Inclusion Criteria:  Chronic Stroke patients (with more than 6 months- 4 years) illness Patients that were able to communicate and comprehend oral instructions Patients with Mini Mental State Examination (MMSE) score more than 24  Exclusion Criteria:  Patients having psychiatric histories. Visual and hearing impaired patients Patients with speech impairment Patients with arthritic deformities in upper limb (with or without using assistive device) Patients with diagnosed mental illness.