Trial Parameters
Brief Summary
Sensorimotor impairments following stroke often involve complex pathological changes across multiple joints and multiple degrees of freedom of the arm and hand, thereby rendering them difficult to diagnose and treat. The objective of this study is to evaluate multi-joint neuromechanical impairments in the arm and hand, then conduct impairment-specific treatment, and determine the effects of arm versus hand training and the effects of passive stretching before active movement training.
Eligibility Criteria
Inclusion Criteria: * First focal unilateral lesion, ischemic or hemorrhagic * Had a stroke 1-12 months prior to enrollment * Rated between stages 2-4 on the Chedoke McMaster Stroke Assessment Impairment Inventory: Stage of Recovery of the Arm and Hand Exclusion Criteria: * Apraxia * Score of less than 22 on the Mini Mental Status Exam * Severe pain in the shoulder by a self-rating of 7 out of 10 or greater * Severe contracture in the upper extremity * Unable to sit in a chair for 3 consecutive hours * Unrelated musculoskeletal injuries * Poor fit into equipment used in study * Botox injection in upper extremity within 4 months * Concurrent participation in gait or upper extremity intervention studies