[et_pb_section fb_built=”1″ fullwidth=”on” custom_padding_last_edited=”on|phone” admin_label=”section” _builder_version=”4.17.4″ background_color=”RGBA(255,255,255,0)” custom_padding_tablet=”|0||0|false|false” custom_padding_phone=”|0||0|false|false” transparent_background=”off” make_fullwidth=”off” use_custom_width=”off” width_unit=”on” global_colors_info=”{}”][et_pb_fullwidth_menu menu_id=”298916″ submenu_direction=”downwards” fullwidth_menu=”off” active_link_color=”#93b247″ dropdown_menu_bg_color=”#118425″ dropdown_menu_line_color=”#FFFFFF” dropdown_menu_text_color=”#FFFFFF” dropdown_menu_active_link_color=”#93b247″ mobile_menu_bg_color=”#118425″ mobile_menu_text_color=”#FFFFFF” logo_url=”@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoiaG9tZV91cmwiLCJzZXR0aW5ncyI6e319@” logo_max_height=”42px” cart_icon_color=”#FFFFFF” search_icon_color=”#FFFFFF” menu_icon_color=”#FFFFFF” menu_icon_font_size=”50px” active_link_color_tablet=”#93b247″ active_link_color_phone=”#93b247″ active_link_color_last_edited=”on|desktop” dropdown_menu_line_color_tablet=”#FFFFFF” dropdown_menu_line_color_phone=”#FFFFFF” dropdown_menu_line_color_last_edited=”on|tablet” mobile_menu_bg_color_tablet=”#118425″ mobile_menu_bg_color_phone=”#118425″ mobile_menu_bg_color_last_edited=”on|tablet” mobile_menu_text_color_tablet=”#FFFFFF” mobile_menu_text_color_phone=”#FFFFFF” mobile_menu_text_color_last_edited=”on|desktop” logo_tablet=”” logo_phone=”” logo_last_edited=”on|desktop” logo_width_tablet=”” logo_width_phone=”” logo_width_last_edited=”on|tablet” logo_max_height_tablet=”40px” logo_max_height_phone=”40px” logo_max_height_last_edited=”on|desktop” menu_icon_font_size_tablet=”” menu_icon_font_size_phone=”50px” menu_icon_font_size_last_edited=”on|phone” admin_label=”Men\u00fa de anchura completa” _builder_version=”4.17.4″ _dynamic_attributes=”logo_url” menu_font=”|600|||||||” menu_text_color=”#FFFFFF” menu_font_size=”17px” background_color=”#118425″ text_orientation=”center” background_layout=”dark” min_height_last_edited=”off|desktop” custom_margin_tablet=”||||false|false” custom_margin_phone=”||||false|false” custom_margin_last_edited=”on|desktop” custom_padding=”||||false|false” custom_padding_tablet=”|50px|||false|false” custom_padding_phone=”|50px|||false|false” custom_padding_last_edited=”on|phone” menu_text_color_tablet=”#FFFFFF” menu_text_color_phone=”#FFFFFF” menu_text_color_last_edited=”on|desktop” background_last_edited=”on|desktop” text_orientation_tablet=”” text_orientation_phone=”” text_orientation_last_edited=”on|tablet” module_alignment_tablet=”left” module_alignment_phone=”left” module_alignment_last_edited=”on|tablet” menu_text_shadow_style=”preset5″ border_width_all=”0px” saved_tabs=”all” global_colors_info=”{}”][\/et_pb_fullwidth_menu][et_pb_fullwidth_slider show_arrows=”off” show_pagination=”off” admin_label=”Control deslizante de anchura completa” _builder_version=”4.17.4″ custom_padding=”50px||50px|” custom_padding_tablet=”|||” custom_padding_phone=”|||” auto=”on” auto_speed=”3000″ auto_ignore_hover=”on” custom_css_slide_description=”animation-name: none;” top_padding=”50px” bottom_padding=”50px” remove_inner_shadow=”on” hide_content_on_mobile=”off” hide_cta_on_mobile=”off” show_inner_shadow=”off” button_letter_spacing_hover=”0″ saved_tabs=”all” global_colors_info=”{}” button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”on” button_letter_spacing__hover=”0″ button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off”][et_pb_slide use_bg_overlay=”off” use_text_overlay=”off” _builder_version=”4.17.4″ header_level=”h1″ header_font=”|700|||||||” header_font_size=”30px” body_font=”||||” body_font_size=”14″ background_color=”RGBA(255,255,255,0)” background_enable_color=”on” background_image=”https:\/\/inteo.umh.es\/files\/2025\/03\/GRASP-Fortalecimiento-Brazo-scaled.jpg” background_enable_image=”on” button_icon_placement=”right” button_on_hover=”on” body_font_size_tablet=”14″ body_font_size_phone=”14″ custom_css_main_element=”height:300px;” header_text_shadow_style=”preset5″ text_shadow_style=”preset5″ inline_fonts=”Alata” global_colors_info=”{}” button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off” sticky_transition=”on”][\/et_pb_slide][et_pb_slide use_bg_overlay=”off” use_text_overlay=”off” _builder_version=”4.17.4″ header_level=”h1″ header_font=”|700|||||||” header_font_size=”30px” body_font=”||||” body_font_size=”14″ background_color=”RGBA(255,255,255,0)” background_enable_color=”on” background_image=”https:\/\/inteo.umh.es\/files\/2025\/03\/GRASP-Fortalecimiento-Mano-scaled.jpg” background_enable_image=”on” button_icon_placement=”right” button_on_hover=”on” body_font_size_tablet=”14″ body_font_size_phone=”14″ custom_css_main_element=”height:300px;” header_text_shadow_style=”preset5″ text_shadow_style=”preset5″ inline_fonts=”Alata” global_colors_info=”{}” button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off” sticky_transition=”on”][\/et_pb_slide][et_pb_slide use_bg_overlay=”off” use_text_overlay=”off” _builder_version=”4.17.4″ header_level=”h1″ header_font=”|700|||||||” header_font_size=”30px” body_font=”||||” body_font_size=”14″ background_color=”RGBA(255,255,255,0)” background_enable_color=”on” background_image=”https:\/\/inteo.umh.es\/files\/2025\/03\/GRASP-Coordinacion-01-scaled.jpg” background_enable_image=”on” button_icon_placement=”right” button_on_hover=”on” body_font_size_tablet=”14″ body_font_size_phone=”14″ custom_css_main_element=”height:300px;” header_text_shadow_style=”preset5″ text_shadow_style=”preset5″ inline_fonts=”Alata” global_colors_info=”{}” button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off” sticky_transition=”on”][\/et_pb_slide][et_pb_slide use_bg_overlay=”off” use_text_overlay=”off” _builder_version=”4.17.4″ header_level=”h1″ header_font=”|700|||||||” header_font_size=”30px” body_font=”||||” body_font_size=”14″ background_color=”RGBA(255,255,255,0)” background_enable_color=”on” background_image=”https:\/\/inteo.umh.es\/files\/2025\/03\/GRASP-Coordinacion-02-scaled.jpg” background_enable_image=”on” button_icon_placement=”right” button_on_hover=”on” body_font_size_tablet=”14″ body_font_size_phone=”14″ custom_css_main_element=”height:300px;” header_text_shadow_style=”preset5″ text_shadow_style=”preset5″ inline_fonts=”Alata” global_colors_info=”{}” button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off” sticky_transition=”on”][\/et_pb_slide][et_pb_slide use_bg_overlay=”off” use_text_overlay=”off” _builder_version=”4.17.4″ header_level=”h1″ header_font=”|700|||||||” header_font_size=”30px” body_font=”||||” body_font_size=”14″ background_color=”RGBA(255,255,255,0)” background_enable_color=”on” background_image=”https:\/\/inteo.umh.es\/files\/2025\/03\/GRASP-Habilidades-MAnuales-scaled.jpg” background_enable_image=”on” button_icon_placement=”right” button_on_hover=”on” body_font_size_tablet=”14″ body_font_size_phone=”14″ custom_css_main_element=”height:300px;” header_text_shadow_style=”preset5″ text_shadow_style=”preset5″ inline_fonts=”Alata” global_colors_info=”{}” button_text_size__hover_enabled=”off” button_one_text_size__hover_enabled=”off” button_two_text_size__hover_enabled=”off” button_text_color__hover_enabled=”off” button_one_text_color__hover_enabled=”off” button_two_text_color__hover_enabled=”off” button_border_width__hover_enabled=”off” button_one_border_width__hover_enabled=”off” button_two_border_width__hover_enabled=”off” button_border_color__hover_enabled=”off” button_one_border_color__hover_enabled=”off” button_two_border_color__hover_enabled=”off” button_border_radius__hover_enabled=”off” button_one_border_radius__hover_enabled=”off” button_two_border_radius__hover_enabled=”off” button_letter_spacing__hover_enabled=”off” button_one_letter_spacing__hover_enabled=”off” button_two_letter_spacing__hover_enabled=”off” button_bg_color__hover_enabled=”off” button_one_bg_color__hover_enabled=”off” button_two_bg_color__hover_enabled=”off” sticky_transition=”on”][\/et_pb_slide][\/et_pb_fullwidth_slider][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.17.4″ _module_preset=”default” background_color=”#FFFFFF” custom_padding=”||||false|false” global_colors_info=”{}”][et_pb_row _builder_version=”4.17.4″ _module_preset=”default” custom_margin=”|auto||auto|false|false” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.17.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.17.4″ _module_preset=”default” text_font=”|300|||||||” custom_padding=”10px|30px|10px|30px|false|false” global_colors_info=”{}”]<\/p>\n
[\/et_pb_text][et_pb_text admin_label=”Texto” _builder_version=”4.17.4″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” custom_padding=”|30px||30px|false|false” use_border_color=”off” border_color=”#ffffff” border_style=”solid” global_colors_info=”{}”]<\/p>\n
HOME-GRASP is a home-based exercise programme designed to improve strength, coordination, manual dexterity and functional use of the affected upper limb in people who have experienced a stroke. It involves repetitive, progressive, task-oriented practice aimed at encouraging the use of the affected arm and hand in activities of daily living. The programme is performed at home with guidance and supervision from a rehabilitation professional. <\/p>\n
