Effect of Selected Training Protocols on Chronic Stroke Patients

Upper limb dysfunction in stroke patients has an impact on the performance of activity of daily living (ADLS). The ultimate goal for many stroke patients is to achieve maximum level of functional independence. Stroke rehabilitation is often described as a process of active (motor) learning that starts, preferably, within the first few days after the stroke. Some trials found that the favourable outcome in the ADL and independence is still significant at ten years post-stroke onset not only in the first six months depending on the type of rehabilitation.For this reason my work that Submitted for Fulfillment of the Requirements of Doctoral Degree in Physical Therapy for Neuromuscular Disorders and Its Surgery was established with the help of my supervisors Prof. Dr.; Moshera Hassan Darwish,Mohamed S. El Tamawy,Ann Ali Abd El Kader, Mye Ali Basheer to study the appropriate type of rehabilitation for the upper limb dysfunction in the chronic stroke patients that has an impact on brain plasticity in patients with stroke for more than one year.