Virtual Reality-Based Upper Limb Rehabilitation in Hemiplegia

Inclusion Criteria: * Patients must be above eighteen years of age * Have had a first-time stroke * Be within twelve months of stroke * Have a Brunnstrom score of four or more for the upper extremity * Be cognitively adequate (scoring ≥23 on the mini-mental test scale) Exclusion Criteria: * Being in the unstable phase of the disease * Visual and/or auditory impairments * Unilateral spatial neglect (hemineglect) * Modified Ashworth Scale score of ≥3 in the affected upper limb * Had a history of botulinum toxin A (Botox) injection in the affected upper limb within the previous six months * Other systemic neuromuscular disorders (exc; Alzheimer Disease, Parkinson Disease, Multipl Sclerosis...) * Have cerebellar involvement characterised by dysmetria, dysdiadochokinesia or ataxia * Have a prior orthopaedic or neuromuscular injuries affecting both upper limbs * Have impaired static sitting balance