Inclusion Criteria:  Male and female both with age 40-75 years. Acute phase of stroke (< 3 months) Without cognitive impairments (Mini-Mental State Examination >23) No visual or auditory abnormalities Preserved visual acuity Middle cerebral artery infarction Fugl-Meyer assessment (FMA) score ≥20 for upper extremity status Dominant hand  Exclusion Criteria:  Posterior circulation infarction(13) Comorbidities that influence voluntary upper-extremity function or multiple strokes. Apraxia and agnosia Cognitive defects or other neurological disorders