Inclusion Criteria- over 18 years of age
- at least 4 months post stroke
- present with UL spasticity (MAS >1 in elbow and/or spasticity of the hand, wrist or shoulder)
- present with at lease a stage 3 of CMSA
- able to comply with the requirements of the protocol and UL therapy programme.
Exclusion Criteria- significant cognitive and speech impairments
- other upper limb impairments such as frozen shoulder
- another diagnosis which could contribute to upper limb spasticity .