Comparison of the Effects of Mirror Therapy,rTMS and Robotic-assisted Hand Therapy in Stroke Patients

The aim of the study is to investigate the comparison of the effects of mirror therapy, Repetitive Transcranial Magnetic Stimulation and robot-assisted hand therapy added to conventional neurological rehabilitation on upper extremity function, quality of life and pain in stroke.

Inclusion Criteria: * Patients who applied to Afyonkarahisar Health Sciences University Hospital Physical Medicine and Rehabilitation Polyclinic with the diagnosis of hemiplegia after a cerebrovascular accident in the inpatient ward or as an outpatient for neurological rehabilitation after taking the anamnesis and physical examination, who met the inclusion criteria and eliminated the exclusion criteria * Female and male patients between the ages of 40-80 * stroke at least 3 months ago * voluntarily agreed to participate in the study regularly, whose health status is suitable for rehabilitation and who are medically stable * mini mental test score of 15 and above * Neurologically stable patient Exclusion Criteria: * significant comorbidities such as serious heart disease (aortic stenosis, angina, hypertrophic cardiomyopathy, arrhythmia, pacemaker) and uncontrolled hypertension * history of epilepsy, antiepileptic drug use * intracranial metal objects * intraauricular implants * cognitive dysfunction * upper extremity peripheral nerve injuries * malignancy * active infection * skin infections or open wounds in the application area * inflammatory diseases * orthopedic injuries that may limit maximum effort capacity * brain lesion or drug use history that may affect the seizure threshold * increased intracranial pressure * uncontrolled migraine * severe spasticity in the hand (MAS≥3) * contracture in the hand * have had a fracture or surgery on the hemiplegic side in the last 6 months * severe visual impairment * severe depression