Stroke is one of the common diseases in the elderly. It is the third ranking cause of death and affects health care system in our country. One of the most important consequences of stroke is spasticity. Some stroke patients suffered from severe spasticity or hypersensitive reflex to stimuli. It can cause contracture, limit self care function, transfer or ambulation. Most of stroke patients have to depend on their relatives or families.

Thai traditional massage is one of the popular alternative medicine in Thailand. Lots of stroke patients who suffered from spasticity sought treatment. To the investigators knowledge, there is no study concerning efficacy of massage in decreasing spasticity for stroke patients.

Inclusion Criteria:

• Stroke with onset of >=6 months
• Age >=50 years
• Spasticity grade of knee flexor or elbow flexor was 2-3 classified by Modified Ashworth scale (MAS)
• Ability to follow command and communicable

Exclusion Criteria:

• Having contraindications for massage including fever > 38 degree, uncontrolled blood pressure, bleeding tendency, on anticoagulant drug, having ulcer or healing fracture of limbs, contamination skin disease, severe osteoporosis
• Serious contact diseases, for example AIDS, TB
• History of malignancy
• Fixed joint contracture at elbow or knee of paralyzed limb
• History of botulinum toxin injection or Phenol/Alcohol nerve block within 3 months
• Previous history of TTM
• Severe dementia or uncontrolled psychiatric problems