In India, stroke and is a leading cause of disability. The latest available estimates from Indian Council of Medical Research (ICMR) indicate that in 2004 there were 930,985 cases of stroke in India with 639,455 deaths and 6.4 million disability adjusted life in terms of Weakness or paralysis associated with stroke often leaves individuals functionally impaired, and it is estimated that one-third of all stroke survivors are functionally dependent at 1 year Post stroke.

Traditional therapy models, however, frequency of practice is most often measured in the number of therapy sessions and the length of each session in minutes, rather than in the numbers of repetitions per session. Counted the number of repetitions in outpatient therapy sessions in individuals with traumatic brain injury and stroke.

 In an effort to provide greater numbers of functional repetitions in a therapy setting, active gaming has become a topic of increased interest. Active gaming, which requires individuals to use physical activity to control game play, may prove to be an effective adjunct therapy in individuals poststroke.

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