Eligibility Criteria

Inclusion Criteria

- Age ≥55 years
- A first-ever ischemic supra-tentorial stroke (confirmed by MRI scan) at least 6 months before their enrollment;
- An unilateral hemiparesis, with a Muscle Research Council -MCR- score ≤3
- Ability to follow verbal instructions, with a Mini-Mental State Examination (MMSE) >24
- A mild to moderate spasticity according to a Modified Ashworth Scale (MAS) ≤2
- No severe bone or joint disease
- No history of concomitant neurodegenerative diseases or brain surgery.

Exclusion Criteria

- Severe cognitive and behavioral impairments
- Severe osteoporosis and previous bone fractures