Clinical Research Directory

Inclusion Criteria: 1. Patients diagnosed with stroke according to the World Health Organization with an age range of 18-80 years 2. Patients with subacute to chronic stroke 3. Patients who can understand commands 4. Patients with sitting balance 5. Patients with a first stroke attack 6. Patients who have never received virtual reality therapy 7. Upper extremity Brunnstrom Stage III and above 8. Patients with a spasticity level below 3 according to the Modified Ashworth Scale (MAS) in the affected upper extremity (MAS 1-5 rating system) 9. Patients who agreed to participate in the study and signed the informed consent form Exclusion Criteria: 1. History of seizures or epilepsy (except childhood febrile seizures), 2. Arthritis or pain in the affected upper limb that limits repetitive exercise, 3. Severe aphasia, cognitive impairment (premorbid dementia) or psychiatric disorders, 4. Spasticity in the affected arm is 3 or more compared to MAS, 5. Patients without sitting balance, 6. Patients with posterior cerebral artery infarction, 7. Patients with subarachnoid hemorrhage, 8. Patients with visual impairments that may affect the virtual reality application