Effect of Neuromuscular Electrical Stimulation With Task Oriented Training on Upper Extremity Function in Stroke Patients

Inclusion Criteria: * Forty-five stroke patients both genders (male and female) * Patients Diagnosed with first-time ischemic/hemorrhagic stroke by their treating neurologists and confirmed by MRI scan. * Middle cerebral artery stroke patient. * Their ages range from 55-65 years. * All patients were reported medically stable by their neurologist with a stroke incidence range between 6 and 24 months. * The affected UE scored \[1+\&2\] on the modified Ashworth scale (MAS). * Patients had normal sensation of the affected UE, as measured by the Nottingham Sensory Assessment (NSA) scale (score 2 for tactile sensation and kinesthesia and score 3 for (stereognosis). Exclusion Criteria: * Other neurological disorders that cause motor deficits, such as Parkinson's disease, peripheral neuropathy, and diabetes mellitus. * Severe aphasia, resulting in communication difficulties that could influence the intervention and outcome measures. * Cognitive impairment resulting in cooperation difficulties (a score of ≤24 in the Mini-Mental State Examination). * Severe pain impeding upper extremity rehabilitation (Numeric Pain Rating Scale score ≥7). * Significant visual dysfunction. * severe spasticity (contracture).