ABSTRACT:
A 44-year-old male with a known comorbidities of type 2 diabetes mellitus and hypertension and history of acute intra cerebellar hemorrhagic stroke, who was admitted and treated conservatively, now he had complaints of poor right hand function referred to physiotherapy for improve the hand function, after assessing the patient with a hand function test, there was a poor hand function compared to non affected side. during examining the patient, he was stressed because of poor hand function which had an impact on its work area and in daily activities ,the level of stress is assessed using a stress scale ,stress often associated with post stroke , so addressing stress shows improved effect on upper limb rehabilitation, App based games and other games were given to patient for 4 session per week for 2 weeks, after the intervention there was an improvement in hand function and reduction in the stress level also, using games for treatment in stroke patients becomes a new trend, A chronic residual disability of the upper limb is present in almost seventy percentage of stroke patients. hence hemiparesis associated with poor hand function leads to both short term and long-term disability in post stroke resulted in reduced quality of living. Recent trends for the upper limb rehabilitation involves app-based games show's promising result in patient with hemiparesis, this study suggests the use of an simple games to improve hand function even reducing the stress in order to prevent post stroke and stress related complication and improve in the quality of living.