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Constraint-induced movement therapy ( CI , CIT , or CIMT ) is a form of rehabilitation therapy that improves upper extremity function in stroke and other central nervous system damage patients by increasing the use of their affected upper limb. Due to its high duration of treatment, the therapy has been found to frequently be infeasible when attempts have been made to apply it to clinical situations, and both patients and treating clinicians have reported poor compliance and concerns with patient safety. In the United States, the high duration of the therapy has also made the therapy not able to get reimbursed in most clinical environments.

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69-671: People for the Ethical Treatment of Animals , or more commonly known as PETA is an American animal rights organization. Peta or PETA may refer to: People for the Ethical Treatment of Animals People for the Ethical Treatment of Animals ( PETA ; / ˈ p iː t ə / ) is an American animal rights nonprofit organization based in Norfolk, Virginia , and led by Ingrid Newkirk , its international president. Founded in March 1980 by Newkirk and animal rights activist Alex Pacheco ,

138-545: A selfie it had taken while handling Slater's camera, and naming themselves to be the administrator of any copyright revenue. The monkey selfie copyright dispute was originally dismissed by Judge Orrick who wrote there is no indication that the Copyright Act extends to animals and a monkey could not own a copyright. PETA appealed, but the Court of Appeals found in favor of Slater saying that "PETA's real motivation in this case

207-630: A "war council," with two dozen of her top strategists gathered at a square table in the PETA conference room, with no suggestion considered too "kooky or unkind". PETA also gives an annual prize, called the Proggy Award (for "progress"), to individuals or organizations dedicated to animal welfare or who distinguish themselves through their efforts within the area of animal welfare. Many of the campaigns have focused on large corporations. Fast food companies such as KFC, Wendy's, and Burger King have been targeted. In

276-575: A call to action that all members of the National Institute of Health resign effective immediately and that there is a "need to find a new NIH director to replace the outgoing Francis Collins who will shut down research that violates the dignity of nonhuman animals." In 2019, the WCWP discovered a USDA funded lab in Beltsville, Maryland which conducted toxoplasmosis experiments on kittens resulting in

345-563: A dress made of meat in 2010, PETA issued a statement objecting to the dress. After a fisherman in Florida was bitten by a shark in 2011, PETA proposed an advertisement showing a shark devouring a human, with the caption "Payback Is Hell, Go Vegan". The proposed ad drew criticism from relatives of the injured fisherman. After Minnesota dentist Walter Palmer admitted that he had killed Cecil the lion in Zimbabwe in 2015, PETA's president, Newkirk, issued

414-508: A group of activists that hold that taxpayers should not have to pay $ 20 billion every year for experiments on animals, said that the National Institute of Allergy and Infectious Diseases provided $ 400,000 in taxpayer money to fund experiments in which 28 beagles were infected by disease-causing parasites. The White Coat Project found reports that said dogs taking part in the experiments were "vocalizing in pain" after being injected with foreign substances. Following public outcry, PETA made

483-450: A group of residents moved out, leaving their dogs behind, which is why the workers were on the property. The state later determined that PETA had violated state law by failing to ensure that the Chihuahua , who was not wearing a collar or tag, was properly identified and for failing to keep the dog alive for five days before euthanizing the animal. Citing a "severity of this lapse in judgment,"

552-441: A half hour per day, on 3 days/week over a 10-week period. Concurrently, patients wear a mitt on the less affected limb for 5 hours/weekday during the same 10-week period. In addition to providing more practice with the affected limb than "traditional" CI therapy over the 10-week period, the regimen is in greater accord with outpatient therapy regimens around the world, is less costly, and the efficacy has been shown to be comparable to

621-425: A letter of complaint to Nintendo about their video game 1-2-Switch , during which players get to milk a cow. In her letter, Newkirk called the game "unrealistic" and wrote "you've taken all the cruelty out of milking". She also suggested that "instead of sugarcoating the subject, Nintendo switch to simulating activities in which no animals suffer." In March 2020, PETA issued a "Vegan Guide to Animal Crossing" for

