Stroke is a disorder that affects over 700,000 of people each year, with nearly 500,000 will be left with some sort of long-term disability. While the underlying cause is neurological disability in the region of the brain where the stroke occurred, the functional problem is most often physical disability. Many stroke patients can no longer use their extremities. Lower extremity deficit causes problems with walking and balance, while upper extremity deficit represents significant challenges with common activities of daily living (1). Stoke is considered one of the leading causes of disability in adults (2)! It can also have a tremendous impact on activities of daily living, and may result in dependence on a caregiver. Treatment for stroke has improved, and early detection and treatment can often mitigate the effects and prevent the sequelae of a stroke. Still nearly half a million stroke patients experience some level of physical dysfunction each year. Clearly physical dysfunction due to stroke is an enormous medical problem, and research to improve prevention, treatment and rehabilitation related to stroke is very important.

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