart association statistics committee and stroke statistics subcommittee","volume":"117","author":"Rosamond","year":"2008","journal-title":"Circulation"},{"key":"2025082702214039000_2017.mar17_1.bcr2017219250.2","doi-asserted-by":"publisher","DOI":"10.1186\/1743-0003-6-5"},{"key":"2025082702214039000_2017.mar17_1.bcr2017219250.3","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1186\/s12984-015-0054-0","article-title":"A novel method for the quantification of key components of manual dexterity after stroke","volume":"12","author":"T\u00e9r\u00e9metz","year":"2015","journal-title":"J Neuroeng Rehabil"},{"key":"2025082702214039000_2017.mar17_1.bcr2017219250.4","doi-asserted-by":"publisher","DOI":"10.1177\/1545968306289299"},{"key":"2025082702214039000_2017.mar17_1.bcr2017219250.5","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1080\/10749357.2016.1183383","article-title":"Handwriting performance versus arm forward reach and grasp abilities among post-stroke patients, a case-control study","volume":"24","author":"Israely","year":"2016","journal-title":"Top Stroke Rehabil"},{"key":"2025082702214039000_2017.mar17_1.bcr2017219250.6","doi-asserted-by":"publisher","DOI":"10.1177\/1545968314562647"},{"key":"2025082702214039000_2017.mar17_1.bcr2017219250.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2005.09.016"},{"key":"2025082702214039000_2017.mar17_1.bcr2017219250.8","doi-asserted-by":"publisher","DOI":"10.1177\/1545968312440745"},{"key":"2025082702214039000_2017.mar17_1.bcr2017219250.9","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2003.06.027"},{"key":"2025082702214039000_2017.mar17_1.bcr2017219250.10","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1002\/oti.276","article-title":"Changes in hemiplegic grasp following distributed repetitive intervention: a case series","volume":"16","author":"Conti","year":"2009","journal-title":"Occup Ther Int"},{"key":"2025082702214039000_2017.mar17_1.bcr2017219250.11","doi-asserted-by":"publisher","DOI":"10.1038\/nn.2596"},{"key":"2025082702214039000_2017.mar17_1.bcr2017219250.12","doi-asserted-by":"publisher","DOI":"10.1016\/0022-510X(95)00003-K"},{"key":"2025082702214039000_2017.mar17_1.bcr2017219250.13","first-page":"1","article-title":"Constraint-induced movement therapy for rehabilitation of arm dysfunction after stroke in adults: an evidence-based analysis","volume":"11","author":"Medical Advisory Secretariat, Health Quality Ontario","year":"2011","journal-title":"Ont Health Technol Assess Ser"},{"key":"2025082702214039000_2017.mar17_1.bcr2017219250.14","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2004.01.028"},{"key":"2025082702214039000_2017.mar17_1.bcr2017219250.15","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2016.0276"},{"key":"2025082702214039000_2017.mar17_1.bcr2017219250.16","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2014.011619"},{"key":"2025082702214039000_2017.mar17_1.bcr2017219250.17","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1093\/ptj\/46.4.357","article-title":"Motor testing procedures in hemiplegia: based on sequential recovery stages","volume":"46","author":"Brunnstrom","year":"1966","journal-title":"Phys Ther"},{"key":"2025082702214039000_2017.mar17_1.bcr2017219250.18","doi-asserted-by":"crossref","first-page":"13","DOI":"10.2340\/1650197771331","article-title":"The post-stroke hemiplegic patient. I.a method for evaluation of physical performance","volume":"7","author":"Fugl Meyer","year":"1975","journal-title":"Scand J Rehabil Med"},{"key":"2025082702214039000_2017.mar17_1.bcr2017219250.19","doi-asserted-by":"publisher","DOI":"10.1007\/BF03324787"},{"key":"2025082702214039000_2017.mar17_1.bcr2017219250.20","doi-asserted-by":"publisher","DOI":"10.1016\/S1050-6411(97)84626-3"},{"key":"2025082702214039000_2017.mar17_1.bcr2017219250.21","unstructured":"Shumway-Cook A , Woollacott MH . Motor control: translating research into clinical practice. Lippincott Williams & Wilkins, 2012."