Telerehabilitation Robotics for Upper Limb Rehabilitation After STroke
There has been an observed decrease in motor and functional ability and non-use of the impaired limb in chronic patients. This is due to the immediate drop in intensive daily therapy (5 days per week for 3 hours/day) that is usually provided during the inpatient (acute) phase upon discharge from the hospital.

In this study, the investigators plan to address the low dosage of therapy in the post-acute discharge phase for stroke survivors.
- EligibilityCriteria: Inclusion Criteria:  Clinical stroke (ischaemic or haemorrhagic) confirmed by admitting doctors and CT, CT angiography or MRI brain imaging. Age 21 to 90 years, both males and females. At least > 28 days post stroke. Upper limb motor impairment of Fugl-Myer Motor Assessment (FMA) scale 10 to 60 Has a stable home abode and a carer/ NOK to supervise home based exercise. Ability to sit supported continuously for 60 minutes. Montreal Cognitive Assessment (MOCA) score > 21/30 Able to understand purpose of research and give consent.  Exclusion Criteria:  Non-stroke related causes of arm motor impairment. Medical conditions incompatible with research participation: uncontrolled medical illnesses (hypertension or diabetes, ischaemic heart disease, congestive heart failure, bronchial asthma, end stage renal/liver/heart/lung failure, unresolved cancers. Anticipated life expectancy of < 6 months. Inability to tolerate sitting continuously for 60 minutes. Local factors potentially worsened by intensive robot-aided arm therapy and computer-based training: active seizures within 3 months, spasticity of Modified Ashworth Scale grades >2 skin wounds, shoulder, arm pain VAS > 5/10, active upper limb fractures, arthritis, fixed upper limb flexion contractures. Hemianesthesia of affected limb. History of dementia, severe depression, agitation, or behavioural problems. Pregnancy or lactation in females Absence of reliable carer to provide supervision during home training - HealthyVolunteers: No - Gender: All - MinimumAge: 21 Years - MaximumAge: 90 Years - StdAgeList: Adult, Older Adult