Home-based Arm and Hand Exercise Program for Stroke: A Multisite Trial

This study is about helping people who had a stroke, which is when blood doesn't get to part of the brain, causing problems. It focuses on exercises you can do at home to improve how your arm and hand work. The program is called GRASP (Graded Repetitive Arm Supplementary Program). People in the study will be put into two groups: one doing the GRASP exercises, and the other doing regular therapy exercises. Both groups will do exercises for 4 to 6 weeks, 3 times a week. They will be checked on their progress before, right after, and 3 months after the program. They will also be asked about their experience. To join, you need to be at least 20 years old, have had a first stroke, and be able to move your arm a bit. You should also be able to follow 2-step instructions. You cannot join if you have other arm or brain issues, severe pain, or unstable health conditions.

• Study lasts 4 to 6 weeks with 3 sessions each week.
• Check-ups before, right after, and 3 months later.
• Participants share their thoughts and experiences.