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Abstract Background: Stroke is one of the most well-known cause of physical disability around the world. Mental imagery is a technique by which physical performances can be cognitively rehearsed in a safe, repetitive manner. The aim: of this study was to investigate the effect of mental practice training on cognitive functions in patients with stroke. Subjects: Thirty hemiplegic patients from both sex participated in this study and were classified into two equal groups .Allocation was concealed in sequentially numbered sealed envelopes. Methods : the control group (B), received cognitive training (dual task exercise) only for sixty minute and the study group (A), received cognitive training for thirty minute for cognitive training in addition mental practice training (MPT) for thirty minute for four weeks. The physical therapy program was conducted three times per week, for four weeks. Cognitive functions were assessed in both groups before and after therapy By Montreal Cognitive Assesment (MOCA) scale. Results: There was a significant increase in the MOCA of the group A in comparison with that of group B post treatment (p = 0.02). Conclusion: mental practice training has a positive effect on improving cognitive function in patients with stroke |