Programme procedure and structure<\/strong><\/p>\n The programme runs for 8 weeks, with one hour of exercise each day, seven days a week. If preferred, the exercises may be split into two 30-minute sessions. <\/p>\n Exercises are organised into five sections:<\/p>\n The programme uses readily available everyday items, such as balls, clothes pegs, coins, blocks, containers and other common objects. A rehabilitation professional adjusts the level of difficulty according to the participant\u2019s abilities, for example by changing object size, materials or the number of repetitions. The manual includes a daily log to help participants track their practice. <\/p>\n Spanish translation and cultural adaptation<\/strong><\/p>\n The HOME-GRASP manual was translated and culturally adapted into Spanish through a collaboration involving Carlos Soler Pons from Fundaci\u00f3n Hospitalarias Valencia and Desir\u00e9e Valera Gran and Eva Mar\u00eda Navarrete Mu\u00f1oz from the Occupational Therapy Research Group (InTeO) at Miguel Hern\u00e1ndez University of Elche (UMH). The Spanish version provides instructions, photographs and recommendations intended to make the exercises easier to understand and carry out at home. <\/p>\n Relevance to rehabilitation<\/strong><\/p>\n HOME-GRASP supports repetitive practice of movements and functional tasks outside the clinical setting. Its approach is consistent with motor-learning and neuroplasticity principles and encourages active participation in rehabilitation. From an occupational therapy perspective, its emphasis on using the upper limb in everyday activities is particularly relevant. Evidence supporting the original GRASP programme should not automatically be interpreted as evidence of effectiveness for the Spanish adaptation specifically. <\/p>\n [\/et_pb_text][et_pb_text admin_label=”Texto” _builder_version=”4.17.4″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” custom_padding=”|30px||30px|false|false” use_border_color=”off” border_color=”#ffffff” border_style=”solid” global_colors_info=”{}”]<\/p>\n AUTHORSHIP:<\/strong><\/p>\n Original programme<\/em> Spanish translation and cultural adaptation:<\/em> Document design:<\/em> Photography:<\/em> [\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.17.4″ _module_preset=”default” background_color=”#f4f4f4″ custom_padding=”||||false|false” global_colors_info=”{}”][et_pb_row _builder_version=”4.17.4″ _module_preset=”default” custom_margin=”|auto||auto|false|false” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.17.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.17.4″ _module_preset=”default” text_font=”|300|||||||” custom_padding=”10px|30px|10px|30px|false|false” global_colors_info=”{}”]<\/p>\n [\/et_pb_text][et_pb_blurb title=”Original version” url=”https:\/\/doi.org\/10.1161\/STROKEAHA.108.544585″ url_new_window=”on” use_icon=”on” font_icon=”Z||divi||400″ icon_color=”#2a7c0e” image_icon_width=”53px” icon_alignment=”left” content_max_width=”1100px” icon_placement_tablet=”” icon_placement_phone=”” icon_placement_last_edited=”on|desktop” image_icon_width_tablet=”53px” image_icon_width_phone=”53px” image_icon_width_last_edited=”on|desktop” icon_alignment_tablet=”left” icon_alignment_phone=”left” icon_alignment_last_edited=”on|desktop” _builder_version=”4.17.4″ _module_preset=”default” header_font=”|600|||||||” header_font_size=”18px” body_font=”||||||||” image_icon_custom_padding=”||||false|false” custom_margin=”|30px||30px|false|false” custom_margin_tablet=”|30px||30px|false|false” custom_margin_phone=”|10px||10px|false|false” custom_margin_last_edited=”on|phone” custom_padding=”15px|15px|15px|15px|false|false” animation=”off” link_option_url=”https:\/\/doi.org\/10.1161\/STROKEAHA.108.544585″ link_option_url_new_window=”on” border_radii=”on|10px|10px|10px|10px” border_width_all=”1px” border_color_all=”#2d7c12″ global_colors_info=”{}”]<\/p>\n Harris JE, Eng JJ, Miller WC, Dawson AS. (2009). A self-administered Graded Repetitive Arm Supplementary Program (GRASP) improves arm function during inpatient stroke rehabilitation: a multi-site randomized controlled trial. Stroke, 40(6), 2123\u20132128. https:\/\/doi.org\/10.1161\/STROKEAHA.108.544585<\/a> <\/p>\n [\/et_pb_blurb][et_pb_blurb title=”GRASP official webpage” url=”https:\/\/neurorehab.med.ubc.ca\/grasp\/” url_new_window=”on” use_icon=”on” font_icon=”\uf0ac||fa||900″ icon_color=”#2a7c0e” image_icon_width=”53px” icon_alignment=”left” content_max_width=”1100px” icon_placement_tablet=”” icon_placement_phone=”” icon_placement_last_edited=”on|desktop” image_icon_width_tablet=”53px” image_icon_width_phone=”53px” image_icon_width_last_edited=”on|desktop” icon_alignment_tablet=”left” icon_alignment_phone=”left” icon_alignment_last_edited=”on|desktop” _builder_version=”4.17.4″ _module_preset=”default” header_font=”|600|||||||” header_font_size=”18px” body_font=”||||||||” image_icon_custom_padding=”||||false|false” custom_margin=”|30px||30px|false|false” custom_margin_tablet=”|30px||30px|false|false” custom_margin_phone=”|10px||10px|false|false” custom_margin_last_edited=”on|phone” custom_padding=”15px|15px|15px|15px|false|false” animation=”off” link_option_url=”https:\/\/neurorehab.med.ubc.ca\/grasp\/” link_option_url_new_window=”on” border_radii=”on|10px|10px|10px|10px” border_width_all=”1px” border_color_all=”#2d7c12″ global_colors_info=”{}”]<\/p>\n https:\/\/neurorehab.med.ubc.ca\/grasp\/<\/a><\/p>\n [\/et_pb_blurb][et_pb_blurb title=”Link to the adaptation to the Spanish population” url=”https:\/\/doi.org\/10.3390\/healthcare14203418″ url_new_window=”on” use_icon=”on” font_icon=”\uf5c3||fa||900″ icon_color=”#2a7c0e” image_icon_width=”53px” icon_alignment=”left” content_max_width=”1100px” icon_placement_tablet=”” icon_placement_phone=”” icon_placement_last_edited=”on|desktop” image_icon_width_tablet=”53px” image_icon_width_phone=”53px” image_icon_width_last_edited=”on|desktop” icon_alignment_tablet=”left” icon_alignment_phone=”left” icon_alignment_last_edited=”on|desktop” _builder_version=”4.17.4″ _module_preset=”default” header_font=”|600|||||||” header_font_size=”18px” body_font=”||||||||” image_icon_custom_padding=”||||false|false” custom_margin=”|30px||30px|false|false” custom_margin_tablet=”|30px||30px|false|false” custom_margin_phone=”|10px||10px|false|false” custom_margin_last_edited=”on|phone” custom_padding=”15px|15px|15px|15px|false|false” animation=”off” link_option_url=”https:\/\/doi.org\/10.3390\/healthcare14203418″ link_option_url_new_window=”on” border_radii=”on|10px|10px|10px|10px” border_width_all=”1px” border_color_all=”#2d7c12″ global_colors_info=”{}”]<\/p>\n Soler-Pons C, Casa\u00f1a-Escriche E, Garc\u00eda-Mill\u00e1n P, Hurtado-Pomares M, Valera-Gran D, Navarrete-Mu\u00f1oz EM. Translation and Cultural Adaptation of the Home Graded Repetitive Arm Supplementary Program (Home-GRASP) for Stroke Survivors in Spain. Healthcare<\/em>. 2026; 14(20):3418. https:\/\/doi.org\/10.3390\/healthcare14203418<\/a> <\/p>\n [\/et_pb_blurb][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=”1″ _builder_version=”4.17.4″ _module_preset=”default” background_color=”#FFFFFF” custom_padding=”||||false|false” global_colors_info=”{}”][et_pb_row _builder_version=”4.17.4″ _module_preset=”default” custom_margin=”|auto||auto|false|false” global_colors_info=”{}”][et_pb_column type=”4_4″ _builder_version=”4.17.4″ _module_preset=”default” global_colors_info=”{}”][et_pb_text _builder_version=”4.17.4″ _module_preset=”default” text_font=”|300|||||||” custom_padding=”10px|30px|10px|30px|false|false” global_colors_info=”{}”]<\/p>\n [\/et_pb_text][et_pb_blurb title=”Request to download the HOME-GRASP program” url=”https:\/\/forms.gle\/Xs2ahPsN1D6YoeKw8″ url_new_window=”on” use_icon=”on” font_icon=”\uf56d||fa||900″ icon_color=”#2a7c0e” image_icon_width=”53px” icon_alignment=”left” content_max_width=”1100px” icon_placement_tablet=”” icon_placement_phone=”” icon_placement_last_edited=”on|desktop” image_icon_width_tablet=”53px” image_icon_width_phone=”53px” image_icon_width_last_edited=”on|desktop” icon_alignment_tablet=”left” icon_alignment_phone=”left” icon_alignment_last_edited=”on|desktop” _builder_version=”4.17.4″ _module_preset=”default” header_font=”|600|||||||” header_font_size=”18px” body_font=”||||||||” image_icon_custom_padding=”||||false|false” custom_margin=”|30px||30px|false|false” custom_margin_tablet=”|30px||30px|false|false” custom_margin_phone=”|10px||10px|false|false” custom_margin_last_edited=”on|phone” custom_padding=”15px|15px|15px|15px|false|false” animation=”off” link_option_url=”https:\/\/forms.gle\/Xs2ahPsN1D6YoeKw8″ link_option_url_new_window=”on” border_radii=”on|10px|10px|10px|10px” border_width_all=”1px” border_color_all=”#2d7c12″ global_colors_info=”{}”]<\/p>\n To download the program in Spanish, you most complete this questionnaire.<\/p>\n [\/et_pb_blurb][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":" HOME-GRASP Home Graded Repetitive Arm Supplementary ProgramHOME-GRASP is a home-based exercise programme designed to improve strength, coordination, manual dexterity and functional use of the affected upper limb in people who have experienced a stroke. It involves repetitive, progressive, task-oriented practice aimed at encouraging the use of the affected arm and hand in activities of daily […]<\/p>\n","protected":false},"author":27939,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"[et_pb_section fb_built=\"1\" fullwidth=\"on\" custom_padding_last_edited=\"on|phone\" admin_label=\"section\" _builder_version=\"4.17.4\" background_color=\"RGBA(255,255,255,0)\" custom_padding_tablet=\"|0||0|false|false\" custom_padding_phone=\"|0||0|false|false\" transparent_background=\"off\" make_fullwidth=\"off\" use_custom_width=\"off\" width_unit=\"on\" global_colors_info=\"{}\"][et_pb_fullwidth_menu