Telerehabilitation Early After Stroke

The goal of this clinical trial is to assess the safety and feasibility of providing extra doses of rehabilitation therapy for persons with a recent stroke. The therapy treatment targets to improve arm function by introducing telerehabilitation to the bedside of participants during the inpatient rehab admission period. Participants will use a newly developed functional training system (HandyMotion) to access therapy treatment program directly from their hospital room. HandyMotion is a sensor-based training system that can connect to the TV set in the hospital room, enabling patients to access their therapy training program to practice rehab-oriented games and exercises ad libitum, at any time of the day.

Inclusion Criteria:Age 18 years or olderStroke that is radiologically verified, due to ischemia or to intracerebral hemorrhage, and with time of stroke onset <30 days prior to enrollment; or traumatic brain injury.Unilateral arm motor deficits that are neither trivial (no arm weakness) or devastating (arm plegia). This requires that the baseline Box & Block Test score with affected arm to be at least 1 block in 60 seconds but no more than 90% of the number of blocks with the good arm.Possess enough arm movement to participate in therapyInformed consent signed by the subjectAble to follow simple instructionsStudy participation is not likely to be significantly limited by agitated behaviorExclusion Criteria:A major, active, coexistent neurological or psychiatric disease that would limit study participation, e.g., advanced dementiaExpectation that patient's cognitive status will likely interfere substantially with playing assigned games or exercisesDeficits in communication that interfere with reasonable study participationLacking visual acuity, with or without corrective lens, of 20/50 or better in at least one eyeSubject does not speak sufficient English to comply with study proceduresShoulder pain that in the judgement of the study team is likely to substantially limit the amount of telerehabilitation therapy completed