Andrea D. Boan, PhD, MSCR, PA-C Departments of Pediatrics, Neurology, and Public Health Sciences, College of Medicine, Medical University of South Carolina, Charleston, South Carolina.

John Hartnett, PT, DPT Department of Physical Therapy, Medical University of South Carolina, Charleston, South Carolina.

Emily Monsch, PT, DPT Department of Physical Therapy, Medical University of South Carolina, Charleston, South Carolina.

Audrey Hartis, OTDS College of Health Professions, Medical University of South Carolina, Charleston, South Carolina.

Mark Bowden, PT, PhD Brooks Rehabilitation Clinical Research Center, Jacksonville, Florida.

Steve Kautz PT, PhD Department of Health Sciences and Research, College of Health Professions, Medical University of South Carolina, Ralph H. Johnson Veteran’s Affairs Health Care System, Charleston, South Carolina.

Christine Holmstedt, DO, FAHA Department of Neurology, College of Medicine, Medical University of South Carolina, Charleston, South Carolina.

Sinead Farrelly, PT, DPT, NCS College of Health Professions, Medical University of South Carolina, Charleston, SC; Department of Physical Therapy, Medical University of South Carolina, 171 Ashley Avenue, Charleston, SC 29425 (USA). [email protected].

Dr. Holmstedt reports NIH/NIGMS funding (NIH P20 GM109040-02).

Dr. Holmstedt discloses research grants from the NIH on a number of unrelated topics.

This study is funded by South Carolina Stroke Recovery Research Center- COBRE NIH/NIGMS funding (NIH P20 GM109040-02)

This study is registered under URL: https://www.clinicaltrials.gov. Unique identifier: NCT04778475.

This study was approved by The Medical University of South Carolina Institutional Review Committee (IRB; 04/20/2021 PRO00108635) and the subjects gave informed consent

The authors have no conflicts of interest and no source of funding to declare.

Submitted for publication: December 14, 2023; accepted for publication March 19, 2024; published online June 24, 2024.