menu_id=\"298916\" submenu_direction=\"downwards\" fullwidth_menu=\"off\" active_link_color=\"#93b247\" dropdown_menu_bg_color=\"#118425\" dropdown_menu_line_color=\"#FFFFFF\" dropdown_menu_text_color=\"#FFFFFF\" dropdown_menu_active_link_color=\"#93b247\" mobile_menu_bg_color=\"#118425\" mobile_menu_text_color=\"#FFFFFF\" logo_url=\"@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoiaG9tZV91cmwiLCJzZXR0aW5ncyI6e319@\" logo_max_height=\"42px\" cart_icon_color=\"#FFFFFF\" search_icon_color=\"#FFFFFF\" menu_icon_color=\"#FFFFFF\" menu_icon_font_size=\"50px\" active_link_color_tablet=\"#93b247\" active_link_color_phone=\"#93b247\" active_link_color_last_edited=\"on|desktop\" dropdown_menu_line_color_tablet=\"#FFFFFF\" dropdown_menu_line_color_phone=\"#FFFFFF\" dropdown_menu_line_color_last_edited=\"on|tablet\" mobile_menu_bg_color_tablet=\"#118425\" mobile_menu_bg_color_phone=\"#118425\" mobile_menu_bg_color_last_edited=\"on|tablet\" mobile_menu_text_color_tablet=\"#FFFFFF\" mobile_menu_text_color_phone=\"#FFFFFF\" mobile_menu_text_color_last_edited=\"on|desktop\" logo_tablet=\"\" logo_phone=\"\" logo_last_edited=\"on|desktop\" logo_width_tablet=\"\" logo_width_phone=\"\" logo_width_last_edited=\"on|tablet\" logo_max_height_tablet=\"40px\" logo_max_height_phone=\"40px\" logo_max_height_last_edited=\"on|desktop\" menu_icon_font_size_tablet=\"\" menu_icon_font_size_phone=\"50px\" menu_icon_font_size_last_edited=\"on|phone\" admin_label=\"Men\u00fa de anchura completa\" _builder_version=\"4.17.4\" _dynamic_attributes=\"logo_url\" menu_font=\"|600|||||||\" menu_text_color=\"#FFFFFF\" menu_font_size=\"17px\" background_color=\"#118425\" text_orientation=\"center\" background_layout=\"dark\" min_height_last_edited=\"off|desktop\" custom_margin_tablet=\"||||false|false\" custom_margin_phone=\"||||false|false\" custom_margin_last_edited=\"on|desktop\" custom_padding=\"||||false|false\" custom_padding_tablet=\"|50px|||false|false\" custom_padding_phone=\"|50px|||false|false\" custom_padding_last_edited=\"on|phone\" menu_text_color_tablet=\"#FFFFFF\" menu_text_color_phone=\"#FFFFFF\" menu_text_color_last_edited=\"on|desktop\" background_last_edited=\"on|desktop\" text_orientation_tablet=\"\" text_orientation_phone=\"\" text_orientation_last_edited=\"on|tablet\" module_alignment_tablet=\"left\" module_alignment_phone=\"left\" module_alignment_last_edited=\"on|tablet\" menu_text_shadow_style=\"preset5\" border_width_all=\"0px\" saved_tabs=\"all\" global_colors_info=\"{}\"][\/et_pb_fullwidth_menu][et_pb_fullwidth_slider show_arrows=\"off\" show_pagination=\"off\" admin_label=\"Control deslizante de anchura completa\" _builder_version=\"4.17.4\" custom_padding=\"50px||50px|\" custom_padding_tablet=\"|||\" custom_padding_phone=\"|||\" auto=\"on\" auto_speed=\"3000\" auto_ignore_hover=\"on\" custom_css_slide_description=\"animation-name: none;\" top_padding=\"50px\" bottom_padding=\"50px\" remove_inner_shadow=\"on\" hide_content_on_mobile=\"off\" hide_cta_on_mobile=\"off\" show_inner_shadow=\"off\" button_letter_spacing_hover=\"0\" saved_tabs=\"all\" global_colors_info=\"{}\" button_text_size__hover_enabled=\"off\" button_one_text_size__hover_enabled=\"off\" button_two_text_size__hover_enabled=\"off\" button_text_color__hover_enabled=\"off\" button_one_text_color__hover_enabled=\"off\" button_two_text_color__hover_enabled=\"off\" button_border_width__hover_enabled=\"off\" button_one_border_width__hover_enabled=\"off\" button_two_border_width__hover_enabled=\"off\" button_border_color__hover_enabled=\"off\" button_one_border_color__hover_enabled=\"off\" button_two_border_color__hover_enabled=\"off\" button_border_radius__hover_enabled=\"off\" button_one_border_radius__hover_enabled=\"off\" button_two_border_radius__hover_enabled=\"off\" button_letter_spacing__hover_enabled=\"on\" button_letter_spacing__hover=\"0\" button_one_letter_spacing__hover_enabled=\"off\" button_two_letter_spacing__hover_enabled=\"off\" button_bg_color__hover_enabled=\"off\" button_one_bg_color__hover_enabled=\"off\" button_two_bg_color__hover_enabled=\"off\"][et_pb_slide heading=\"HERRAMIENTA\" use_bg_overlay=\"off\" use_text_overlay=\"off\" _builder_version=\"4.17.4\" header_level=\"h1\" header_font=\"|700|||||||\" header_font_size=\"30px\" body_font=\"||||\" body_font_size=\"14\" background_color=\"RGBA(255,255,255,0)\" background_enable_color=\"on\" background_image=\"https:\/\/inteo.umh.es\/files\/2025\/03\/GRASP-Fortalecimiento-Brazo-scaled.jpg\" background_enable_image=\"on\" button_icon_placement=\"right\" button_on_hover=\"on\" body_font_size_tablet=\"14\" body_font_size_phone=\"14\" custom_css_main_element=\"height:300px;\" header_text_shadow_style=\"preset5\" text_shadow_style=\"preset5\" inline_fonts=\"Alata\" global_colors_info=\"{}\" button_text_size__hover_enabled=\"off\" button_one_text_size__hover_enabled=\"off\" button_two_text_size__hover_enabled=\"off\" button_text_color__hover_enabled=\"off\" button_one_text_color__hover_enabled=\"off\" button_two_text_color__hover_enabled=\"off\" button_border_width__hover_enabled=\"off\" button_one_border_width__hover_enabled=\"off\" button_two_border_width__hover_enabled=\"off\" button_border_color__hover_enabled=\"off\" button_one_border_color__hover_enabled=\"off\" button_two_border_color__hover_enabled=\"off\" button_border_radius__hover_enabled=\"off\" button_one_border_radius__hover_enabled=\"off\" button_two_border_radius__hover_enabled=\"off\" button_letter_spacing__hover_enabled=\"off\" button_one_letter_spacing__hover_enabled=\"off\" button_two_letter_spacing__hover_enabled=\"off\" button_bg_color__hover_enabled=\"off\" button_one_bg_color__hover_enabled=\"off\" button_two_bg_color__hover_enabled=\"off\" sticky_transition=\"on\"] HOME-GRASP