The mechanisms for recovery of motor function after stroke are largely unknown. New non-invasive techniques of Positron Emission Tomography (PET) and Transcranial Magnetic Stimulation (TMS) have provided evidence for changes within the cortical motor areas and descending pathways after stroke in adult subjects. Reorganisation of the corticospinal tract originating from the damaged hemisphere is important for recovery of hand function. Some implications for occupational therapy are discussed.
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