Inclusion Criteria1. Patients with a recent acute stroke in the last 4 weeks
2. Patients with an upper extremity plegia (Medical Research Council [MRC] grade 2 or less at the shoulder joint),
3. Patients or their next of kin (in the absence of their being able to) provide with a written informed consent.
4. Aphasic alert patients provided they could follow simple directions given by verbal or gestural cues.
1. Patients with anterior or severe inferior shoulder subluxation (3 cms) of the plegic arm
2. Patients without shoulder pain on passive range of 75 degrees forward flexion and 75 degrees abduction of the plegic arm
3. Patients with trophic skin changes and significant edema (shoulder-hand syndrome)
4. Patients with prior rotator cuff surgery, patients with bursitis and/or biceps tendonitis
5. Patients who have suffered recent cardiac events (myocardial infarction, congestive cardiac failure, recent coronary artery bypass surgery)
6. Patients who refuse to sign a written informed consent.