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109. Effects of Intensity of Lower and Upper Extremity Training After a Primary Middle Cerebral Artery Stroke: A Randomized Clinical Trial Gert Kwakkel,PhD (Amsterdam,The Netherlands),Robert C. Wagenaar,PhD (Boston,Massachusetts),Jos W. R. Twisk,PhD (Amsterdam,The Netherlands),Gustaaf J. Lankhorst,MD,PhD (Amsterdam,The Netherlands),and Johan C. Koetsier MD,PhD (Amsterdam,The Netherlands