is a home-based exercise programme designed to improve strength, coordination, manual dexterity and functional use of the affected upper limb in people who have experienced a stroke. It involves repetitive, progressive, task-oriented practice aimed at encouraging the use of the affected arm and hand in activities of daily living. The programme is performed at home with guidance and supervision from a rehabilitation professional. <\/p>\r\n Programme procedure and structure<\/strong><\/p>\r\n El programa se desarrolla durante 8 semanas, con una dedicaci\u00f3n de una hora diaria, los siete d\u00edas de la semana. Si resulta m\u00e1s c\u00f3modo, los ejercicios pueden dividirse en dos sesiones de 30 minutos. <\/p>\r\n Exercises are organised into five sections:<\/p>\r\n The programme uses readily available everyday items, such as balls, clothes pegs, coins, blocks, containers and other common objects. A rehabilitation professional adjusts the level of difficulty according to the participant\u2019s abilities, for example by changing object size, materials or the number of repetitions. The manual includes a daily log to help participants track their practice. <\/p>\r\n Spanish translation and cultural adaptation<\/strong><\/p>\r\n The HOME-GRASP manual was translated and culturally adapted into Spanish through a collaboration involving Carlos Soler Pons from Fundaci\u00f3n Hospitalarias Valencia and Desir\u00e9e Valera Gran and Eva Mar\u00eda Navarrete Mu\u00f1oz from the Occupational Therapy Research Group (InTeO) at Miguel Hern\u00e1ndez University of Elche (UMH). The Spanish version provides instructions, photographs and recommendations intended to make the exercises easier to understand and carry out at home. <\/p>\r\n Relevance to rehabilitation<\/strong><\/p>\r\n HOME-GRASP supports repetitive practice of movements and functional tasks outside the clinical setting. Its approach is consistent with motor-learning and neuroplasticity principles and encourages active participation in rehabilitation. From an occupational therapy perspective, its emphasis on using the upper limb in everyday activities is particularly relevant. Evidence supporting the original GRASP programme should not automatically be interpreted as evidence of effectiveness for the Spanish adaptation specifically. <\/p>[\/et_pb_text][et_pb_text admin_label=\"Texto\" _builder_version=\"4.17.4\" background_size=\"initial\" background_position=\"top_left\" background_repeat=\"repeat\" custom_padding=\"|30px||30px|false|false\" use_border_color=\"off\" border_color=\"#ffffff\" border_style=\"solid\" global_colors_info=\"{}\"] AUTHORSHIP:<\/strong><\/p>\r\n Original programme<\/em> Spanish translation and cultural adaptation:<\/em> Document design:<\/em> Photography:<\/em> Harris JE, Eng JJ, Miller WC, Dawson AS. (2009). A self-administered Graded Repetitive Arm Supplementary Program (GRASP) improves arm function during inpatient stroke rehabilitation: a multi-site randomized controlled trial. Stroke, 40(6), 2123\u20132128. https:\/\/doi.org\/10.1161\/STROKEAHA.108.544585<\/a> <\/p>[\/et_pb_blurb][et_pb_blurb title=\"GRASP official webpage\" url=\"https:\/\/neurorehab.med.ubc.ca\/grasp\/\" url_new_window=\"on\" use_icon=\"on\" font_icon=\"\uf0ac||fa||900\" icon_color=\"#2a7c0e\" image_icon_width=\"53px\" icon_alignment=\"left\" content_max_width=\"1100px\" icon_placement_tablet=\"\" icon_placement_phone=\"\" icon_placement_last_edited=\"on|desktop\" image_icon_width_tablet=\"53px\" image_icon_width_phone=\"53px\" image_icon_width_last_edited=\"on|desktop\" icon_alignment_tablet=\"left\" icon_alignment_phone=\"left\" icon_alignment_last_edited=\"on|desktop\" _builder_version=\"4.17.4\" _module_preset=\"default\" header_font=\"|600|||||||\" header_font_size=\"18px\" body_font=\"||||||||\" image_icon_custom_padding=\"||||false|false\" custom_margin=\"|30px||30px|false|false\" custom_margin_tablet=\"|30px||30px|false|false\" custom_margin_phone=\"|10px||10px|false|false\" custom_margin_last_edited=\"on|phone\" custom_padding=\"15px|15px|15px|15px|false|false\" animation=\"off\" link_option_url=\"https:\/\/neurorehab.med.ubc.ca\/grasp\/\" link_option_url_new_window=\"on\" border_radii=\"on|10px|10px|10px|10px\" border_width_all=\"1px\" border_color_all=\"#2d7c12\" global_colors_info=\"{}\"]\n
Janice J. Eng and team, University of British Columbia (Canada).<\/p>\n
