Telerehabilitation Early After Stroke

Inclusion Criteria

• Age 18 years or older
• Stroke that is radiologically verified, due to ischemia or to intracerebral hemorrhage, and with time of stroke onset \<30 days prior to enrollment; or traumatic brain injury.
• Unilateral arm motor deficits that are neither trivial (no arm weakness) or devastating (arm plegia). This requires that the baseline Box \& Block Test score with affected arm to be at least 1 block in 60 seconds but no more than 90% of the number of blocks with the good arm.
• Possess enough arm movement to participate in therapy
• Informed consent signed by the subject
• Able to follow simple instructions
• Study participation is not likely to be significantly limited by agitated behavior

Exclusion Criteria

• A major, active, coexistent neurological or psychiatric disease that would limit study participation, e.g., advanced dementia
• Expectation that patient's cognitive status will likely interfere substantially with playing assigned games or exercises
• Deficits in communication that interfere with reasonable study participation
• Lacking visual acuity, with or without corrective lens, of 20/50 or better in at least one eye
• Subject does not speak sufficient English to comply with study procedures
• Shoulder pain that in the judgement of the study team is likely to substantially limit the amount of telerehabilitation therapy completed