690-432: A match." PETA is a strong proponent of euthanasia. They oppose the no-kill movement , and rather than adoption programs, PETA prefers to aim for zero births through spaying and neutering . They recommend not breeding pit bulls , and support euthanasia in certain situations for animals in shelters, such as those being housed for long periods in cramped cages. PETA considers the word pet to be "derogatory and patronises

759-769: A moderate or more severe stroke, due to balance problems, serious cognitive deficits, and global aphasia , which may reduce understanding of safety instructions and interfere with a patient's ability to communicate difficulties. The cost of resources needed to conduct CIMT treatment protocol are high. Costs are generated due to the intensity of therapy required for CIMT, as participants typically receive up to 6 hours of one-on-one therapy at least 5 days per week for 2 weeks. CIMT can be prohibitively expensive for patients paying out-of-pocket or for publicly funded health care systems attempting to make this program available to all eligible stroke survivors. Therapist apprehension directed at safety issues with constraint use, lack of facilities,

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828-522: A more intensive CI therapy schedule. Practitioners say that stroke survivors disabled for many years have recovered the use of their limbs using CIMT. However, it has been shown that receiving CIMT early on (3–9 months post-stroke) will result in greater functional gains than receiving delayed treatment (15–21 months post-stroke), with no benefits associated with its administration acutely (< 3 months post stroke). However, modified CI therapy protocols have shown larger treatment effects when administered in

897-539: A number of satirical video games with such names as How Green Is My Diet? and KKK or AKC? Spot the Difference . PETA uses these games to spread attention about animal rights and animal welfare and to advocate vegetarian and vegan diets. PETA's head of online marketing Joel Bartlett said "We've found that parody games are extremely popular. By connecting our message with something people are already interested in, we're able to create more buzz." In 2017, Ingrid Newkirk sent

966-670: A paid staff of over 100, and an annual budget of over $ 7 million. PETA India was founded in 2000 and is based in Mumbai , India. PETA and the NGO Animal Rahat, authorized by the Animal Welfare Board of India (AWBI), participated in a nine-month investigation of 16 circuses in India. After it was said that "animals used in circuses were subjected to chronic confinement, physical abuse, and psychological torment", AWBI, in 2013, banned

1035-460: A political science major at George Washington University . He volunteered at the shelter where she worked, and they fell in love and began living together. Newkirk read Peter Singer 's influential book, Animal Liberation (1975), and in March 1980, she persuaded Pacheco to join her in forming People for the Ethical Treatment of Animals, at that point just "five people in a basement," as Newkirk described it. They were mostly students and members of

1104-481: A resident of Accomack County, Virginia , produced video evidence that two workers in a van marked with a PETA logo had entered his property in a trailer park and taken his dog , who was then euthanized . He reported the incident to the police, who identified and charged two PETA workers, but the charges were later dropped by the commonwealth attorney on the grounds that it was not possible to prove criminal intent . The trailer park's manager had contacted PETA after

1173-617: A response from Virginia lawmakers. Ingrid Newkirk was born in England in 1949, and raised in Hertfordshire and later New Delhi, India, where her father—a navigational engineer—was stationed. Newkirk, now an atheist, was educated in a convent, the only British girl there. She moved to the United States as a teenager, first studying to become a stockbroker, but after taking some abandoned kittens to an animal shelter in 1969 and being appalled by

1242-580: A shopping center in Ahoskie, North Carolina , over the course of a month in 2005; the two employees were seen leaving behind 18 dead animals, and 13 more were found inside their van. The animals had been euthanized after being removed from shelters in Northampton and Bertie counties. A Bertie County Deputy Sheriff stated that the two employees assured the Bertie Animal Shelter that "they were picking up

1311-433: A statement on behalf of PETA in which she said: Hunting is a coward's pastime. If, as has been reported, this dentist and his guides lured Cecil out of the park with food so as to shoot him on private property, because shooting him in the park would have been illegal, he needs to be extradited, charged, and, preferably, hanged. PETA sends its staff undercover into industries and other facilities that use animals to document

