For example, a labourer may use their arms
more, a pensioner may use them less. It should be noted that over-using the ipsilateral arm for undertaking most activities of daily living in turn can exacerbate further weakness in the paretic arm over time. This is caused by dystonia, which often relates to a painful range of movement disorders, causing involuntary spasms and/or muscular contraction, and which has been linked to impairments within central sensory
integration after CVA