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

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