Hand movement is one of the hardest things to get back after stroke. Three reasons hand recovery is so difficult: 1. You need proximal stability for distal mobility. Your shoulder, scapula and trunk need to be stable before your hand can move better. 2. Your hand takes up MASSIVE brain real estate. You have 27 bones, 34 muscles controlling finger movement—all that precision requires enormous brain power. The motor cortex area for your hand is about as big as the area controlling your entire leg.
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