Home finger exercises with resistance bands after stroke

This trial is testing a new approach to stroke rehabilitation called dynamic perturbation training—a home-based exercise program where you wear a special orthosis (wrist brace) with elastic bands that provide resistance as you move your fingers. The goal is to help people who have had a stroke regain strength and control in their hand and upper arm. Half of the participants will use the orthosis with the elastic resistance, while the other half will use the same orthosis without the resistance, so researchers can see which approach works better.

After a stroke, many people struggle with weakness and loss of control in their hand and arm. While rehabilitation is important, it's often hard for patients to travel to hospitals or clinics for ongoing therapy. This trial explores whether doing targeted finger exercises at home with guidance from therapists (via webcam) and the help of an elastic-resistance orthosis can improve recovery better than standard approaches.