Stroke represents a major global health concern and is one of the leading causes of long-term disability, significantly impacting patients' functional abilities and overall quality of life. It occurs either due to an interruption of cerebral blood flow (ischemic stroke) or as a result of intracranial hemorrhage (hemorrhagic stroke), leading to neuronal damage and impairment of essential functions such as motor control, balance, sensation, and cognition. Within this framework, physiotherapy plays a pivotal and indispensable role in the multidisciplinary rehabilitation of stroke patients. It is primarily aimed at restoring motor function, enhancing functional independence, and facilitating the patient’s reintegration into daily life activities. Contemporary physiotherapy interventions are grounded in evidence-based practices that target neuromuscular recovery, motor relearning, and functional adaptation. A core component of physiotherapy management involves structured therapeutic exercise programs designed to improve muscle strength, increase joint flexibility, and prevent secondary complications such as contractures and muscle atrophy. In addition, balance and postural control training are essential to minimize the risk of falls and to promote stability during both static and dynamic activities. Gait rehabilitation constitutes a fundamental aspect of stroke recovery, focusing on retraining patients to achieve safe and efficient ambulation. This may involve the use of assistive devices, task-specific training, and advanced techniques such as body-weight-supported treadmill training. Furthermore, neuromuscular facilitation techniques, including proprioceptive neuromuscular facilitation (PNF), are widely utilized to enhance the interaction between the nervous system and musculoskeletal system, thereby promoting the recovery of voluntary movement patterns. Adjunct modalities such as electrical stimulation are also employed to activate weakened muscles, improve motor recruitment, and accelerate functional recovery. The rehabilitation process is typically structured into sequential phases. The acute phase emphasizes the prevention of complications, including pressure ulcers, joint stiffness, and respiratory issues. This is followed by the subacute (early rehabilitation) phase, which focuses on regaining basic functional abilities such as sitting, standing, and initiating movement. The chronic or advanced phase aims to optimize independence, improve endurance, and enhance the performance of activities of daily living (ADLs). Early initiation of physiotherapy intervention is widely recognized as a critical determinant of successful outcomes. Evidence from clinical studies demonstrates that early and intensive rehabilitation significantly reduces the degree of disability and enhances neuroplasticity, thereby accelerating recovery. Despite its proven benefits, stroke rehabilitation may face several challenges, including limited patient adherence, psychological barriers such as depression and reduced motivation, and inadequate healthcare resources in certain settings. Therefore, a holistic approach that integrates continuous physiotherapy, patient education, and psychosocial support is essential to maximize recovery outcomes. In conclusion, physiotherapy serves as a cornerstone in the rehabilitation of stroke patients. Its comprehensive, evidence-based interventions contribute significantly to the restoration of functional abilities and the improvement of quality of life. The implementation of individualized rehabilitation programs, combined with early intervention and sustained follow-up, is crucial in enabling patients to achieve optimal recovery and successful reintegration into society. Al-Mustaqbal University, the first university in Iraq.