Inclusion Criteria:  Thirty patients with ischemic stroke from both sexes will be included. Patients will have stroke for the first time. The age of patients will range from 45 to 60 years. Duration of illness will be from six months to eighteen months. The degree of spasticity will ranged from 1 to 1 + grade according to the modified Ashworth scale. Patients will have moderate arm motor impairment (between 30 and 49 scores) according to Fugl-Meyer (FM) arm section scale. The affected upper extremity will be the dominant side. Patients will be able to sit and maintain balance in a sitting position.  Exclusion Criteria:  The patients will be excluded if they have:  Visual or auditory deficits. Perceptual disorders. Any surgical interventions in the upper extremities limiting the range of motion. Aphasia or apraxia. Musculoskeletal or neurological impairment of the unaffected upper extremity.