The issues of the intensity of task training and extent of cardiovascular stress during physical activity are also discussed. Although there is much to become excited about in the findings from clinical research, clinical practice in neurorehabilitation continues to vary widely and depends largely on the preferred approach of the individual therapist and on the continuing dominance of therapeutic methods developed half a century ago. Physiotherapists need to embrace the responsibility of using evidence-based, or at least scientifically acceptable, methods of intervention and objective measurements of outcome.