},{"key":"2025082702214039000_2017.mar17_1.bcr2017219250.22","doi-asserted-by":"crossref","first-page":"277","DOI":"10.3389\/fnbeh.2015.00277","article-title":"Basal forebrain motivational salience signal enhances cortical processing and decision speed","volume":"9","author":"Raver","year":"2015","journal-title":"Front Behav Neurosci"},{"key":"2025082702214039000_2017.mar17_1.bcr2017219250.23","doi-asserted-by":"publisher","DOI":"10.1177\/1545968314521001"},{"key":"2025082702214039000_2017.mar17_1.bcr2017219250.24","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1186\/s12906-016-1193-y","article-title":"Additional effects of acupuncture on early comprehensive rehabilitation in patients with mild to moderate acute ischemic stroke: a multicenter randomized controlled trial","volume":"16","author":"Chen","year":"2016","journal-title":"BMC Complement Altern Med"},{"key":"2025082702214039000_2017.mar17_1.bcr2017219250.25","doi-asserted-by":"crossref","first-page":"597","DOI":"10.1007\/s13760-015-0465-5","article-title":"Mirror therapy enhances upper extremity motor recovery in stroke patients","volume":"115","author":"Cristina","year":"2015","journal-title":"Acta Neurol Belg"},{"key":"2025082702214039000_2017.mar17_1.bcr2017219250.26","doi-asserted-by":"publisher","DOI":"10.1161\/STR.0000000000000098"},{"key":"2025082702214039000_2017.mar17_1.bcr2017219250.27","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2923.2009.03421.x"},{"key":"2025082702214039000_2017.mar17_1.bcr2017219250.28","doi-asserted-by":"publisher","DOI":"10.2522\/ptj.20060174"},{"key":"2025082702214039000_2017.mar17_1.bcr2017219250.29","doi-asserted-by":"crossref","first-page":"206","DOI":"10.1093\/ptj\/67.2.206","article-title":"Interrater reliability of a modified ashworth scale of muscle spasticity","volume":"67","author":"Bohannon","year":"1987","journal-title":"Phys Ther"},{"key":"2025082702214039000_2017.mar17_1.bcr2017219250.30","first-page":"5975504","article-title":"Arm control recovery enhanced by error augmentation","volume":"2011","author":"Abdollahi","year":"2011","journal-title":"IEEE Int Conf Rehabil Robot"},{"key":"2025082702214039000_2017.mar17_1.bcr2017219250.31","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1016\/j.nrl.2011.12.012","article-title":"Movement analysis of upper extremity hemiparesis in patients with cerebrovascular disease: a pilot study","volume":"27","author":"Molina Rueda","year":"2012","journal-title":"Neurologia"},{"key":"2025082702214039000_2017.mar17_1.bcr2017219250.32","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinph.2006.09.022"},{"key":"2025082702214039000_2017.mar17_1.bcr2017219250.33","doi-asserted-by":"publisher","DOI":"10.1177\/1545968312452631"},{"key":"2025082702214039000_2017.mar17_1.bcr2017219250.34","doi-asserted-by":"publisher","DOI":"10.1177\/1545968308328727"},{"key":"2025082702214039000_2017.mar17_1.bcr2017219250.35","doi-asserted-by":"publisher","DOI":"10.1007\/s00221-003-1438-0"},{"key":"2025082702214039000_2017.mar17_1.bcr2017219250.36","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.0000132569.33572.75"},{"key":"2025082702214039000_2017.mar17_1.bcr2017219250.37","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1111\/j.1440-1630.2011.00960.x","article-title":"A review of factors that influence adult handwriting performance","volume":"58","author":"van Drempt","year":"2011","journal-title":"Aust Occup Ther J"},{"key":"2025082702214039000_2017.mar17_1.bcr2017219250.38","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469-7610.1997.tb01619.x"},{"key":"2025082702214039000_2017.mar17_1.bcr2017219250.39","doi-asserted-by":"publisher","DOI":"10.1016\/S0167-9457(01)00032-X"},{"key":"2025082702214039000_2017.mar17_1.bcr2017219250.40","doi-asserted-by":"publisher","DOI":"10.1016\/j.humov.2004.08.019"},{"key":"2025082702214039000_2017.mar17_1.bcr2017219250.41","doi-asserted-by":"publisher","DOI":"10.1016\/j.jstrokecerebrovasdis.2015.04.047"},{"key":"2025082702214039000_2017.mar17_1.bcr2017219250.42","doi-asserted-by":"publisher","DOI":"10.1016\/j.jstrokecerebrovasdis.2010.02.022"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2017-219250","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T09:21:53Z","timestamp":1756286513000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2017-219250"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,3,17]]},"references-count":42,"alternative-id":["10.1136\/bcr-2017-219250"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2017-219250","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,3,17]]}}}