Concomitant Sensory Stimulation During Therapy to Enhance Hand Functional Recovery Post Stroke

Inclusion Criteria: * 18 years old or older * At least 6 months since stroke * Wolf Motor Function Test (WMFT) total average time \>10 seconds * WFMT hand task average time \<120 s Exclusion Criteria: * Currently undergoing other upper limb therapy * Change in spasticity medication or upper limb botulinum toxin injection within 3 months prior to or during enrollment * Severe spasticity that limits participation in task practice therapy (e.g., Modified Ashworth Scale=4-5) * Comorbidity affecting the upper limb function such as complete upper extremity deafferentation, orthopaedic conditions limiting motion, premorbid neurologic conditions, premorbid peripheral neuropathy, compromised skin integrity of the wrist due to burn or long-term use of blood thinners, or significant new neurological symptoms * Language barrier or cognitive impairment that precludes following instructions and/or providing consent