Inclusion Criteria- hemiparesis due to unilateral stroke at least 3 months prior
- 18-90 years of age
- able to extend the paretic wrist 200 and at least 1 finger 100
- able to follow 2-step commands
- score < 3 on the Motor Activity Log Amount of Use scale
Exclusion Criteria- have no medical or orthopedic condition that would significantly limit ability to participate in the intervention or benefit from the therapy
- have no history of other major neurologic or psychiatric condition or injury, and have no active drug or alcohol abuse.