Inclusion Criteria  1st episode of stroke patients after neurological stabilization Patients having gross disability, such as mobility,speech,self care, vocational problem,sphinter control Stroke survivors attending within 4 weeks of incidence Patients age > 18 years; Written consent to participate in the protocol, signed by the patient Exclusion Criteria Seriously ill patients like unconsciousness, recent MI, unstable angina and Bronchial asthma, Dyslipidemia Uncontrolled diabetes mellitus, hypertension Patient with significant cognitive deficit