Transcutaneous Electrical Stimulation for Stroke Patients

Inclusion Criteria: * 18 years or older * able and willing to give written consent and comply with study procedures * at least 6 months post-stroke * hemiplegia secondary to stroke * UE Fugle Meyer Assessment \<35 * not currently receiving regular occupational therapy services * participant has received clearance from physician to participate in study * participant has at least a rudimentary comprehension of English Exclusion Criteria: * botox injection in upper extremity within the last 4 months * modified ashworth score of 4 in any joint of the affected limb * pregnant or nursing * using a powered, implanted cardiac device for monitoring or support of heart function (i.e. pacemaker, defibrillator, or LVAD), or anti-spasticity implantable pumps, or cochlear implants * unhealed bone fractures * severe contractures in the upper extremities * active cancer or cancer remission less than 5 years * orthopedic dysfunction, injury, or surgery that would impact the individual's ability to use the upper extremities * recent procedure or operation of the spinal cord within the past year * traumatic brain injury or neurological conditions that would impact the study * skull fracture that has developed within the past 6 months * non-English speakers