Inclusion Criteria:  Patient with chronic (course of disease at least six month) Recently discharge from in-patients setting with in 06 month of onset Hemiplegia (either right or left) Both gender Age between 30 to 70 Medically stable No balance disorders before this stroke. History of mental illness or severe cognitive impairment (MINI-MENTAL SCALE SCORE > 25)  Exclusion Criteria:  Stroke Patient with complication like shoulder hand syndrome, adhesive capsulitis or shoulder partial dislocation Stroke patients with behavioral issue, significant cognitive deficit Patients with arthritis and fracture Chronic stroke with deformities Serious viscera dysfunction, such as cardiovascular system, Lung, liver and kidney History of mental Illness or severe cognitive impairment (MINI-MENTAL SCALE SCORE > 25) Audio-visual understanding obstacle, unable to cooperate with instructions; Infection and ulcer skin