Inclusion Criteria:  Both male and female aged 40-70 years Middle cerebral artery (MCA) stroke 6 months after stroke Mini-mental state examination (MMSE)more than 24 Modified Ashworth scale score between1 and 2  Exclusion Criteria:  Patients with multiple sclerosis, spinal cord injury or with other pre-existing neurological disorders. Patients with orthopedic condition affecting upper extremity Patients with contraindication to TENS, like skin damaged etc.