Carlos Soler Pons (Fundaci\u00f3n Hospitalarias Valencia), Desir\u00e9e Valera Gran and Eva Mar\u00eda Navarrete Mu\u00f1oz (InTeO, UMH).<\/p>\n
Josu\u00e9 Esteve Esteban<\/p>\n
Pablo Ferao<\/p>\nLINKS <\/strong>to publications<\/em><\/span><\/h2>\n
DOWNLOAD <\/strong>the Tool<\/em><\/span><\/h2>\n
Home Graded Repetitive Arm Supplementary Program (HOME GRASP)<\/span><\/h4>[\/et_pb_slide][et_pb_slide heading=\"HERRAMIENTA\" use_bg_overlay=\"off\" use_text_overlay=\"off\" _builder_version=\"4.17.4\" header_level=\"h1\" header_font=\"|700|||||||\" header_font_size=\"30px\" body_font=\"||||\" body_font_size=\"14\" background_color=\"RGBA(255,255,255,0)\" background_enable_color=\"on\" background_image=\"https:\/\/inteo.umh.es\/files\/2025\/03\/GRASP-Fortalecimiento-Mano-scaled.jpg\" background_enable_image=\"on\" button_icon_placement=\"right\" button_on_hover=\"on\" body_font_size_tablet=\"14\" body_font_size_phone=\"14\" custom_css_main_element=\"height:300px;\" header_text_shadow_style=\"preset5\" text_shadow_style=\"preset5\" inline_fonts=\"Alata\" global_colors_info=\"{}\" button_text_size__hover_enabled=\"off\" button_one_text_size__hover_enabled=\"off\" button_two_text_size__hover_enabled=\"off\" button_text_color__hover_enabled=\"off\" button_one_text_color__hover_enabled=\"off\" button_two_text_color__hover_enabled=\"off\" button_border_width__hover_enabled=\"off\" button_one_border_width__hover_enabled=\"off\" button_two_border_width__hover_enabled=\"off\" button_border_color__hover_enabled=\"off\" button_one_border_color__hover_enabled=\"off\" button_two_border_color__hover_enabled=\"off\" button_border_radius__hover_enabled=\"off\" button_one_border_radius__hover_enabled=\"off\" button_two_border_radius__hover_enabled=\"off\" button_letter_spacing__hover_enabled=\"off\" button_one_letter_spacing__hover_enabled=\"off\" button_two_letter_spacing__hover_enabled=\"off\" button_bg_color__hover_enabled=\"off\" button_one_bg_color__hover_enabled=\"off\" button_two_bg_color__hover_enabled=\"off\" sticky_transition=\"on\"]
Home Graded Repetitive Arm Supplementary Program (HOME GRASP)<\/span><\/h4>[\/et_pb_slide][et_pb_slide heading=\"HERRAMIENTA\" use_bg_overlay=\"off\" use_text_overlay=\"off\" _builder_version=\"4.17.4\" header_level=\"h1\" header_font=\"|700|||||||\" header_font_size=\"30px\" body_font=\"||||\" body_font_size=\"14\" background_color=\"RGBA(255,255,255,0)\" background_enable_color=\"on\" background_image=\"https:\/\/inteo.umh.es\/files\/2025\/03\/GRASP-Coordinacion-01-scaled.jpg\" background_enable_image=\"on\" button_icon_placement=\"right\" button_on_hover=\"on\" body_font_size_tablet=\"14\" body_font_size_phone=\"14\" custom_css_main_element=\"height:300px;\" header_text_shadow_style=\"preset5\" text_shadow_style=\"preset5\" inline_fonts=\"Alata\" global_colors_info=\"{}\" button_text_size__hover_enabled=\"off\" button_one_text_size__hover_enabled=\"off\" button_two_text_size__hover_enabled=\"off\" button_text_color__hover_enabled=\"off\" button_one_text_color__hover_enabled=\"off\" button_two_text_color__hover_enabled=\"off\" button_border_width__hover_enabled=\"off\" button_one_border_width__hover_enabled=\"off\" button_two_border_width__hover_enabled=\"off\" button_border_color__hover_enabled=\"off\" button_one_border_color__hover_enabled=\"off\" button_two_border_color__hover_enabled=\"off\" button_border_radius__hover_enabled=\"off\" button_one_border_radius__hover_enabled=\"off\" button_two_border_radius__hover_enabled=\"off\" button_letter_spacing__hover_enabled=\"off\" button_one_letter_spacing__hover_enabled=\"off\" button_two_letter_spacing__hover_enabled=\"off\" button_bg_color__hover_enabled=\"off\" button_one_bg_color__hover_enabled=\"off\" button_two_bg_color__hover_enabled=\"off\" sticky_transition=\"on\"]
Home Graded Repetitive Arm Supplementary Program (HOME GRASP)<\/span><\/h4>[\/et_pb_slide][et_pb_slide heading=\"HERRAMIENTA\" use_bg_overlay=\"off\" use_text_overlay=\"off\" _builder_version=\"4.17.4\" header_level=\"h1\" header_font=\"|700|||||||\" header_font_size=\"30px\" body_font=\"||||\" body_font_size=\"14\" background_color=\"RGBA(255,255,255,0)\" background_enable_color=\"on\" background_image=\"https:\/\/inteo.umh.es\/files\/2025\/03\/GRASP-Coordinacion-02-scaled.jpg\" background_enable_image=\"on\" button_icon_placement=\"right\" button_on_hover=\"on\" body_font_size_tablet=\"14\" body_font_size_phone=\"14\" custom_css_main_element=\"height:300px;\" header_text_shadow_style=\"preset5\" text_shadow_style=\"preset5\" inline_fonts=\"Alata\" global_colors_info=\"{}\" button_text_size__hover_enabled=\"off\" button_one_text_size__hover_enabled=\"off\" button_two_text_size__hover_enabled=\"off\" button_text_color__hover_enabled=\"off\" button_one_text_color__hover_enabled=\"off\" button_two_text_color__hover_enabled=\"off\" button_border_width__hover_enabled=\"off\" button_one_border_width__hover_enabled=\"off\" button_two_border_width__hover_enabled=\"off\" button_border_color__hover_enabled=\"off\" button_one_border_color__hover_enabled=\"off\" button_two_border_color__hover_enabled=\"off\" button_border_radius__hover_enabled=\"off\" button_one_border_radius__hover_enabled=\"off\" button_two_border_radius__hover_enabled=\"off\" button_letter_spacing__hover_enabled=\"off\" button_one_letter_spacing__hover_enabled=\"off\" button_two_letter_spacing__hover_enabled=\"off\" button_bg_color__hover_enabled=\"off\" button_one_bg_color__hover_enabled=\"off\" button_two_bg_color__hover_enabled=\"off\" sticky_transition=\"on\"]
