Getting an upper limb back into use is a hard struggle.
One of my tactics is the examination of how the good side functions and comparison to the affected side’s defects to give the deltas to be worked on

My exercise regime pushes those moving boundaries of capability at every stage and dimension every day AND also includes the battle against Learned Non Use.
Neuroplasticity is like gravity. Irresistible, constant.
Useful for keeping your beer in the glass but painful if fallout of tree 🙂

Unlike gravity when you’re not consciously thinking about how to use it to advantage it is insidiously affecting things to your disadvantage. No exercise does not equal no change It equals regression 🙁

One source of useful exercises come from two documents published by the university of British Columbia. The first is the hospital or instructors guide to the Graded Repetitive Arm Supplemental Program
(Note this is a link to its down load; it doesn’t open a page on your browser [unless you have an acrobat reader natively installed])

https://med-fom-neurorehab.sites.olt.ubc.ca/files/2021/05/GRASP-Instructor-Manual_v2.1_May-2021.pdf

Graded is the key word - Repetitive needs some expansion because the repetitiveness of exercises and the repetitiveness of daily living to fight learn non-use are different in character. Repetitive exercise builds muscles and stretches tendons which is what **FES ** also does but it doesn’t build neuroplasticity
Page 20 is the key!! All it it is useful - however this manual does not include the exercise - it’s more a guide to the Concepts and Principles

The exercises are in
Grasp level 1
Grasp level 2
Grasp level 3

There are various record keeping log templates at
Task bank (download)
Equipment (new page)
Target board template (d/l)
Log for exercises(d/l)

There are some videos as well on the page:
https://neurorehab.med.ubc.ca/grasp/grasp-videos/

This is a comprehensive post of the links that I’ve been planning to do for a long time - Finally got round to it

Ciao Simon