1380-430: A strong supporter of direct action that removes animals from laboratories and other facilities: "When I hear of anyone walking into a lab and walking out with animals, my heart sings." Newkirk was quoted in 1999, "When you see the resistance to basic humane treatment and to the acknowledgment of animals' social needs, I find it small wonder that the laboratories aren't all burning to the ground. If I had more guts, I'd light

1449-515: A traffic accident that you have to look at." PETA has also objected to the practice of mulesing (removing strips of wool-bearing skin from around the buttocks of a sheep). In October 2004, PETA launched a boycott against the Australian wool industry, leading some clothing retailers to ban products using Australian wool from their stores. In response, the Australian wool industry sued PETA, arguing among other things that mulesing prevents flystrike ,

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1518-494: A very painful disease that can affect sheep. A settlement was reached, and PETA agreed to stop the boycott, while the wool industry agreed to seek alternatives to mulesing. In 2011, PETA named five orcas as plaintiffs and sued SeaWorld over the animals' captivity, seeking their protection under the Thirteenth Amendment . A federal judge heard the case and dismissed it in early 2012. In August 2014, SeaWorld announced it

1587-633: Is an animal rights organization that opposes speciesism , and the abuse of animals in any way, such as for food, clothing, entertainment, or research. In 2020, PETA's website claimed they had 6.5 million supporters, and received donations of $ 49 million for 2019. The organization is known for aggressive media stunts, combined with a solid base of celebrity support—in addition to its honorary directors, Paul McCartney , Alicia Silverstone , Eva Mendes , Charlize Theron , Ellen DeGeneres , and many other notable celebrities have appeared in PETA ads. Every week, Newkirk holds what The New Yorker calls

1656-579: Is even greater among children than adults. Particular interest is growing in CIMT for children who have cerebral palsy where one arm is more affected than the other. As with adults, however, the plausibility of administering CIMT in pediatric models is low except in specialized, for profit, clinics, due to its intensive parameters, and it has been noted that compliance is especially low in most community-dwelling children. Both CIMT and modified CIMT may be applicable to up to 20–25 percent of stroke patients, and

1725-600: Is to combine restraint of the unaffected limb and intensive use of the affected limb. Types of restraints include a sling or triangular bandage , a splint, a sling combined with a resting hand splint, a half glove, and a mitt. Determination of the type of restraint used for therapy depends on the required level of safety vs. intensity of therapy. Some restraints restrict the wearer from using their hand and wrist, though allow use of their non-involved upper extremity for protection by extension of their arm in case of loss of balance or falls. However, restraints that allow some use of

1794-579: The Vogue magazine in 1989 that even if animal testing resulted in a cure for AIDS, PETA would oppose it. The group also believes that it is wasteful, unreliable, and irrelevant to human health, because artificially induced diseases in animals are not identical to human diseases. They say that animal experiments are frequently redundant and lack accountability, oversight, and regulation. They promote alternatives, including embryonic stem cell research and in vitro cell research. The White Coat Waste Project (WCWP),

1863-613: The Center for Consumer Freedom (CCF) said in a news release that "[a]n official report filed by PETA itself shows that the animal rights group put to death nearly every dog, cat, and other pet it took in for adoption in 2006," with a kill rate of 97.4 percent. In 2012, the Virginia Department of Agriculture and Consumer Services said that it had in the past considered changing PETA's status from "shelter" to "euthanasia clinic", citing PETA's willingness to take in "anything that comes through

1932-521: The Draize test . These and the Silver Spring monkey case jointly put animal rights on the agenda in the United States. The 10-year battle for custody of the monkeys—described by The Washington Post as a vicious mud fight, during which both sides accused the other of lies and distortion— transformed PETA into a national, then international, movement. By February 1991, it claimed over 350,000 supporters,

