Implementation of a HABIT-ILE Intervention at Home for Chronic Stroke

This study will use a randomized controlled trial design to assess the possible difference between two intensive treatment programs: a classic "Hand and Arm Bimanual Intensive Therapy Including Lower Extremities" (HABIT-ILE) therapy and a HABIT-ILE therapy implemented at the patient's home. Moreover, this study also aims to assess whether the patient's abilities are better with follow-up than without follow-up after two weeks of HABIT-ILE therapy. The possible difference between the therapies will be studied in terms of functional capacities, activities and social participation.

Inclusion Criteria:Adults with a chronic stroke (older than 6 months)Ability to interact and understand simple instructions in order to complete assessments and therapyAbility to perform a partial shoulder flexion or abduction, a partial elbow extension, and hold an object in the paretic handAvailability of a caregiver for 6h30 per day during two weeks of therapyExclusion Criteria:Non controlled seizureBotulinum toxin injection in the last 6 months before the first assessment or during the therapyIntensive therapy in the last 6 months before the first assessment or during the therapySurgery that could affect the assessments or therapy in the last 6 months before the first assessment or during the therapySevere visual or cognitive impairments interfering with treatment and or assessments