Stroke Rehabilitation

supporting continuing recovery from stroke


ARNI Techniques for Chronic Stage of Stroke in a Group Setting - A Pilot Programme

Research Report

Alison Smith, Ruth Joy and Alan Parsons




Different Strokes Milton Keynes Group, in partnership with Shenley Leisure Centre, Central and North West London NHS Foundation Trust, and Action for Rehabilitation from Neurological Injury (ARNI) set up a series of pilot group sessions for stroke survivors using the ARNI approach. Six participants, volunteers from the Different Strokes Group, took part in the sessions which took place weekly for six weeks. Monthly follow up sessions have also been arranged for November and December 2013 to give participants an opportunity to refresh their programmes, report on progress and boost their motivation.

The main aims for the pilot from the ARNI perspective were that participants would: have information about suitable ARNI techniques for their individual situation; establish, or add to existing independent training outside the sessions using ARNI techniques; and have the tools and motivation to continue with their training after the pilot sessions ceased.


Participants ranged in age from 52 to 72, two are in their 50s, two in their 60s and two in their 70s. Time since stroke was from 2 to 10 years and levels of mobility varied widely from ability to walk independently, to use of wheelchair and hoist. Movement and control in affected arm and hand ranged from gross arm movement with little or no discernible hand movement to virtually full function of arm and hand.


Each week, the participants were given a tailored programme of exercises, designed around their own goals with encouragement to aim for daily practice with one or two rest days per week. All six participants completed the programme and only one missed a session because of a prior commitment.   Read more


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