The secondary outcome measure is the 9 hole peg test (Kellor et al, 1971). This is a test that the Cambridgeshire Community Services team (host to this study) use. It is a timed test measuring finger dexterity using standardised equipment comprising a rectangular plastic tray with a rounded, concave tray at one end containing nine small white pegs and at the other end nine holes into which the participant must (one at a time) place the nine pegs from the tray and then remove them, placing them back into the tray as quickly as possible. The patient practices with the unaffected hand first, then the paretic side. The patient is seated while performing the test. A non-slip mat is placed between the base of the peg test and the table surface. The participant may stabilise the test base if necessary using their unaffected hand. The test takes no more than 2 minutes to administer, depending on the age of the patient and their existing degree of finger dexterity.