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Neuropsychology and the relearning of motor skills following stroke.

Regaining independent mobility is one of the most important goals in physical therapy with patients suffering from the consequences of stroke. Both physical therapy and occupational therapy are learning processes in which the patient has to remaster old skills or has to learn novel skills. It is argued that the (re-)learning of motor control is a process in which motor aspects continuously interact with sensory and cognitive processes. It is therefore necessary that neuropsychological knowledge should be integrated in the therapy in order to create the most optimal situation for learning. In this article the most prominent neuropsychological consequences are described and suggestions are given as to how a therapist may use this knowledge to improve the therapy.