The purpose of this study is to assess whether a novel therapy approach (repetitive facilitative exercise (RFE)) is more effective than conventional rehabilitation in facilitating the recovery of upper extremity function following stroke.
Inclusion Criteria:
- Age greater than 18 years
- Having a single ischemic or hemorrhagic hemispheric stroke of more than 6 months duration
- The ability to selectively demonstrate active extension of at least 10 degrees at the metacarpo-phalangeal joint and the interphalangeal joints and 20 degrees at the wrist
- Capable of effectively participating in the study
Exclusion Criteria:
- Upper extremity contracture/pain that interfere with study technique
- Pre-existing upper extremity neurologic or orthopedic disorders
- Unstable medical condition
- BMI > 35
- Active treatment of condition during 3 months prior to enrollment in study (botulinum toxin, therapy, tendon release, etc.)
- Language or cognitive/perceptual deficits or scheduling problems that would limit participation
- Inability to provide informed consent
Last updated: 02/26/2013