Wearable Device and Behavioral Support for Enhancing Arm Use After Stroke

Eligibility Criteria

• * 18 to 85 years of age
• * Experienced a single or multiple, ischemic or hemorrhagic stroke, with unilateral weakness, over six months previously
• * An ability to score at least 3 blocks on the Box and Block Test. BBT score of the affected arm is at least 5% worse than that present with the unaffected arm.
• * Absence of major depression, as defined by DSM V criteria or a score on the Geriatric Depression Scale \< 10.
• * Any substantial decrease in alertness, language reception, or attention
• * Single or multiple, ischemic or hemorrhagic stroke less than 6 months ago
• * Severe muscle tone at the upper extremity (score ≥ 3 on the Modified Ashworth Spasticity scale)
• * Pregnant or lactating
• * Advanced liver, kidney, cardiac, or pulmonary disease
• * Coexistent major neurological disease
• * Coexistent major psychiatric disease
• * Plans to alter any current participation in other rehabilitation therapy in the time period of the study
• * A terminal medical diagnosis consistent with survival \< 1 year
• * A history of significant alcohol or drug abuse in the prior 3 years
• * Current enrollment in another study related to stroke or stroke recovery
• * Any other medical contraindication to participation in the study, as evaluated by our team physician.
• * Visual Analog of Pain Scale Score of 7 or greater