This clinical trial aims to compare the effects of coupling rehabilitation and constraint-induced movement therapy (CIMT) on improving arm function, hand skills, and daily activity performance in people who have upper limb weakness after a stroke. Participants will be randomly assigned to one of two groups and receive 12 weeks of therapy, including either CIMT or coupling rehabilitation along with conventional physical therapy. The study will evaluate which method is more effective in restoring movement and independence by using standardized assessments before, during, and after the intervention. The findings may help guide future rehabilitation approaches for stroke survivors
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Improvement in Upper Limb Motor Function Using the Fugl-Meyer Assessment (FMA)
Timeframe: Baseline, 6 weeks, and 12 weeks after start of intervention
Change in Hand Dexterity Using the Box and Block Test (BBT)
Timeframe: Baseline, 6 weeks, and 12 weeks after start of intervention
Change in Performance of Daily Activities Using the Motor Activity Log (MAL)
Timeframe: Baseline, 6 weeks, and 12 weeks after start of intervention