This study has evaluated the role of MRI in determining physiotherapy-induced changes in post-stroke recovery in 21 first-ever ischemic patients. Physiotherapy was given as intervention for 45 minutes every day for consecutive 6 months. Pre- and post- (3, 6 months) intervention assessment involved NIHSS, mRS and MRI studies (3T MR scanner). MRI studies included 3D-T1, 3D-FLAIR, DWI, and fMRI (motor task). Preliminary findings showed individual patients’ positive response to physiotherapy reflected in the NIHSS and mRS scores, and in the recovery of fMRI activation in the affected motor cortex post-intervention and other MR markers.