PHYS THER
Vol. 87, No. 11, November 2007, pp. 1559-1560
DOI: 10.2522/ptj.2007.87.11.1559.2
On "Modified constraint-induced therapy..." Page and Levine. Phys Ther. 2007;87:872–878.
I would like to compliment Page and Levine1 on a well-written article providing modifications of a technique that has proven to be instrumental in the rehabilitation of individuals with hemiparesis following a cerebral vascular accident. However, I am concerned about the choice of words ("chronic stroke") to define the population. My first encounter with this term occurred when a graduate student presented it in her thesis. I discussed my concerns and the inappropriate use of this term, as, to my knowledge, "chronic stroke" has never been operationally defined and universally accepted. Your article came out weeks after I recommended changing the term from "chronic stroke" to something that can be understood and is more descriptive of the population. However, I note that PTJ has used this term in the past and that it has been used in Archives of Physical Medicine and Rehabilitation as well. Im unaware how many others use this term.
I feel that we should not be creating our own "jargon"; instead, we should be using terms that are more universally accepted and that actually describe our population. "Chronic stroke" concerns me, as it is not descriptive. Stroke is the actual accident, and "chronic" does not give me a time frame. My concern is that I want physical therapists to be able to communicate with other professionals, and if I dont understand what "chronic stroke" is, how can I expect others outside our profession to understand it? Developing our own jargon isolates us from other professionals.
Ellen A Hillegass
EA Hillegass, PT, PhD, CCS, is based in Atlanta, Ga
 | Footnotes |
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This letter was posted as a Rapid Response on September 6, 2007, at www.ptjournal.org.
References
- Page SJ, Levine P. Modified constraintinduced therapy in patients with chronic stroke exhibiting minimal movement ability in the affected arm.
Phys Ther. 2007;87:872–878.[Abstract/Free Full Text]

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Copyright © 2007 by the American Physical Therapy Association.