Home Tele Rehabilitation Therapy for Vascular Dementia

Inclusion Criteria: * Symptomatic ischemic or hemorrhagic stroke verified by computerized axial tomography or magnetic resonance imaging * at least 6 months post stroke * At least some active movement in the affected upper extremity (MRS 1 or more in shoulder elbow or wrist) * Ability to provide informed consent, or LAR able to provide consent * Expressed willingness to comply with all study procedures and attend all study-related visits for both the patient and at least one caregiver. * Age ≥ 18. * Ability to follow one-step commands. * Community-dwelling with transportation to evaluation sessions. * Ability to operate the therapy system with minimal assistance, including sufficient corrected vision to perceive objects from a distance of 5 feet. * Modified Ashworth Scale Score 3 or less in the involved upper extremity * Passive range of motion within functional ranges at the shoulder, elbow, wrist and hand Exclusion Criteria: * Patients with history of severe alcohol or drug abuse, psychiatric illnesses like severe depression, poor motivational capacity, or severe language disturbances, particularly of receptive nature or with serious cognitive deficits (defined as unable to follow study instructions even with help from caregiver). * Patients with bilateral paresis, or weakness or sensory damage due to peripheral causes (e.g. peripheral nerve injury, muscle or orthopedic injury etc.) * Patients with severe uncontrolled medical problems that would render intensive rehabili…