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Exercise your medical evaluation skills in this UPMC Rehab Grand Rounds case study. RK is is an 66-year-old right-hand-dominant female who suffered an ischemic,left-middle cerebral artery stroke six months ago with residual right hemiparesis. What is your approach to her treatment? Drs. Shen and Leishear authored the case study.

Educational Objectives:

Upon completion of this activity, participants should be able to:

  • Identify the prevalence of upper hemiparesis in stroke patients.
  • Describe the current theories on motor recovery after stroke.
  • Review novel techniques and rehabilitation strategies in upper hemiparesis after stroke.

Reading Resources:

  1. Rosamond W et al. Heart Disease and Stroke Statistics 2007 Update: A Report From the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation. 2007; 115: e69-e171.
  2. Nichols-Larsen DS , Clark PC, Zeringue A, Greenspan A, Blanton S. Factors influencing stroke survivors’ quality of life during subacute recovery. Stroke. 2005; 36: 1480-1484.
  3. Lai SM, Studenski S, Duncan PW, Perera S. Persisting consequences of stroke measured by the Stroke Impact Scale. Stroke. 2002; 33:1840-1844.


Dr. Leishear has no relevant relationships with any entities producing healthcare goods or services.
Dr. Shen also has no relevant relationships with any entities producing healthcare goods or services.
Dr. Munin receives grant/research support from Allergan, Inc.

Accreditation Statement:

The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Pittsburgh School of Medicine designates this enduring material for a maximum of 1.0 AMA PRA Category 1 CreditsTM. Each physician should only claim credit commensurate with the extent of their participation in the activity. Other health care professionals are awarded (0.1) continuing education units (CEU) which are equivalent to 1.0 contact hours.

For your credit transcript, please access our website 4 weeks post-completion at and follow the link to the Credit Transcript page. If you do not provide the last 5 digits of your SSN on the next page you will not be able to access a CME credit transcript. Providing your SSN is voluntary.

Release Date: 10/7/2011 | Last Modified On: 10/7/2011 | Expires: 10/6/2012

This course has been expired.