Home Graded Repetitive Arm Supplementary Program (HOME GRASP)<\/span><\/h4>[\/et_pb_slide][et_pb_slide heading=\"HERRAMIENTA\" use_bg_overlay=\"off\" use_text_overlay=\"off\" _builder_version=\"4.17.4\" header_level=\"h1\" header_font=\"|700|||||||\" header_font_size=\"30px\" body_font=\"||||\" body_font_size=\"14\" background_color=\"RGBA(255,255,255,0)\" background_enable_color=\"on\" background_image=\"https:\/\/inteo.umh.es\/files\/2025\/03\/GRASP-Habilidades-MAnuales-scaled.jpg\" background_enable_image=\"on\" button_icon_placement=\"right\" button_on_hover=\"on\" body_font_size_tablet=\"14\" body_font_size_phone=\"14\" custom_css_main_element=\"height:300px;\" header_text_shadow_style=\"preset5\" text_shadow_style=\"preset5\" inline_fonts=\"Alata\" global_colors_info=\"{}\" button_text_size__hover_enabled=\"off\" button_one_text_size__hover_enabled=\"off\" button_two_text_size__hover_enabled=\"off\" button_text_color__hover_enabled=\"off\" button_one_text_color__hover_enabled=\"off\" button_two_text_color__hover_enabled=\"off\" button_border_width__hover_enabled=\"off\" button_one_border_width__hover_enabled=\"off\" button_two_border_width__hover_enabled=\"off\" button_border_color__hover_enabled=\"off\" button_one_border_color__hover_enabled=\"off\" button_two_border_color__hover_enabled=\"off\" button_border_radius__hover_enabled=\"off\" button_one_border_radius__hover_enabled=\"off\" button_two_border_radius__hover_enabled=\"off\" button_letter_spacing__hover_enabled=\"off\" button_one_letter_spacing__hover_enabled=\"off\" button_two_letter_spacing__hover_enabled=\"off\" button_bg_color__hover_enabled=\"off\" button_one_bg_color__hover_enabled=\"off\" button_two_bg_color__hover_enabled=\"off\" sticky_transition=\"on\"]
Home Graded Repetitive Arm Supplementary Program (HOME GRASP)<\/span><\/h4>[\/et_pb_slide][\/et_pb_fullwidth_slider][\/et_pb_section][et_pb_section fb_built=\"1\" _builder_version=\"4.17.4\" _module_preset=\"default\" background_color=\"#FFFFFF\" custom_padding=\"||||false|false\" global_colors_info=\"{}\"][et_pb_row _builder_version=\"4.17.4\" _module_preset=\"default\" custom_margin=\"|auto||auto|false|false\" global_colors_info=\"{}\"][et_pb_column type=\"4_4\" _builder_version=\"4.17.4\" _module_preset=\"default\" global_colors_info=\"{}\"][et_pb_text _builder_version=\"4.17.4\" _module_preset=\"default\" text_font=\"|300|||||||\" custom_padding=\"10px|30px|10px|30px|false|false\" global_colors_info=\"{}\"]
HOME-GRASP <\/strong>Home Graded Repetitive Arm Supplementary Program<\/em><\/span><\/h2>[\/et_pb_text][et_pb_text admin_label=\"Texto\" _builder_version=\"4.17.4\" background_size=\"initial\" background_position=\"top_left\" background_repeat=\"repeat\" custom_padding=\"|30px||30px|false|false\" use_border_color=\"off\" border_color=\"#ffffff\" border_style=\"solid\" global_colors_info=\"{}\"]
\r\n
LINKS <\/strong>to publications<\/em><\/span><\/h2>[\/et_pb_text][et_pb_blurb title=\"Original version\" url=\"https:\/\/doi.org\/10.1161\/STROKEAHA.108.544585\" url_new_window=\"on\" use_icon=\"on\" font_icon=\"Z||divi||400\" icon_color=\"#2a7c0e\" image_icon_width=\"53px\" icon_alignment=\"left\" content_max_width=\"1100px\" icon_placement_tablet=\"\" icon_placement_phone=\"\" icon_placement_last_edited=\"on|desktop\" image_icon_width_tablet=\"53px\" image_icon_width_phone=\"53px\" image_icon_width_last_edited=\"on|desktop\" icon_alignment_tablet=\"left\" icon_alignment_phone=\"left\" icon_alignment_last_edited=\"on|desktop\" _builder_version=\"4.17.4\" _module_preset=\"default\" header_font=\"|600|||||||\" header_font_size=\"18px\" body_font=\"||||||||\" image_icon_custom_padding=\"||||false|false\" custom_margin=\"|30px||30px|false|false\" custom_margin_tablet=\"|30px||30px|false|false\" custom_margin_phone=\"|10px||10px|false|false\" custom_margin_last_edited=\"on|phone\" custom_padding=\"15px|15px|15px|15px|false|false\" animation=\"off\" link_option_url=\"https:\/\/doi.org\/10.1161\/STROKEAHA.108.544585\" link_option_url_new_window=\"on\" border_radii=\"on|10px|10px|10px|10px\" border_width_all=\"1px\" border_color_all=\"#2d7c12\" global_colors_info=\"{}\"]