Inclusion Criteria:  patient's or caregiver's approval ischemic or hemorrhagic stroke diagnosed using head CT/MRI at least one upper limb muscle spasticity (MAS ≥ 3) candidate for BTX-A treatment or already given BTX-A in the past patient's or caregiver's capability for goal attainment protocol cooperation (Mini Mental Examination ≥ 24 points)  Exclusion Criteria:  aphasic patients without caregiver's presence other neurological or musculoskeletal diseases that could affect the treatment outcome