2001-673: The Super Bowl , only to have it banned by the network. PETA's work has drawn the ire of some feminists who argue that the organization sacrifices women's rights to press its agenda. Lindsay Beyerstein criticized PETA saying "They're the ones drawing disturbing analogies between pornography, misogyny and animal cruelty." PETA has approached cities to pressure them to change their names, including Fishkill, New York in 1996, Hamburg, New York in 2003, and Commerce City, Colorado in 2007. PETA sometimes issues isolated statements or press releases, commenting on current events. After Lady Gaga wore

2070-444: The Virginia Department of Agriculture and Consumer Services issued PETA a first-ever violation and imposed a $ 500 fine. The contract worker who had taken the dog was dismissed by PETA. In 2015, PETA sued British nature photographer David Slater in US court as a next friend for a wild macaque monkey, whom they named Naruto. PETA argued that the monkey was entitled to the copyright of

2139-447: The dogs to take them back to Norfolk where they would find them good homes." During the trial, Daphna Nachminovitch, the supervisor of PETA's Community Animal Project, said PETA began euthanizing animals in some rural North Carolina shelters after it found the shelters killing animals in ways PETA considers inhumane, including by shooting them. She also stated that the dumping of animals did not follow PETA's policy. In November 2014,

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2208-467: The hemiplegic upper extremity in chronic stroke patients. The effects of constraint-induced movement therapy and its modified versions have been found to improve movements that not only remain stable for months after the completion of therapy, but translate well to improvements of everyday functional task. As stated earlier, the "traditional" form of constraint-induced movement therapy (CIMT) has not been incorporated as part of standard practice for

2277-733: The British Advertising Standards Authority asked that the ads be discontinued after complaints from interest groups such as The National Farmers' Unions. In August 2011, it was announced that PETA will be launching a soft pornography website in the .xxx domain. PETA spokesperson Lindsay Rajt told the Huffington Post , "We try to use absolutely every outlet to stick up for animals," adding that "We are careful about what we do and wouldn't use nudity or some of our flashier tactics if we didn't know they worked." PETA also used nudity in its "Veggie Love" ad which it prepared for

2346-596: The Institute of Behavioral Research in Silver Spring, Maryland. The case led to the first police raid in the United States on an animal laboratory, triggered an amendment in 1985 to the United States Animal Welfare Act, and became the first animal-testing case to be appealed to the United States Supreme Court, which upheld a Louisiana State Court ruling that denied PETA's request for custody of

2415-712: The Pentagon stopped shooting pigs and goats in wounds tests, and a slaughterhouse in Texas was closed down. As part of its anti-fur action, PETA supporters have infiltrated hundreds of fashion shows in the U.S. and Europe and one in China, throwing red paint on the catwalks and unfurling banners. Celebrities and supermodels have posed naked for the group's "I'd Rather Go Naked Than Wear Fur" campaign—some men, but mostly women—triggering criticism from some feminist animal rights advocates. The New Yorker writes that PETA activists have crawled through

2484-479: The acute phase. CIMT was developed by Edward Taub of the University of Alabama at Birmingham . Taub argues that, after a stroke, the patient stops using the affected limb because they are discouraged by the difficulty. As a result, a process that Taub calls " learned non-use " sets in, furthering the deterioration. Learned non-use is a type of negative feedback. Individuals are unable to move their affected limb or

2553-579: The alleged abuse of animals. Investigators may spend many months as employees of a facility, making copies of documents and wearing hidden cameras. Various U.S. states have passed ag-gag laws to prevent animal rights and animal welfare groups from conducting undercover investigations of operations that use animals. In response, PETA has been involved with other groups bringing lawsuits, citing First Amendment protections for free speech. Two PETA employees were acquitted in 2007 of cruelty to animals after at least 80 euthanized animals were left in dumpsters in

2622-434: The amount of improvement produced by either regimen appears to diminish as the initial motor ability of the patient decreases. Both CIMT and modified CI therapy has been shown to be an effective means of stroke rehabilitation regardless of the level of initial motor ability, amount of chronicity , amount of prior therapy, side of hemiparesis , or infarct location. This suggests that plasticity may work irrespective of

