This is the first documented case in which changes in the size and location of the cortical map were associated with an intervention and improvement in function in an individual with tetraplegia. This case suggests that an intensive training intervention may induce both functional and neurophysiological changes.

When combined with SS, both unimanual and bimanual MP training improve hand function and sensation in individuals with tetraplegia. Changes in hand function seem to be associated with increased corticomotor map area.

Hand training combined with either SS or FES was associated with improved hand use and corticomotor activity in persons with chronic tetraplegia. Both interventions appear to be equally effective.

No abstract