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What Do Motor "Recovery" and "Compensation" Mean in Patients Following Stroke?

School of Physical and Occupational Therapy, McGill University and Center for Interdisciplinary Research in Rehabilitation, Jewish Rehabilitation Hospital, Montreal, Quebec, Canada, mindy.levin{at}mcgill.ca

Jeffrey A. Kleim, PhD

McKnight Brain Institute, University of Florida, and Brain Rehabilitation Research Center, Malcom Randall VA Hospital, Gainesville, Florida

Steven L. Wolf, PhD, PT, FAPTA, FAHA

Departments of Rehabilitation Medicine, Medicine and Cell Biology, Emory University School of Medicine, and Atlanta VA Rehabilitation R&D Center, Atlanta, Georgia

There is a lack of consistency among researchers and clinicians in the use of terminology that describes changes in motor ability following neurological injury. Specifically, the terms and definitions of motor compensation and motor recovery have been used in different ways, which is a potential barrier to interdisciplinary communication. This Point of View describes the problem and offers a solution in the form of definitions of compensation and recovery at the neuronal, motor performance, and functional levels within the framework of the International Classification of Functioning model.

Key Words: Rehabilitation • Terminology • Recovery • Compensation • Stroke • Hemiplegia

This version was published on May 1, 2009

Neurorehabilitation and Neural Repair, Vol. 23, No. 4, 313-319 (2009)
DOI: 10.1177/1545968308328727


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