2691-565: The animal", and prefers the term "companion" or "companion animal". "Animals are not pets," Newkirk has said. PETA supports hearing dog programs when animals are sourced from shelters and placed in homes, but opposes seeing-eye-dog programs "because the dogs are bred as if there are no equally intelligent dogs literally dying for homes in shelters, they are kept in harnesses almost 24/7". PETA opposes animal testing —whether toxicity testing, basic or applied research, or for education and training—on both moral and practical grounds. Newkirk told

2760-568: The animal-testing industry, PETA's consumer boycotts have focused on Avon, Benetton, Bristol-Myers-Squibb, Chesebrough-Pond's, Dow Chemical, General Motors, and others. The group's modus operandi includes buying shares in target companies such as McDonald's and Kraft Foods to exert influence. The campaigns have delivered results for PETA. McDonald's and Wendy's introduced vegetarian options after PETA targeted them; and Polo Ralph Lauren said it would no longer use fur. Avon, Estée Lauder, Benetton, and Tonka Toy Co. all stopped testing products on animals,

2829-538: The billboards, saying that it was hurtful to their religious sentiments. In July 2020, PETA put up billboards saying "This Rakshabandhan , protect me: Go leather-free". PETA was based in Rockville, Maryland , until 1996, when it moved to Norfolk, Virginia. It opened a Los Angeles division in 2006 and also has offices in Washington, D.C., and Oakland, California . In addition, PETA has international affiliates. PETA

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2898-456: The brain grows new neural pathways . This change in the brain is referred to as cortical reorganization or neuroplasticity . One study by Deluca et al. showed that using transcranial magnetic stimulation (TMS) that the excitable cortex of the affected cortex in adults patients with HCP doubled in size after 12 days of therapy. Recently, the possible benefits of cortical reorganization has led to studies of CIMT on children because neuroplasticity

2967-430: The company may not produce non-vegan products. The company is animal test-free and also vegan, i.e. does not use any animal-derived ingredients. If a company carries the PETA "animal test-free" or "cruelty-free" label, it must also have signed agreements with its suppliers that they do not use animal testing. PETA also awards a "vegan" label to clothing and furniture products (instead of entire companies), which means that

3036-541: The conditions that she found there, she chose a career in animal protection instead. She became an animal-protection officer for Montgomery County, Maryland , and then the District of Columbia 's first woman poundmaster . By 1976 she was head of the animal disease control division of D.C.'s Commission on Public Health and in 1980 was among those named as "Washingtonians of the Year." In 1980, after her divorce, she met Alex Pacheco,

3105-404: The cost of providing one-on-one therapy sessions, and the opportunity costs associated with the therapist's inability to see and treat other patients during that time has contributed to the resistance of adopting the CIMT protocol. The patient's ability to tolerate the intensity and duration of the therapy sessions is a limiting factor to protocol adoption. Stroke patients have commonly expressed

3174-657: The deaths of nearly 3,000 kittens over 36 years. This discovery led to the USDA banning all taxpayer funded kitten experiments. In 2024, the WCWP also reported that taxpayer money was used to fund beagle experiments in China, which drew widespread condemnation, including a call from PETA to end taxpayer-funded animal experiments globally. PETA's euthanasia practices have drawn intense scrutiny from lawmakers and criticism from animal rights activists for years. The consistently high percentage of animals euthanized at PETA's shelter has been controversial. In 2008, meat industry lobby group

3243-406: The door, and other shelters won't do that." PETA acknowledged that it euthanized 95% of the animals at its shelter in 2011. Constraint-induced movement therapy However, distributed or "modified" CIT protocols have enjoyed similar efficacy to CIMT, have been able to be administered in outpatient clinical environments, and have enjoyed high success rates internationally. The focus of CIMT

3312-402: The length of time wearing the constraint and time-consuming hours of therapy as reasons they wish not to participate. While the CIMT protocol results in improved function in its target population, it is unknown whether the combination of constraint and therapy is necessary to achieve the outcome seen or whether the benefit is due to exposure to high-intensity, task-specific activities focused on

