task-oriented vs compensation oriented stroke rehab

This is one of the failings of the therapy providers, they don't tell you the difference and ask which you would prefer. I talk about it here - http://oc1dean.blogspot.com/2011/08/improving-poststroke-recovery.html
and here - http://oc1dean.blogspot.com/2010/10/compensation-vs-recovery.html
Peter Levine posts about it here - http://recoverfromstroke.blogspot.com/2010/11/make-them-walk-funny-and-look-lousy-in.html
And since my arm recovery has almost no usable tasks I have to break down movements into very small pieces. One of the tasks that my OT had as a goal was forward reaching and grasping. I can't even get close to doing that in free space, but if I wrap my hand around a railing I can push my whole body away, I need resistance in order to trigger the ability. So some of my exercises consist of lying in bed with my left arm at 90 degrees to my body and forearm upright and straightening out my arm 1-25 times before I go to sleep. I have a fair amount of spasticity to overcome. And some times I just work on the last three inches of straightening the arm. These small movements don't show up in any therapy protocols because researchers and therapists have taken the easy way out and just worked on hemiparesis recovery rather than figuring out how hemiplegia recovery could take place.