Inclusion Criteria: |
1.Age ≥18 years at the time of randomization |
2.Stroke that is radiologically verified, due to ischemia or to intracerebral hemorrhage, |
and with time of stroke onset 4–36 weeks prior to randomization |
3.Arm motor FM score of 22–56 (out of 66, higher is better) at the Screening Visit |
4.Box & Block Test score with affected arm is at least 3 blocks in 60 seconds at the |
Screening Visit |
5.Informed consent signed by the subject |
6.Behavioral contract signed by the subject |
Exclusion Criteria: |
1.A major, active, coexistent neurological or psychiatric disease, including alcoholism or dementia |
2.A diagnosis (apart from the index stroke) that substantially affects paretic arm function |
3.A major medical disorder that substantially reduces the likelihood that a subject will be able to comply with all study procedures |
4.Severe depression, defined as Geriatric Depression Scale Score >10 |
5.Significant cognitive impairment, defined as Montreal Cognitive Assessment score < 22 |
6.Deficits in communication that interfere with reasonable study participation |
7.A new symptomatic stroke has occurred since the index stroke that occurred 4–36 weeks prior to randomization |
8.Lacking visual acuity, with or without corrective lens, of 20/40 or better in at least one eye |
9.Life expectancy < 6 months |
10.Pregnant |
11.Receipt of Botox to arms, legs, or trunk in the preceding 6 months, or expectation that Botox will be administered to the arm, leg, or trunk prior to completion of the 30 Day Follow-Up Visit |
12.Unable to successfully perform all three of the rehabilitation exercise test examples |
13.Unable or unwilling to perform study procedures/therapy, or expectation of noncompliance with study procedures/therapy |
14.Concurrent enrollment in another investigational study |
15.Non-English speaking, such that subject does not speak sufficient English to comply with study procedures |
16.Expectation that subject cannot participate in study visits |
17.Expectation that subject will not have a single domicile address during the six weeks of therapy, within 25 miles of the central study site and with Verizon wireless reception. |