Stroke remains a leading cause of adult disability and the demand for stroke rehabilitation services is growing. Substantial advances are yet to be made in stroke rehabilitation practice to meet this demand and improve patient outcomes relative to current care. Several large intervention trials targeting motor recovery report that participants' motor performance improved, but to a similar extent for both the intervention and control groups in most trials. These neutral results might reflect an absence of additional benefit from the tested interventions or the many challenges of designing and doing large stroke rehabilitation trials. Strategies for improving trial quality include new approaches to the selection of patients, control interventions, and endpoint measures. Although stroke rehabilitation research strives for better trials, interventions, and outcomes, rehabilitation practices continue to help patients regain independence after stroke.

中文翻译：

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中风康复的进展与挑战

中风仍然是导致成人残疾的主要原因，对中风康复服务的需求正在增长。中风康复实践尚未取得实质性进展，以满足这一需求并改善患者相对于当前护理的结果。几项针对运动恢复的大型干预试验报告说，参与者的运动表现有所改善，但在大多数试验中干预组和对照组的程度相似。这些中性结果可能反映了所测试的干预措施没有额外的好处，或者设计和进行大型卒中康复试验的许多挑战。提高试验质量的策略包括选择患者的新方法、控制干预和终点措施。尽管中风康复研究力求更好的试验，