The Graded Repetitive Arm Supplementary Program (GRASP): a Systematic Review

Abstract Purpose of Review To determine and examine the evidence of GRASP in an upper limb rehabilitation setting for survivors of stroke. Summary Five databases were searched: CINAHL Complete, Medline (OVID), Embase, Cochrane Methodological Register, and Open Grey resulting in 8 studies for this review. Studies that included survivors of stroke using GRASP, participants over 18 years, and full-text articles were used. The Down’s and Black checklist and Critical Appraisal Skills Programme were used to assess risk of bias. Recent Findings A narrative synthesis of results, including setting and exercise time, was conducted to provide a comprehensive overview of the clinical measures. The findings of this review revealed that those who used GRASP showed an increase in hand strength/dexterity, upper limb function, and in the activities of daily living. The setting of GRASP provides implications for the way the program can be delivered in the future.