Ipsihand Device Use in Stroke Patients to Assess Functional Motor Outcomes

Inclusion Criteria: * 6-months or more post stroke * Presentation of upper extremity hemiparesis or hemiplegia * Participants must english speaking * Demonstrate intact cognition to provide informed consent * Botox injections are allowed, and must continue regimen at regular intervals throughout the study Exclusion Criteria - * Not active in another clinical study * Not receiving formal therapy for the upper extremity * No use of other modalities or technologies to the upper extremity * Cognitive Impairment: Short Blessed Test Score 9 or above * Significant Spasticity: Modified Ashworth Scale score 3 or more at the elbow * Significant Hemispatial Neglect: Mesulam Cancellation Test 3 or more unilaterally * Insufficient Strength: Motricity Index score for shoulder abduction 18 - Any contractors of the affected upper extremity that would not allow the IpsiHand robotic exoskeleton to be worn comfortably and/or safely for device use