Comparison of Mirror Therapy and Pulsed Electromagnetic Field Therapy Along With Routine Rehabilitation for Improving Upper Limb Function in Stroke Patients.

INTERVENTION: Intervention1: Mirror Therapy: Participants in Group A will receive Mirror Therapy along with Conventional physiotherapy rehabilitation Mirror therapy will be performed using a mirror placed in the midsagittal plane to create the visual illusion of the normal movement of the affected upper limb Participants will be instructed to perform repetitive movements of the unaffected upper limb while observing its reflection in the mirror Conventional physiotherapy rehabilitation will include Range of motion exercises Muscle strengthening exercises Balance training Gait training and Functional task oriented activities Each Treatment session last for 40 to 45 minutes Treatment will be provided five sessions per week for 4 weeks according to the study protocol Control Intervention1: Pulsed Electromagnetic Field Therapy: Participants in Group B will receive Pulsed Electromagnetic Field Therapy along with conventional physiotherapy rehabilitation Pulsed Electromagnetic Field Therapy will be applied to the affected upper limb using a standard clinical PEMF device according to the study protocol Conventional Physiotherapy Conventional Physiotherapy Rehabilitation will include Range of motion exercises Muscle strengthening exercises Balance training Gait training and Functional task oriented activities Each treatment Each treatment session last for 40 to 45 minutes Treatment will be provided five sessions per week for 4 weeks Both groups will receive the same conventional rehabilitation program and the only difference between the groups will be the experimental intervention CONDITION: Health Condition 1: I639‐ Cerebral infarction, unspecified PRIMARY OUTCOME: Fugl Meyer Assessment FMA Upper Extremity SectionTimepoint: Baseline before intervention ; 4 weeks end of intervention ; and 8 weeks follow up SECONDARY OUTCOME: Change in fictional motor recovery assessed using the Wolf Motor Function Test WMFTTimepoint: Baseline and after 4weeks Change in functional independence assessed using the Stroke Impact Scale SISTimepoint: Baseline and after 4 weeks Change in spasticity assessed using the modified ashworth scale MASTimepoint: Baseline and after 4 weeks INCLUSION CRITERIA: Clinically diagnosed stroke patella aged 50 to 70 years Patients in subacute or chronic stage of stroke who are medically stable Able to understand and follow simple verbal commands and willing to provide written informed consent