GRASP (Graded Repetitive Arm Supplementary Program) is an arm and hand exercise program that we developed for stroke patients with upper extremity impairments.  We know that more arm and hand activity early after a stroke can improve outcomes.  GRASP provides one method for patients to undertake a self-directed arm and hand exercise program.

Funded by a Heart and Stroke Foundation of BC and Yukon grant, we showed that patients who supplemented standard rehabilitation care with GRASP had better arm and hand function than a control group who only had standard rehabilitation care.  Better function was demonstrated when patients were discharged from the rehabilitation hospital and also at 5 months post-stroke.  A physical therapist or occupational therapist instructed the patient in the program, but the patient did the program independently.  It is important to note that better outcomes were achieved if the patient has family, friends or a caregiver who assisted with GRASP.

To get started with GRASP, please read through the GRASP Terms and Conditions. If you choose to accept, you will be redirected to the GRASP resource downloads page.

GRASP book patient picture

9 responses to “GRASP”

  1. I want to download to learn it


  3. i am a grasp student , but have only received level 1 from an occupational yherapist at twane rehab hospital i had a stroke on the 7 th of april 2015.i was left with no moment in my left side. i’m walking again and have movement of my arm again. Could you please provide me with any further levels. thank you most kindly.
    werner schwarz

  4. for clinical use

  5. I would greatly appreciate these exercises for my patients thank you

  6. I am looking for the GRASP program level 4 as I have done well with level 3 and want to proceed further in my recovery from bilateral arm paralysis.
    Thank you.

  7. Hi!!!

    I want to get more information about grasp method
    It is for my 50 y.o. sister who had a strokes a year ago
    She need physical support

    best regards


  8. Greatly appreciate your hard work. Thank you for providing excellent treatment option for patients.

  9. please give me the required GRASP program, i have aphasia so my talking may not be very good. i hear that is a free of charge . Thank you

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