Effect of Virtual Reality on Cortical Reorganization and Upper Extremity Functional Recovery in Patients With Subacute Stroke

Inclusion Criteria: * • Age ranges from 50 to 65 years. * Both sexes (male and female). * First stroke ever (ischemic or hemorrhagic) within the last three months. * Clinical diagnosis of subacute stroke confirmed by neuroimaging (CT / MRI). * Hemiparetic shoulder power more than three according to Medical Research Council Scale (MRC) (James, 2007). * Patients who are able to manipulate the Wii remote control. * Muscle tone grade 1 to 1+ (Mild to Moderate) spasticity for shoulder joint according to Modified Ashworth Scale (Meseguer et al., 2018). * Participants are in normal cognitive and psychological status according to Montreal Cognitive Assessment screening (Hawkins et al., 2014). Exclusion Criteria: * • Patients having severe arm or shoulder pain or symptomatic shoulder sublaxation. * Contractures or shoulder deformities. * Patients who have previous experience in using Wii. * Patients with problems that may interfere with using Wii suchas epilepsy, visual impairments, apraxia and/or spatial neglect