usual hospitl care

the participant performs arm exercise behind mirror

measured by Fugl-Meyer Assessment for upper limb motor function. to describe impairment severity, quantify motor recovery, guide treatment planning, and evaluate outcomes. The scale comprises five domains with a maximum total score of 226 points (Motor 100; Sensation 24; Balance 14; Joint ROM 44; Joint Pain 44).

Scoring is based on direct observation of performance. Scale items are scored on the basis of ability to complete the item using a 3-point ordinal scale where 0=cannot perform, 1=performs partially and 2=performs fully. The total possible scale score is 226.

Points are divided among the domains as follows:

Motor score: ranges from 0 (hemiplegia) to 100 points (normal motor performance). Divided into 66 points for upper extremity and 34 points for the lower extremity.

Sensation: ranges from 0 to 24 points. Divided into 8 points for light touch and 16 points for position sense.

Balance: ranges from 0 to 14 points. Divided into 6 points for sitting and 8 points for standing.

Functional independence (measured by Modified Rankin Scale). it is a 7-point scale (0-6) that measures disability after a stroke or neurological event, assessing the ability to perform daily activities, from no disability (0) to death (6).

The Modified Rankin Scale Grade mRS 0 No symptoms at all

1. No significant disability: despite symptoms, able to carry out all usual duties and activities
2. Slight disability: unable to perform all previous activities but able to look after own affairs without assistance
3. Moderate disability: requiring some help but able to walk without assistance
4. Moderately severe disability: unable to walk without assistance and attend to own bodily needs without assistance
5. Severe disability: bedridden, incontinence, and requiring constant nursing care and attention
6. Death