Wearable Device and Behavioral Support for Enhancing Arm Use After Stroke

Inclusion Criteria:

* 18 to 85 years of age
* Experienced a single or multiple, ischemic or hemorrhagic stroke, with unilateral weakness, over six months previously
* An ability to score at least 3 blocks on the Box and Block Test. BBT score of the affected arm is at least 5% worse than that present with the unaffected arm.
* Absence of major depression, as defined by DSM V criteria or a score on the Geriatric Depression Scale \< 10.

Exclusion Criteria:

* Any substantial decrease in alertness, language reception, or attention
* Single or multiple, ischemic or hemorrhagic stroke less than 6 months ago
* Severe muscle tone at the upper extremity (score ≥ 3 on the Modified Ashworth Spasticity scale)
* Pregnant or lactating
* Advanced liver, kidney, cardiac, or pulmonary disease
* Coexistent major neurological disease
* Coexistent major psychiatric disease
* Plans to alter any current participation in other rehabilitation therapy in the time period of the study
* A terminal medical diagnosis consistent with survival \< 1 year
* A history of significant alcohol or drug abuse in the prior 3 years
* Current enrollment in another study related to stroke or stroke recovery
* Any other medical contraindication to participation in the study, as evaluated by our team physician.
* Visual Analog of Pain Scale Score of 7 or greater