Inclusion Criteria:  Either right or left sided hemiplegic patients post stroke 6 months to 4 years Can partially open and close hand and able to elevate arm to at least 60 degrees and bend to 45-60 degree against gravity.  Exclusion Criteria:  Patient with TBI, neuromuscular degenerative diseases, diabetes, heart disease, fracture of hand ,.muscular skeletal injuries of hand or birth deformities of hand Patients having any known or diagnosed psychological condition or unable to follow the command for exercise.