Early Independent Adaptive Arm and Hand Rehab

This study will randomly assign individuals admitted to the inpatient stroke rehabilitation
unit to receive either conventional occupational therapy (OT) or conventional OT plus 1 hour
additional bimanual-to-unimanual device-assisted therapy.

Inclusion Criteria:

- Ability to follow study instructions

- Ability to likely complete all required visits

- Ability to comply with the therapy protocol as assessed by the investigator

- Must be English speaking

- Subjects must have had a unilateral stroke

Exclusion Criteria:

- Severe upper extremity spasticity suggested by an Ashworth score of ≥3 at any joint,
or restriction of full passive range of motion.

- Evidence of alcohol, drug abuse or other relevant neuropsychiatric condition such as
psychotic illness or severe depression.

- Any condition or situation that, in the investigator's opinion, may put the subject at
significant risk, confound the study results, or interfere significantly with the
subject's participation in the study.

- History of surgery or other significant injury to either upper extremity causing
mechanical limitations that preclude task performance.

- Previous neurological illness such as head trauma, prior stroke, epilepsy, or
demyelinating disease.

- Complicating medical problems such as uncontrolled hypertension, diabetes with signs
of polyneuropathy, severe renal, cardiac or pulmonary disease, or evidence of other
concurrent neurologic or orthopedic conditions precluding the subject from complying
with the study protocol.

- Patients who are cognitively impaired.

- Patients who lack capacity to consent.