3381-620: The local vegetarian society, but the group included a friend of Pacheco's from the UK, Kim Stallwood , a British activist who went on to become the national organizer of the British Union for the Abolition of Vivisection . The group first came to public attention in 1981 during the Silver Spring monkeys case, a dispute about experiments conducted by researcher Edward Taub on 17 macaque monkeys inside

3450-498: The mayor of New York, Rudy Giuliani , was diagnosed with prostate cancer in 2000, PETA ran a photograph of him with a white mustache and the words "Got prostate cancer?" to illustrate their claim that dairy products contribute to cancer, an ad that caused an outcry in the United States. After PETA placed ads in school newspapers linking milk to acne, obesity, heart disease, cancer, and strokes, Mothers Against Drunk Driving and college officials complained it encouraged underage drinking;

3519-426: The monkeys to use the deafferented parts of their bodies. The research led in part to the discovery of neuroplasticity and a new therapy for stroke victims called constraint-induced movement therapy . Pacheco went to the laboratory at night, taking photographs that showed the monkeys living in what the Institute for Laboratory Animal Research's ILAR Journal called "filthy conditions." He passed his photographs to

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3588-569: The monkeys. Pacheco had taken a job in May 1981 inside a primate research laboratory at the institute, intending to gain firsthand experience of working inside an animal laboratory. Taub had been cutting sensory ganglia that supplied nerves to the monkeys' fingers, hands, arms, and legs—a process called "deafferentation"—so that the monkeys could not feel them; some of the monkeys had had their entire spinal columns deafferented. He then used restraint, electric shock, and withholding of food and water to force

3657-406: The movements are inefficient and clumsy and in response to this a suppression of movement occurs. It is this process that CIMT seeks to reverse. The American Stroke Association has written that Taub's therapy is "at the forefront of a revolution" in what is regarded possible in terms of recovery for stroke survivors. As a result of the patient engaging in repetitive exercises with the affected limb,

3726-459: The non-involved extremity will result in less intensive practice because the non-involved arm can still be used to complete tasks. Constraint typically consists of placing a mitt on the unaffected hand or a sling or splint on the unaffected arm, forcing the use of the affected limb with the goal of promoting purposeful movements when performing functional tasks. The use of the affected limb is called shaping. Traditionally, CIMT involves restraining

3795-506: The organization first gained attention in the summer of 1981 during what became known as the Silver Spring monkeys case. The organization opposes factory farming , fur farming , animal testing , and other activities it considers to be exploitation of animals. The organization's controversial campaigns have been credited with drawing media attention to animal rights issues, but have also been widely criticized for their disruptive nature. Its use of euthanasia has resulted in legal action and

3864-461: The pathways in the damaged motor network. Although, due to the duration of this treatment, patients who have had profound upper extremity paralysis from their condition are normally not eligible for constraint-induced upper extremity training. A consistent exclusion criterion for CIMT and modified CI therapy has been the inability to perform voluntary wrist and finger extension in the involved hand. As stated above, this criterion typically limits

3933-564: The person performing supervised structured tasks with the affected limb 6 hours a day for 10 days over a 14-day period, in addition to wearing the restrictive mitt or sling for 90% of waking hours. Alternatively, modified constraint induced movement therapy protocols have been found to be equally effective as "traditional" CI therapy protocols. The most established, commonly used, and evidence based form of modified CI therapy that has been found to be effective in improving motor control asks patients to attend goal directed therapy sessions lasting

4002-638: The police, who raided the lab and arrested Taub. Taub was convicted of six counts of cruelty to animals, the first such conviction in the United States of an animal researcher; the conviction, though, was overturned on appeal. Norm Phelps writes that the case followed the highly publicized campaign of Henry Spira in 1976 against experiments on cats being performed at the American Museum of Natural History in New York and Spira's subsequent campaign in April 1980 against

4071-492: The population eligible for this family of therapies to 20–25% of the entire stroke population. CIAT (Constraint Induced Aphasia Therapy) is an adaptation of CIMT for people with Aphasia. It can be used for clients with either expressive or receptive aphasia. Like CIMT, treatment is intensive and usually occurs over a ten-day period for several hours per day. In CIAT, patient must use verbal communication without gestures or pointing in order communicate. The constraints are placed on

