After treatment, the muscle output area size in the affected hemisphere was significantly enlarged, corresponding to a greatly improved motor performance of the paretic limb. Shifts of the center of the output map in the affected hemisphere suggested the recruitment of adjacent brain areas. In follow-up examinations up to 6 months after treatment, motor performance remained at a high level, whereas the cortical area sizes in the 2 hemispheres became almost identical, representing a return of the balance of excitability between the 2 hemispheres toward a normal condition33. Effects on real world situations ; post constraint induced movement therapy:
Results on modified barthel index shows that participants do significantly improve their quality and skill of movement as the result of constraint induced movement therapy both in massed practice and distributed practice group, distributed practice has shown a better effect than massed