Use of Repetitive Facilitative Exercise Program in Established Stroke

Inclusion Criteria: * Age greater than 18 years * Having a single ischemic or hemorrhagic hemispheric stroke of more than 6 months duration * The ability to selectively demonstrate active extension of at least 10 degrees at the metacarpo-phalangeal joint and the interphalangeal joints and 20 degrees at the wrist * Capable of effectively participating in the study Exclusion Criteria: * Upper extremity contracture/pain that interfere with study technique * Pre-existing upper extremity neurologic or orthopedic disorders * Unstable medical condition * BMI \> 35 * Active treatment of condition during 3 months prior to enrollment in study (botulinum toxin, therapy, tendon release, etc.) * Language or cognitive/perceptual deficits or scheduling problems that would limit participation * Inability to provide informed consent