Ron
I don't have a problem with the quote you posted.  The traditional
rehabilitation model is one of compensation, not remediation, which is what
this doc is pointing out.  There are many sites that do focus more on the use
of the unaffected arm/hemibody and not on the remediation of the affected
arm/hemibody with CVA patients.  Personally, if I had a stroke, I would first
want to make every effort to regain as much use of the affected hemibody as I
could, and would choose to use adapted techniques only after attempting as
much remediation as possible.  Regaining the strength and coordination of the
affected limbs offers me much more flexibility in approaching any
occupational role in which I choose to engage.  Since full recovery is
frequently not possible, certainly adaptations also need to be explored, but
not necessarily as the preferred or first treatment of choice.
Ann

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