Comparative Effects of CIMT and TOT on Hand Function in Post Stroke Patients

Inclusion Criteria: Participants will be included if they meet the following criteria: * Age between 45 and 65 years * Both male and female participants * First-ever unilateral ischemic or hemorrhagic stroke confirmed by imaging * Stroke onset in subacute to chronic phase (\>3 months post-stroke) * Medically stable and able to sit independently * Voluntary wrist extension of at least 10 degrees and finger extension of at least 10 degrees in the affected hand * Mini-Mental State Examination (MMSE) score \> 26 * No significant pain or spasticity in affected upper limb (Modified Ashworth Scale \< 2) * Adequate sitting balance and trunk control for upper limb activities * Willingness and availability to complete the full intervention (3 weeks) * No significant musculoskeletal impairments (e.g., fractures or arthritis) affecting the upper limb Exclusion Criteria: Participants will be excluded if they have: * Severe spasticity (Modified Ashworth Scale \> 3) or joint contractures * Severe aphasia, neglect, or cognitive impairments affecting task performance * Recurrent or bilateral stroke * Severe upper limb impairment * Joint contractures or orthopedic limitations in the upper limb * Active infections, skin lesions, or wounds on the upper limb * Severe pain during limb movement * Participation in other upper limb rehabilitation programs concurrently