Novel Wrist Sensor System to Promote Hemiparetic Arm Use in Home Daily Life of Chronic Stroke Survivors

Other illness

• Visual impairments as assessed by the NIH Stroke Scale Visual Field subscale (only subjects with no visual loss will participate in the study); or hemispatial neglect that would impair the subject ability to see feedback on the app screen (as assessed with the star cancellation test);
• Individuals with open wounds or recent fracture (less than 3 months) in the UE, fragile skin or active infection as evaluated by the study therapist;
• Diagnosis of other neurological disease (i.e., Parkinson's disease, multiple sclerosis, ...);
• Brainstem and cerebellar stroke.

Other

• Severe spasticity (defined as a Modified Ashworth scale score of 3 or more) that would prevent safe performance of UE tasks;
• Individuals currently enrolled in a UE rehabilitation program (i.e., OT, research study)
• Upper-extremity orthopedic injuries or severe pain resulting in movement limitations;
• Severe proprioceptive deficits that impair the ability to process the vibration feedback, as assessed by physical examination during screening as assessed by the study therapist;
• Not understanding spoken or written English;
• Recent (less than 3 months) Botox injection in the UE or plan to undergo injections during the study timeline;
• Contralateral motor deficits as assessed by clinical examination;

• Male or female, 18-85 years of age at the time of enrollment;
• Anterior circulation ischemic stroke at least 6 months and up to 5 years prior to study enrollment;
• Unilateral upper extremity hemiparesis as characterized by initial scores on upper limb subtest of the Fugl-Meyer Assessment (FMA-UE) between 20 and 45;
• Intact cognitive function to understand the study procedures and goal setting (MMSE score above 23 and able to follow 3 step command);
• Being familiar and comfortable with the use of a tablet or smartphone.