4140-400: The products are free from animal-derived ingredients, but the companies can still produce non-vegan products. All of the company's products vegan Newkirk is outspoken in her support of direct action , writing that no movement for social change has ever succeeded without what she calls the militarism component: "Thinkers may prepare revolutions, but bandits must carry them out." Newkirk is

4209-459: The registration of elephants for performance. PETA India put up billboards prior to a 2020 annual religious event Eid al-Adha where animals are ritualistically slaughtered. The billboards depicted goats with the words "I am a living being and not just meat. Change your view towards us and become a vegan." and "I am ME, Not Mutton. See the Individual. Go Vegan." Muslim clerics wanted to take down

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4278-430: The rehabilitation of the hemiplegic upper extremity. Most notably, concerns have been cited over the reimbursement, intensity, and both patient and clinician compliance with the therapy, especially in light of equally-effective, less intense alternative forms. Concerns have also been raised over the generalizability of the results obtained from research, as selection criteria for CIMT research has excluded patients with

4347-582: The streets of Paris wearing leg-hold traps and thrown around money soaked in fake blood at the International Fur Fair. They sometimes engage in pie-throwing—in January 2010, Canadian MP Gerry Byrne compared them to terrorists for throwing a tofu cream pie at Canada's fishery minister Gail Shea in protest of the seal slaughter, a comment Newkirk called a silly chest-beating exercise. "The thing is, we make them gawk" she told Satya magazine, "maybe like

4416-408: The unaffected arm in patients with hemiparetic stroke or hemiparetic cerebral palsy (HCP) for 90% of waking hours while engaging the affected limb in a range of everyday activities However, given concerns with compliance (both among patients and clinicians), reimbursement, and patient safety, studies have varied on hours of restraint per day and length of therapy. More specifically, CIMT involves

4485-434: The use of gestures with the aim of improving verbal communication. Also like CIMT, CIAT has been shown to not be feasible in most clinical environments due to its parameters and distributed protocols are now being investigated. Both constraint-induced movement therapy (CIMT) and modified CI therapy coupled with intensive and varied exercise training has proven to be effective in reducing spasticity and increasing function of

4554-430: The video game Animal Crossing: New Horizons . Each year, PETA selects a "Person of the Year" who has helped advance the cause of animal rights. PETA certifies beauty and cosmetics companies with "Beauty without Bunnies" bunny labels in two tiers. In the first tier ("Animal Test-Free"), the entire company does not use animal testing. The company may still produce non-vegan products. In the second tier ("Cruelty-Free"),

4623-436: Was building new orca tanks that would almost double the size of the existing ones to provide more space for its whales. PETA responded that a "larger prison is still a prison." In 2016, SeaWorld admitted that it had been sending its employees to pose as activists to spy on PETA. Following an investigation by an outside law firm, SeaWorld's Board of Directors directed management to end the practice. In 2011, Patricia de Leon

4692-622: Was the Hispanic spokesperson for PETA's anti-bullfighting campaign. Some campaigns have been particularly controversial. Newkirk was criticized in 2003 for sending a letter to PLO leader Yasser Arafat asking him to keep animals out of the conflict, after a donkey was blown up during an attack in Jerusalem. To reduce milk consumption, it created the "Got Beer?" campaign, a parody of the dairy industry's series of Got Milk? ads, which featured celebrities with milk "mustaches" on their upper lips. When

4761-542: Was to advance its own interests, not Naruto's." The decision cited Cetacean v. Bush (2004) that says animals cannot sue unless Congress makes it clear in the statute that animals can sue, and added that "next friend" representation cannot be applied to animals. The court also wrote: "Puzzlingly, while representing to the world that 'animals are not ours to eat, wear, experiment on, use for entertainment, or abuse in any other way,' PETA seems to employ Naruto as an unwitting pawn in its ideological goals." PETA has created

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