Wearable Robotic System and Robotic Mirror Therapy in Spastic Hemiplegia Post Botulinum Toxin Injection

Inclusion Criteria: * Clinical and imagine diagnosis of a first or recurrent unilateral stroke ≥ 3 months * Finger flexor muscles spasticity (modified Ashworth scale of ≥ 1+) * Initial motor part of UE of FMA score ranging from 10 to 56 indicating moderate to severe movement impairment * No serious cognitive impairment (i.e., Mini Mental State Exam score \> 20) * Age ≥ 20 years Exclusion Criteria: * Pregnant * With bilateral hemispheric or cerebellar lesions * Sever aphasia * Significant visual field deficits or hemineglect * Contraindication for BoNT-A injection * Treatment with BoNT-A within 6 months before recruitment * Any fixed joint contracture of the affected upper limb * A history of orthopedic or other neurological diseases and/or medical conditions that would prevent adherence to the rehabilitation protocol