Pilot trial of Reach-to-Grasp training after stroke

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The article is the culmination of three years work by the research team and our clinical collaborators. While repetitive task practice is recommended in National Guidelines, Cochrane reviews have called for more high quality trials to provide evidence for practice. Our reach to grasp trial showed that the training was acceptable to participants and that on average ten times the practice (in repetitions of goal directed or functional movements) were achieved when compared to usual care. If the follow-on definitive trial shows the training is clinically effective then community stroke services should be supported to find ways to provide patients with optimal opportunity to practice.

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