1. To assess the effect of implementing stroke early rehabilitation using telemedicine if avialable in the stroke unit of the Neurology Department , Assuit university hospitalis , Egypt.
2. Importance and impact of this programme on function and quality of life after stroke

In this case control study,we will analyzed Patients admitted to Neurology Depatment in assuit university hospitals from 1/2023 until 1/2024 and divide them in two groups , Group receive early rehabilitation services with the personnel get tele-rehab training and the other group get training with the usual pathway in the hospital by other personnel, and we could follow up the two groups for 3 months and comparing both groups .

Inclusion Criteria:

1. Mild to Moderate stroke Patients (ischemic or hemorrhagic) admitted to AUH within 24 hour after admission.
2. ALL age Groups .
3. Both Sex.
4. Group receive rehab services with the personnel get tele-rehab training and the other group get training with the usual pathway in the hospital by other personnel, and we could follow up the two groups for 3 months and comparing both groups .

Exclusion Criteria:

Severe Stroke.

• Stroke Mimmics .
• Pregnancy.
• Stroke with severe hepatic ,renal and Pulmonary diseases limiting or affecting early rehabilitation .

• 50 case of acute cerebrovascular stroke patients will subject to implanted programme of early rehabilitation based on Telemedicine .
• 50 control Patient of acute cerebrovascular stroke will subject to ordinary rehabilitaion techniques .