CompARing Long terM Outcomes in Chronic Stroke Survivors Across Investigational Assessments Following a Prescribed Upper Extremity Exercise Program

Inclusion Criteria: * Single qualifying stroke event as confirmed by CT or MRI * At least 1 month post stroke * Score of at least 2-/5 on Manual Muscle Test for wrist flexors or extensors, indicating adequate movement to complete robotic device use * Able to follow written instructions Exclusion Criteria: * Prior arm injury impacting available passive or active range of motion or significant arm pain with movement * Underlying brain pathologies such as metastatic or primary brain malignancies, comorbid multiple sclerosis, etc. * Prior significant drug or alcohol abuse * Diagnosed with dementia * Pre-stroke baseline modified Rankin Scale (mRS) \>3 * History of seizure/epilepsy * History of clinically significant ischemic or hemorrhagic stroke prior to index stroke resulting in prior arm injury or weakness. * Pregnancy * Contraindication to MRI or Transcranial Magnetic Stimulation (TMS). * Medical instability assessed by the treating stroke physician to participate to the study.