Exercise to Improve Sleep and Quality of Life in Stroke Patients Receiving Botulinum Toxin Treatment

Inclusion Criteria: * 62 patients aged 18-75 years who were planned for botulinum toxin treatment due to upper extremity spasticity following a stroke Exclusion Criteria: * Stroke patients who had BTX-A injections for lower extremity spasticity or had a Modified Ashworth Scale (MASH) score ≥ 2 for lower extremity spasticity, * Uncontrolled diabetes, hypertension, cardiovascular diseases, * Cognitive dysfunction, * Flaccid stroke, * Upper extremity disorders (fractures, frozen shoulder, arthritis, surgery), * Pre-existing sleep disorders (obstructive sleep apnea, insomnia, parasomnia, narcolepsy, restless leg syndrome, or psychiatric disorders), * Cancer diagnosis, * Those who had received antispastic or antiepileptic treatment with dose changes in the last month