National Fully Remote Use of IpsiHand Device in Hemiparetic Stroke

Inclusion Criteria: Adults age (18-85) Adults who sustained a CVA Have upper extremity hemiparesis/hemiplegia Participants who are not receiving Botox Injections for the upper extremity may be included. Should a participant be receiving Botox injections for the upper extremity, they may be included but Botox administration must be timed to coincide within a week of the beginning of training. Exclusion Criteria: Participants who are not receiving Botox Injections for the upper extremity may be included. Should a participant be receiving Botox injections for the upper extremity, they may be included but Botox administration must be timed to coincide within a week of the beginning of training. Participants who are too cognitively impaired to understand the task or provide informed consent will be excluded. A Short-Blessed Test score of 8 or more will be excluded. Participants who have contractures in the affected wrist and digits will be excluded, as the device will not comfortably fit. Participants who have receptive aphasia and unable to follow written directions will be excluded. A score of 6 or less on the MS Aphasia Screening Test will be excluded. Participants receiving any formal upper extremity therapy will be excluded. Participants with ataxia apraxia or severe psychiatric illness (other than post stroke depression) will be excluded. Participants who are pregnant or breast-feeding will be excluded. Participants who have nerve or sensory impairment that may limit or interfere with their ability to sense pain will be excluded.