Background: Sensorimotor cortex is responsive to peripheral and central stimulation by mechanisms that are important for learning motor tasks. The purpose of this study was to investigate difference between the effect of task oriented program and balance exercises on postural stability in stroke patients.Subjects and procedures: Thirty stroke hemiparetic subjects were assigned into two equal groups (group I and II): group (I) received task oriented training program in addition to selected physical therapy program (PNF technique, weight bearing exercises and gait training) while group (II) received balance exercise in addition to selected physical therapy program (PNF technique, weight bearing exercises and gait training). Subjects were assessed using biodex stability system including postural stability test. Results: This study revealed that balance is significantly improved in both groups with the best results for group I. Conclusion: Task oriented training could be considered a valuable method for treating balance in stroke patients.