Effectiveness of Immersive Virtual Reality Combined With Task-Specific Training on Hemiplegic Arm Function Following Stroke

Eligibility Criteria

• * Age 18 or older.
• * Diagnosed as having an ischemic or hemorrhagic stroke (with documented confirmatory neuroimaging in the medical record) that occurred at least 6-months prior to study enrollment.
• * Lack of full active range of motion in the involved shoulder, elbow, and wrist as the result of the injury.
• * At the time of study enrollment, participant completed structured therapeutic interventions at least 2-months prior.
• * Participants will not participate in Yoga, Tai-Chi, or other wellness lifestyle classes while participating in the study.
• * Absence of significant cognitive impairment as determined by a Mini-Mental Status Examination score of greater than or equal to 24.
• * The absence of upper extremity injury limiting functional use of the arm prior to the incident stroke.
• * Unable to provide informed consent.
• * Sensory loss as determined by a score of 2 on the sensory item of the NIH Stroke Scale.
• * Pain in the involved upper limb that could interfere with daily activities as evidenced by a pain score of 5 or greater on the Numeric Pain Rating Scale.
• * History of greater than two strokes.
• * Suffered a stroke less than 6-months prior to participating in the study.
• * A history of, or being susceptible to, cyber-sickness (i.e., motion sickness).
• * Unable to don/doff accelerometer independently, or the lack of support in the home to assist with donning/doffing device; and
• * A history of seizures.