Keywords: hand-arm bimanual intensive training, stroke, upper extremity, (BAT) with unilateral arm training (UAT) and conventional therapy (CT) on the upper limb (UL) motor impairments and Stroke survivors with arm and hand motor impairment 1 often experience reduced daily life activities and participation. 2 Many daily tasks require skillful and coordinated use of the hands together, but bimanual recovery after stroke remains largely unstudied. One accelerometer-based study has indicated increased bimanual hand use during the first 3 months after stroke. 3 Impaired interlimb Objective To determine similarities and differences in key predictors of recovery of bimanual hand use and unimanual motor impairment after stroke. Method In this prospective longitudinal study, 89 patients with first-ever stroke with arm paresis were assessed at 3 weeks and 3 and 6 months after stroke onset. Bimanual activity performance was assessed with the Adult Assisting Hand Assessment Dr. Andrew Gordon is the Director of the Center for Cerebral Palsy Research at Columbia University. This session discusses hand-arm bimanual intensive traini It's an NHS service which gives stroke survivors high-intensity arm and hand physiotherapy: 90-hours of rehabilitation over three weeks, that's six hours per day. The team leading the QSUL programme have found that patient's arm and hand function can be better at the end of the treatment, even if they had their stroke many years ago. Procedure. HABIT Protocol. HABIT is a child-friendly, intensive intervention directed at improving bimanual coordination and function of the affected arm. 17 Our rationale in administrating HABIT was that an enriching movement experience with intensive practice of bimanual tasks would form an effective motor plan. The intervention employed in this study included various age-appropriate fine HABIT-HAND ARM BIMANUAL INTENSIVE THERAPY (HABIT) (Gordon AM, Schneider JA, Chinnan A, Charles JR, 2007) Preservation of inter- limb co-ordination at movement end in stroke patients suggested that they retained flexibility in response to the impaired temporal performance of the affected hand to achieve the end goal (Wu CY et al, 2009). The medical charts of patients with a diagnosis of stroke will be reviewed retroactively to determine if there is a significant difference in improvement of upper extremity function (measured by ARAT and UE-FMA scores) following traditional occupational therapy services vs. use of the bimanual arm trainer. Pediatric Physical Therapy published research on hand-arm bimanual intensive therapy and motor planning. Functional near-infrared spectroscopy neuroimaging was used on 9 children with hemiplegic cerebral palsy pre and post 50 hours of HABIT training (hand-arm bimanual intensive therapy). Further evaluation of bimanual coordination and motor 2. Wrist Bend Movement. For the next exercise, gently bring movement into the wrist. While keeping your elbow on the table, place your non-affected hand on the palm rather than the fingers to stretch your affected hand at the wrist. Stretch backward, then forward. Perform this movement slowly and in a pain-free range. Hand-arm bimanual intensive therapy (HABIT) represents a bimanual intervention that promotes improvements in upper extremity function in children with cerebral palsy. This study repurposed HABIT in acute stroke patien