The purpose of this study is to develop and test if upper limb task practice and muscle activity training improve upper limb function in stroke survivors. Participants will be asked to come to the laboratory 23 times (approximately 3 times a week) over 2.5 months to receive upper limb task practice, muscle activity training, and/or upper extremity functional assessments.
Stroke more than 6 months ago
Moderate unilateral upper limb impairment
Cognitive ability to participate in the study procedure
Ability to see the full computer screen
Concurrent upper limb rehabilitation
Inability to voluntarily contract muscles of at least 2 upper limb muscle groups, prohibiting participation in training
Change in spasticity medication or botulinum toxin injection in the upper limb within 3 months prior to or during enrollment
Total sensory loss
Parallel
practice muscle activation patterns
Behavioralpractice upper limb muscle activation patterns using EMG-controlled games
task practice
Behavioralpractice functional upper limb tasks
Wolf Motor Function Test
Functional abilities scale for completing upper limb tasks
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