Objective: Determine the Effectiveness of Home therapy practices focuses onto provide best practices and to improves fine motor skills among affected upper extremity stroke patients.

Research Design: Pre experimental one group pretest-posttest design

Setting: Sri ASP Out Patient Neuro Clinic. Chennai.

Participants: 30 Stroke patients with affected upper extremity who satisfied the inclusion criteria.

Intervention: Home therapy given at 45minutes 3 times each week over the affected upper extremity of stroke patients.

Results: Comparison of Mean and Standard Deviation of pre and post-test of Disabilities of the Arm, Shoulder and Hand Score of post-test (M=30.03 SD=3.62) was higher than that of in the pretest (M=17.50, SD=4.54). Comparison Mean and Standard Deviation of Upper Extremity Functional Scale Activities in the Post test (M=30.02, SD=3.42) was higher than that of in the Pre-test (M=17.29, SD=4.0). The difference was found to be statistically significant at P<0.001 levels which indicates effectiveness of Home therapy of affected upper extremity among Stroke patients.

Conclusion: Effectiveness of Home therapy for affected upper extremity help the stroke patients to enhances the motor activities and improve Activities of Daily Living in day today life.