Inclusion Criteria- First clinical stroke (ischaemic or haemorrhagic) diagnosed by brain imaging CT or MRI
- Age 21 years to 85 years, both males and females.
- < 90 days of stroke on admission to rehabilitation
- Presence of either motor and /or sensory deficit detected by clinical examination.
- Ability to understand simple instructions.
- Ability to give own consent.
- Ability to sit supported in a chair for 60 minutes with appropriate rest breaks.
Exclusion Criteria- Non stroke -related causes of motor/sensory deficits
- Tetraplegia or tetraparesis
- Known diagnosis of cervical myelopathy, lower motor neuron weakness (Post polio, brachial plexopathy, peripheral neuropathy (Diabetic, carpel tunnel syndrome, B12 deficiency)
- Concomitant orthopaedic condition limiting wrist range of motion: active arm/wrist fractures, fixed contractures of the wrist joint, wrist joint arthritis, wrist fusion.
- Arm or wrist joint pain (Visual Analogue scale VAS >5/10) or instability
- Severe hemispatial neglect.
- Significant wrist spasticity with modified Ashworth Scale score 2 and above.
- Life expectancy <6 months, end stage renal or liver disease, terminal cancer.
- Pregnancy and lactation in female patients.
- Postural hypotension on sitting up
- Active skin conditions over wrist joint area which could be worsened by robotic fit (e.g. severe eczema, burns)